Physician
Family Care Centers INC.
Family Care Centers INC. was paid $11.08M by Medicaid between Jan 2018 and Dec 2024, across 145 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoFAMILY CARE CENTERS INC.
E STROUDSBURG, PA 18301
E STROUDSBURG, PA 18301
33aNPI1669563037assigned 09/28/2006
33bProvider typeHematology & Oncology Physician
28Total paid$11.08M
24GClaims311,595
24DCodes billed145
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in Pennsylvania
Rank by total paid#1 of 81
Median peer was paid$3K
This provider vs. median3,475×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,708 | $118K | |
| 2019 | 9,018 | $316K | |
| 2020 | 18,708 | $702K | |
| 2021 | 74,437 | $2.74M | |
| 2022 | 75,494 | $2.58M | |
| 2023 | 71,620 | $2.49M | |
| 2024incomplete | 57,610 | $2.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25% | 52,424 | 50,191 | $2.78M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 65,222 | 60,482 | $2.67M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 9,958 | 9,777 | $924K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 9,232 | 8,852 | $881K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 7,665 | 7,490 | $666K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 5,498 | 5,354 | $405K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 2,487 | 2,460 | $200K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.5% | 1,787 | 1,685 | $163K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 6,006 | 5,967 | $141K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 21,054 | 19,297 | $133K |
| 92551 | 1.1% | 13,288 | 12,889 | $126K | |
| 90686 | 1.1% | 12,638 | 12,532 | $123K |
133 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 2,203 | $117K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 5,166 | $116K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 3,996 | $116K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.0% | 3,135 | $113K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,768 | $91K |
| 90651 | <1% | 2,718 | $80K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,118 | $74K |
| T1001 | Nursing assessment / evaluation | <1% | 328 | $69K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,454 | $52K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,765 | $43K |
| 90670 | <1% | 4,781 | $43K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,609 | $42K |
| 99460 | <1% | 421 | $39K | |
| 99174 | <1% | 4,134 | $39K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,600 | $38K |
| 90715 | <1% | 2,470 | $35K | |
| 90732 | <1% | 500 | $34K | |
| 99188 | <1% | 1,439 | $32K | |
| 93000 | <1% | 1,877 | $32K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,326 | $32K |
| 90680 | <1% | 3,322 | $32K | |
| 90633 | <1% | 3,031 | $31K | |
| 59025 | Fetal non-stress test | <1% | 2,067 | $30K |
| 90620 | <1% | 983 | $26K | |
| 73630 | <1% | 1,180 | $25K | |
| 90697 | <1% | 1,720 | $19K | |
| 90677 | <1% | 2,022 | $18K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 156 | $17K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | $16K |
| 90698 | <1% | 3,235 | $15K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 103 | $14K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 115 | $14K |
| 99385 | <1% | 633 | $14K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 416 | $14K |
| 99173 | <1% | 5,505 | $14K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 416 | $13K |
| G0008 | Administration of influenza virus vaccine | <1% | 1,203 | $12K |
| 73610 | <1% | 390 | $12K | |
| 90656 | <1% | 1,302 | $11K | |
| 83655 | <1% | 1,042 | $11K | |
| 76813 | <1% | 86 | $11K | |
| 99386 | <1% | 459 | $11K | |
| 99205 | Prolong outpt/office vis | <1% | 91 | $11K |
| 94727 | <1% | 1,210 | $11K | |
| T1002 | Rn services, up to 15 minutes | <1% | 129 | $10K |
| 90744 | <1% | 1,158 | $10K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 618 | $10K |
| 90750 | <1% | 452 | $9K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 42 | $9K |
| 94060 | <1% | 1,235 | $8K | |
| 90619 | <1% | 876 | $8K | |
| 92557 | <1% | 281 | $8K | |
| 99383 | <1% | 72 | $7K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 53 | $7K |
| 94729 | <1% | 1,246 | $7K | |
| 90710 | <1% | 715 | $7K | |
| 90734 | <1% | 266 | $7K | |
| 90461 | <1% | 205 | $6K | |
| 81025 | <1% | 1,354 | $6K | |
| 69210 | <1% | 547 | $6K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 43 | $5K |
| 90696 | <1% | 510 | $5K | |
| 72110 | <1% | 99 | $4K | |
| 93295 | <1% | 142 | $4K | |
| 85018 | <1% | 1,933 | $4K | |
| 3078F | <1% | 520 | $4K | |
| 92567 | <1% | 301 | $3K | |
| 96161 | <1% | 1,609 | $3K | |
| 0124A | <1% | 73 | $3K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 114 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 111 | $3K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 12 | $3K |
| 3074F | <1% | 480 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 27 | $3K |
| 93296 | <1% | 190 | $3K | |
| 59430 | <1% | 38 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 275 | $3K |
| 90716 | <1% | 237 | $2K | |
| 90707 | <1% | 223 | $2K | |
| 93016 | <1% | 100 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 894 | $2K |
| 95251 | <1% | 75 | $2K | |
| 76818 | <1% | 17 | $2K | |
| 31575 | <1% | 45 | $2K | |
| 80305 | <1% | 145 | $2K | |
| 91320 | <1% | 365 | $2K | |
| 90739 | <1% | 216 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 44 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $2K |
| 93018 | <1% | 118 | $2K | |
| 86580 | <1% | 588 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 123 | $1K |
| 99384 | <1% | 25 | $1K | |
| 99464 | <1% | 25 | $1K | |
| 99243 | <1% | 12 | $1K | |
| 96127 | <1% | 1,511 | $1K | |
| 72170 | <1% | 55 | $1K | |
| 76801 | <1% | 12 | $975.42 | |
| 90474 | <1% | 40 | $926.40 | |
| 81003 | <1% | 232 | $715.41 | |
| 3079F | <1% | 75 | $675.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $642.07 |
| 0112A | <1% | 13 | $618.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 189 | $537.27 |
| 96160 | <1% | 464 | $502.58 | |
| 95806 | <1% | 27 | $494.91 | |
| WA061 | <1% | 60 | $489.00 | |
| 91319 | <1% | 35 | $465.00 | |
| 51798 | <1% | 40 | $446.88 | |
| 51701 | <1% | 15 | $418.67 | |
| 72040 | <1% | 13 | $406.14 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $394.80 |
| 3044F | <1% | 36 | $285.00 | |
| 99462 | <1% | 13 | $283.42 | |
| 99442 | <1% | 17 | $270.24 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 15 | $260.33 |
| 93298 | <1% | 13 | $247.63 | |
| 91318 | <1% | 16 | $240.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 20 | $132.64 |
| 3046F | <1% | 13 | $130.00 | |
| 92552 | <1% | 12 | $110.40 | |
| 99443 | <1% | 13 | $98.72 | |
| 99441 | <1% | 20 | $95.26 | |
| 82044 | <1% | 15 | $73.56 | |
| 3075F | <1% | 12 | $50.00 | |
| 80061 | Lipid panel | <1% | 1,201 | $16.10 |
| 85013 | 0% | 363 | $0.00 | |
| 3048F | 0% | 79 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 108 | $0.00 |
| 99024 | 0% | 19 | $0.00 | |
| 90746 | 0% | 16 | $0.00 | |
| 94726 | 0% | 15 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDEMOPOULOS, JAMES (SR VP/COO)
| Provider | Location | Paid |
|---|---|---|
| Hazleton Professional Services | Hazleton, PA | $8.26M |
| Family Care Centers INC | East Stroudsburg, PA | $6.09M |
| Schuylkill Health System Medical Group, INC. | Pottsville, PA | $2.41M |
| Schuylkill Health System Medical Group, INC. | Pottsville, PA | $1.15M |
| Lehigh Valley Physician Group | Allentown, PA | $225K |
| Lehigh Valley Physician Group | Allentown, PA | $190K |
| Lehigh Valley Physician Group | Allentown, PA | $157K |
| Lehigh Valley Physician Group | Whitehall, PA | $107K |
| Lehigh Valley Physician Group | Dickson City, PA | $17K |
| Lehigh Valley Physician Group | Allentown, PA | $15K |
| Lehigh Valley Physician Group | Bethlehem, PA | $7K |
| Lehigh Valley Physician Group | Allentown, PA | $6K |
| Lehigh Valley Physician Group | Scranton, PA | $4K |
| Lehigh Valley Physician Group | Bethlehem, PA | $479.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.