Physician
Rural Health Corporation of Northeastern Pennsylvania
Rural Health Corporation of Northeastern Pennsylvania was paid $413K by Medicaid between Oct 2018 and Nov 2024, across 7 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 infoRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
SHICKSHINNY, PA 18655
SHICKSHINNY, PA 18655
33aNPI1790887057assigned 09/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$413K
24GClaims5,931
24DCodes billed7
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#160 of 2,756
Median peer was paid$19K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2018 | 138 | $7K | |
| 2019 | 82 | $7K | |
| 2020 | 314 | $21K | |
| 2021 | 1,125 | $83K | |
| 2022 | 1,262 | $86K | |
| 2023 | 1,753 | $114K | |
| 2024incomplete | 1,257 | $95K |
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% | 3,641 | 3,294 | $413K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 57 | 56 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 15 | 15 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 1,991 | 1,843 | $0.00 |
| 90688 | 0% | 145 | 115 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 68 | 68 | $0.00 |
| 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 | 0% | 14 | 14 | $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 officialISKRA, MATTHEW (CFO)
Parent organizationRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.