NP / PA
Hometown Health Care of Nepa INC.
Hometown Health Care of Nepa INC. was paid $691K by Medicaid between Jan 2021 and Dec 2024, across 64 billing codes. Its largest line is 87633, Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets — 18% of everything it billed.
33Billing provider infoHOMETOWN HEALTH CARE OF NEPA INC.
COVINGTON TOWNSHIP, PA 18444
COVINGTON TOWNSHIP, PA 18444
33aNPI1770199036assigned 09/21/2020
33bProvider typeFamily Nurse Practitioner
28Total paid$691K
24GClaims18,775
24DCodes billed64
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#19 of 1,075
Median peer was paid$8K
This provider vs. median82×
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 | |
|---|---|---|---|
| 2021 | 5,630 | $180K | |
| 2022 | 5,387 | $158K | |
| 2023 | 5,216 | $237K | |
| 2024incomplete | 2,542 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 18% | 317 | 284 | $127K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 3,804 | 3,422 | $122K |
| 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 | 16% | 2,271 | 2,039 | $111K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 701 | 687 | $67K |
| 0001A | 5.5% | 1,006 | 999 | $38K | |
| 0002A | 5.2% | 951 | 944 | $36K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 342 | 324 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 326 | 287 | $28K |
| 99177 | 2.7% | 1,261 | 1,220 | $18K | |
| 99188 | 2.2% | 861 | 844 | $15K | |
| 0071A | 1.9% | 332 | 331 | $13K | |
| 0072A | 1.7% | 289 | 288 | $12K |
52 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.5% | 888 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 588 | $7K |
| G0008 | Administration of influenza virus vaccine | <1% | 634 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 113 | $6K |
| 0004A | <1% | 131 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 46 | $4K |
| 92587 | <1% | 123 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | $3K |
| 0124A | <1% | 87 | $3K | |
| 99382 | <1% | 30 | $3K | |
| 87631 | <1% | 15 | $2K | |
| 96127 | <1% | 286 | $2K | |
| 90686 | <1% | 1,003 | $2K | |
| 0054A | <1% | 47 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 63 | $2K |
| 0064A | <1% | 39 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 190 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 226 | $1K |
| 99383 | <1% | 12 | $1K | |
| 99173 | <1% | 183 | $1K | |
| 92551 | <1% | 139 | $1K | |
| 92552 | <1% | 117 | $932.00 | |
| 0074A | <1% | 21 | $800.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 54 | $670.88 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 69 | $660.00 |
| 0134A | <1% | 18 | $600.00 | |
| 0012A | <1% | 22 | $564.25 | |
| 0154A | <1% | 12 | $480.00 | |
| 0011A | <1% | 24 | $372.68 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 58 | $367.21 |
| 90651 | <1% | 101 | $283.92 | |
| 99401 | <1% | 27 | $260.00 | |
| 87807 | <1% | 21 | $258.51 | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 24 | $230.00 |
| 85018 | <1% | 70 | $226.10 | |
| 90620 | <1% | 13 | $214.96 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 21 | $161.28 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 19 | $145.92 |
| 90619 | <1% | 128 | $140.00 | |
| 83655 | <1% | 12 | $110.00 | |
| 96160 | <1% | 26 | $90.48 | |
| 90633 | <1% | 25 | $80.00 | |
| 90734 | <1% | 61 | $60.00 | |
| 96161 | <1% | 16 | $55.68 | |
| 90670 | <1% | 26 | $50.00 | |
| 90715 | <1% | 109 | $20.00 | |
| 91305 | <1% | 12 | $1.00 | |
| 91320 | 0% | 35 | $0.00 | |
| 91300 | 0% | 138 | $0.00 | |
| 90656 | 0% | 76 | $0.00 | |
| 91319 | 0% | 13 | $0.00 | |
| 91307 | 0% | 63 | $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 officialFAVUZZA, ALLYSON (OWNER)