Physician
Rural Health Corporation of Northeastern Pennsylvania
Rural Health Corporation of Northeastern Pennsylvania was paid $664K by Medicaid between Jan 2020 and Nov 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
HAZLETON, PA 18201
HAZLETON, PA 18201
33aNPI1679115760assigned 10/10/2019
33bProvider typePediatrics Physician
28Total paid$664K
24GClaims11,268
24DCodes billed24
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#143 of 1,257
Median peer was paid$45K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2020 | 1,397 | $48K | |
| 2021 | 2,098 | $132K | |
| 2022 | 2,219 | $143K | |
| 2023 | 3,689 | $200K | |
| 2024incomplete | 1,865 | $141K |
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 | 100% | 5,492 | 4,945 | $664K |
| 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% | 1,564 | 1,456 | $126.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 338 | 333 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 417 | 411 | $0.00 |
| 90670 | 0% | 37 | 25 | $0.00 | |
| 99173 | 0% | 939 | 915 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 27 | 27 | $0.00 |
| 90633 | 0% | 381 | 281 | $0.00 | |
| 92552 | 0% | 749 | 730 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 154 | 151 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 182 | 176 | $0.00 |
| 90461 | 0% | 136 | 136 | $0.00 |
12 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 181 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 127 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 93 | $0.00 |
| 90710 | 0% | 23 | $0.00 | |
| 90734 | 0% | 26 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 253 | $0.00 |
| 90686 | 0% | 13 | $0.00 | |
| 90698 | 0% | 43 | $0.00 | |
| 90651 | 0% | 16 | $0.00 | |
| 87807 | 0% | 16 | $0.00 | |
| 90688 | 0% | 48 | $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 officialISKRA, MATTHEW (CFO)
Parent organizationRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
| Provider | Location | Paid |
|---|---|---|
| Rural Health Corporation of Northeastern Pennsylvania | Edwardsville, PA | $970K |
| Rural Health Corporation of Northeastern Pennsylvania | Monroe Township, PA | $902K |
| Rural Health Corporation of Northeastern Pennsylvania | Freeland, PA | $821K |
| Rural Health Corporation of Northeastern Pennsylvania | Wilkes-barre, PA | $728K |
| Rural Health Corporation of Northeastern Pennsylvania | Shickshinny, PA | $413K |
| Rural Health Corporation of Northeastern Pennsylvania | Falls, PA | $223K |
| Rural Health Corporation of Northeastern Pennsylvania | Wilkes Barre, PA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.