Clinic
Wayne Memorial Community Health Centers
Wayne Memorial Community Health Centers was paid $3.50M by Medicaid between Jan 2018 and Dec 2024, across 29 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 infoWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
HONESDALE, PA 18431
HONESDALE, PA 18431
33aNPI1740490473assigned 05/23/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.50M
24GClaims48,902
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#64 of 240
Median peer was paid$909K
This provider vs. median3.9×
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 JACKSON, FREDERICK 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 | 890 | $144K | |
| 2019 | 1,016 | $165K | |
| 2020 | 3,148 | $187K | |
| 2021 | 15,455 | $896K | |
| 2022 | 678 | $59K | |
| 2023 | 1,231 | $76K | |
| 2024incomplete | 26,484 | $1.98M |
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% | 17,040 | 15,142 | $3.50M |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,316 | 2,283 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 5,284 | 5,271 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 1,434 | 1,110 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 623 | 623 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 2,520 | 2,518 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 1,123 | 1,119 | $0.00 |
| D2332 | 0% | 228 | 180 | $0.00 | |
| D9110 | 0% | 53 | 53 | $0.00 | |
| D0270 | 0% | 126 | 126 | $0.00 | |
| D2394 | 0% | 46 | 44 | $0.00 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 131 | 86 | $0.00 |
17 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,326 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 2,005 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 1,565 | $0.00 |
| D5899 | 0% | 647 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 1,808 | $0.00 |
| D2331 | 0% | 529 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 625 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 5,225 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 792 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 1,164 | $0.00 |
| D2330 | 0% | 231 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 646 | $0.00 |
| D1330 | 0% | 678 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 152 | $0.00 |
| D0603 | 0% | 57 | $0.00 | |
| D2335 | 0% | 196 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 332 | $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 officialJACKSON, FREDERICK (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Wayne Memorial Community Health Centers | Honesdale, PA | $10.50M |
| Wayne Memorial Community Health Centers | Hawley, PA | $2.32M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $2.06M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $2.00M |
| Wayne Memorial Community Health Centers | Lake Ariel, PA | $1.95M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $1.58M |
| Wayne Memorial Community Health Centers | Waymart, PA | $1.31M |
| Wayne Memorial Community Health Centers | Lords Valley, PA | $735K |
| Wayne Memorial Community Health Centers | Forest City, PA | $286K |
| Wayne Memorial Community Health Centers | Tafton, PA | $215K |
| Wayne Memorial Community Health Centers | Honesdale, PA | $174K |
| Wayne Memorial Community Health Centers | Lake Como, PA | $152K |
| Wayne Memorial Community Health Centers | Hawley, PA | $3K |
| Wayne Memorial Community Health Centers | Honesdale, PA | $789.13 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.