Physician
Wayne Memorial Community Health Centers
Wayne Memorial Community Health Centers was paid $1.95M by Medicaid between Jan 2018 and Nov 2024, across 21 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 infoWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
LAKE ARIEL, PA 18436
LAKE ARIEL, PA 18436
33aNPI1780820068assigned 12/17/2008
33bProvider typeInternal Medicine Physician
28Total paid$1.95M
24GClaims33,528
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#13 of 1,726
Median peer was paid$6K
This provider vs. median301×
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 | 490 | $24K | |
| 2019 | 481 | $25K | |
| 2020 | 491 | $32K | |
| 2021 | 2,334 | $152K | |
| 2022 | 3,089 | $195K | |
| 2023 | 11,327 | $551K | |
| 2024incomplete | 15,316 | $972K |
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% | 12,205 | 10,755 | $1.93M |
| 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% | 6,635 | 5,974 | $9K |
| 3074F | <1% | 998 | 902 | $2K | |
| 3079F | <1% | 685 | 637 | $1K | |
| 3078F | <1% | 542 | 501 | $803.39 | |
| 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% | 2,171 | 2,052 | $596.06 |
| 3075F | <1% | 225 | 221 | $355.02 | |
| 3077F | <1% | 143 | 133 | $305.00 | |
| 3080F | <1% | 130 | 124 | $270.00 | |
| 3044F | <1% | 215 | 193 | $186.63 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,206 | 1,164 | $186.36 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 78 | 77 | $54.25 |
9 more codes
| 3008F | 0% | 6,037 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 77 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,818 | $0.00 |
| 90656 | 0% | 23 | $0.00 | |
| 90686 | 0% | 25 | $0.00 | |
| 87428 | 0% | 174 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 47 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 41 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 53 | $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 | Honesdale, PA | $3.50M |
| 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 | 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.