Keystone Rural Health Center
Keystone Rural Health Center was paid $4.19M by Medicaid between Jan 2018 and Dec 2024, across 30 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.
CHAMBERSBURG, PA 17201
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,049 | $75K | |
| 2019 | 4,827 | $498K | |
| 2020 | 5,275 | $633K | |
| 2021 | 7,507 | $776K | |
| 2022 | 7,246 | $766K | |
| 2023 | 7,921 | $759K | |
| 2024incomplete | 6,844 | $685K |
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% | 19,296 | 17,598 | $4.15M |
| 3074F | <1% | 1,372 | 1,343 | $9K | |
| 3078F | <1% | 1,117 | 1,096 | $8K | |
| 3079F | <1% | 740 | 725 | $7K | |
| 99499 | <1% | 483 | 444 | $6K | |
| 3077F | <1% | 592 | 567 | $5K | |
| 3080F | <1% | 286 | 280 | $2K | |
| 3075F | <1% | 152 | 151 | $2K | |
| 3044F | <1% | 222 | 218 | $1K | |
| 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% | 4,958 | 4,734 | $839.69 |
| 0011A | <1% | 48 | 48 | $728.42 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 268 | 233 | $665.67 |
18 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 4,300 | $609.46 |
| 0012A | <1% | 14 | $429.29 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,589 | $266.63 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 69 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 306 | $0.00 |
| G9920 | Screening performed and negative | 0% | 280 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 39 | $0.00 |
| 90661 | 0% | 36 | $0.00 | |
| 3725F | 0% | 13 | $0.00 | |
| 3008F | 0% | 1,956 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 534 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 379 | $0.00 |
| 90686 | 0% | 198 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 185 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 180 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 20 | $0.00 |
| 3072F | 0% | 25 | $0.00 | |
| 99205 | Prolong outpt/office vis | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Keystone Rural Health Center | Chambersburg, PA | $35.78M |
| Keystone Rural Health Center | Chambersburg, PA | $22.87M |
| Keystone Rural Health Center | Chambersburg, PA | $20.89M |
| Keystone Rural Health Center | Chambersburg, PA | $14.22M |
| Keystone Rural Health Center | Chambersburg, PA | $14.07M |
| Keystone Rural Health Center | Chambersburg, PA | $13.70M |
| Keystone Rural Health Center | Chambersburg, PA | $8.99M |
| Keystone Rural Health Center | Chambersburg, PA | $4.76M |
| Keystone Rural Health Center | Waynesboro, PA | $4.54M |
| Keystone Rural Health Center | Chambersburg, PA | $1.98M |
| Keystone Rural Health Center | Chambersburg, PA | $1.80M |
| Keystone Rural Health Center | Chambersburg, PA | $1.72M |
| Keystone Rural Health Center | Chambersburg, PA | $532K |
| Keystone Rural Health Center | Chambersburg, PA | $441K |
| Keystone Rural Health Center | Waynesboro, PA | $173K |
| Keystone Rural Health Center | Chambersburg, PA | $120K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.