Physician
Caring Community Health Center
Caring Community Health Center was paid $17.47M by Medicaid between Nov 2019 and Dec 2024, across 78 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoCARING COMMUNITY HEALTH CENTER
WILKES BARRE, PA 18702
WILKES BARRE, PA 18702
33aNPI1679038293assigned 02/07/2019
33bProvider typeAdult Medicine Physician
28Total paid$17.47M
24GClaims215,755
24DCodes billed78
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Adult Medicine Physician providers in Pennsylvania
Rank by total paid#1 of 27
Median peer was paid$10K
This provider vs. median1,721×
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.
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 | |
|---|---|---|---|
| 2019 | 51 | $530.53 | |
| 2020 | 5,048 | $152K | |
| 2021 | 44,607 | $3.70M | |
| 2022 | 51,195 | $4.44M | |
| 2023 | 56,526 | $4.72M | |
| 2024incomplete | 58,328 | $4.45M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 95,632 | 85,910 | $17.24M |
| 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 | <1% | 32,042 | 30,246 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 16,512 | 15,651 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,446 | 3,364 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,895 | 2,841 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,591 | 3,289 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,091 | 1,937 | $12K |
| 90686 | <1% | 3,684 | 3,640 | $11K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 6,522 | 6,234 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,618 | 1,591 | $7K |
| G0008 | Administration of influenza virus vaccine | <1% | 2,440 | 2,374 | $4K |
| 99499 | <1% | 205 | 194 | $3K |
66 more codes
| 90732 | <1% | 48 | $2K | |
| 90715 | <1% | 820 | $2K | |
| 90670 | <1% | 1,748 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 382 | $1K |
| 0012A | <1% | 226 | $1K | |
| 0011A | <1% | 151 | $960.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 816 | $869.76 |
| 90647 | <1% | 1,613 | $803.40 | |
| 90723 | <1% | 1,890 | $799.70 | |
| 90746 | <1% | 294 | $788.91 | |
| 85610 | <1% | 231 | $625.65 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 284 | $600.02 |
| 90633 | <1% | 987 | $592.20 | |
| 99442 | <1% | 122 | $557.37 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 492 | $553.60 |
| 93793 | <1% | 98 | $496.79 | |
| 90710 | <1% | 917 | $458.60 | |
| 90651 | <1% | 875 | $365.90 | |
| 0124A | <1% | 42 | $360.00 | |
| 90734 | <1% | 663 | $355.90 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 8,025 | $348.60 |
| 99177 | <1% | 795 | $345.00 | |
| 92551 | <1% | 4,477 | $304.88 | |
| 90680 | <1% | 1,186 | $270.80 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 82 | $218.04 |
| 3074F | <1% | 168 | $170.00 | |
| 98967 | <1% | 13 | $152.01 | |
| 3078F | <1% | 153 | $150.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,062 | $146.60 |
| 99173 | <1% | 3,238 | $143.85 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 124 | $136.68 |
| 86580 | <1% | 15 | $79.38 | |
| 81025 | <1% | 13 | $55.48 | |
| 83655 | <1% | 2,264 | $54.50 | |
| 3077F | <1% | 62 | $40.00 | |
| 3079F | <1% | 53 | $30.00 | |
| 96127 | <1% | 485 | $11.50 | |
| 3080F | <1% | 14 | $10.00 | |
| 90677 | <1% | 1,274 | $8.60 | |
| 80061 | Lipid panel | 0% | 833 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 567 | $0.00 |
| 90648 | 0% | 219 | $0.00 | |
| 90380 | 0% | 14 | $0.00 | |
| 81003 | 0% | 13 | $0.00 | |
| 90681 | 0% | 160 | $0.00 | |
| 90700 | 0% | 134 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 33 | $0.00 |
| 90750 | 0% | 15 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 16 | $0.00 |
| 3008F | 0% | 3,790 | $0.00 | |
| 85018 | 0% | 733 | $0.00 | |
| 99459 | 0% | 269 | $0.00 | |
| 99385 | 0% | 86 | $0.00 | |
| G0010 | Administration of hepatitis b vaccine | 0% | 343 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 260 | $0.00 |
| 90656 | 0% | 616 | $0.00 | |
| 90696 | 0% | 256 | $0.00 | |
| 99381 | 0% | 275 | $0.00 | |
| 3075F | 0% | 12 | $0.00 | |
| 90739 | 0% | 12 | $0.00 | |
| 99383 | 0% | 41 | $0.00 | |
| 91301 | 0% | 113 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90381 | 0% | 28 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 13 | $0.00 |
| 99417 | Prolong home eval add 15m | 0% | 12 | $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 officialROGERS, MATT (PRESIDENT)