Physician
Wayne Memorial Community Health Centers
Wayne Memorial Community Health Centers was paid $2.00M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
HONESDALE, PA 18431
HONESDALE, PA 18431
33aNPI1801266879assigned 10/02/2015
33bProvider typeFamily Medicine Physician
28Total paid$2.00M
24GClaims41,127
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#29 of 2,756
Median peer was paid$19K
This provider vs. median104×
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 | 1,908 | $73K | |
| 2019 | 1,846 | $73K | |
| 2020 | 1,655 | $70K | |
| 2021 | 3,927 | $209K | |
| 2022 | 4,123 | $235K | |
| 2023 | 11,502 | $478K | |
| 2024incomplete | 16,166 | $860K |
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 | 98% | 16,145 | 14,304 | $1.97M |
| 0011A | <1% | 197 | 194 | $7K | |
| 0012A | <1% | 175 | 174 | $7K | |
| 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% | 6,028 | 5,343 | $5K |
| 0002A | <1% | 63 | 63 | $3K | |
| 0001A | <1% | 58 | 58 | $2K | |
| 3074F | <1% | 986 | 907 | $2K | |
| 3078F | <1% | 804 | 767 | $2K | |
| 3079F | <1% | 736 | 685 | $2K | |
| 3075F | <1% | 511 | 486 | $640.00 | |
| 3077F | <1% | 336 | 309 | $624.59 | |
| 0064A | <1% | 15 | 15 | $560.00 |
18 more codes
| 3080F | <1% | 331 | $371.72 | |
| 3044F | <1% | 271 | $277.97 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,263 | $216.03 |
| 3051F | <1% | 17 | $30.00 | |
| G0467 | Community health center visit, returning patient | <1% | 1,146 | $28.81 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 152 | $10.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 80 | $6.30 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,163 | $0.00 |
| 3008F | 0% | 7,679 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 301 | $0.00 |
| 90686 | 0% | 87 | $0.00 | |
| 87428 | 0% | 60 | $0.00 | |
| 90656 | 0% | 66 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 138 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 226 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 41 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 38 | $0.00 |
| 90734 | 0% | 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 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 | Lake Ariel, PA | $1.95M |
| 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.