NPI: 1790887057 · SHICKSHINNY, PA 18655 · Family Medicine Physician · NPI assigned 09/05/2006
| Authorized Official | ISKRA, MATTHEW (CFO) |
| Parent Organization | RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA |
| NPI Enumeration Date | 09/05/2006 |
Other providers sharing the same authorized official: ISKRA, MATTHEW
| Provider | City | State | Total 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 | HAZLETON | PA | $664K |
| RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA | FALLS | PA | $223K |
| RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA | WILKES BARRE | PA | $20K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 138 | $7K |
| 2019 | 82 | $7K |
| 2020 | 314 | $21K |
| 2021 | 1,125 | $83K |
| 2022 | 1,262 | $86K |
| 2023 | 1,753 | $114K |
| 2024 | 1,257 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,641 | 3,294 | $413K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 57 | 56 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 15 | 15 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,991 | 1,843 | $0.00 |
| 90688 | 145 | 115 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 68 | 68 | $0.00 |
| G0467 | Federally 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 | 14 | 14 | $0.00 |