Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH PENN COMPREHENSIVE HEALTH SERVICES

NPI: 1801453980 · WELLSBORO, PA 16901 · Pediatrics Physician · NPI assigned 05/23/2019

$1.59M
Total Medicaid Paid
20,797
Total Claims
18,384
Beneficiaries
23
Codes Billed
2019-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVANZILE, ANGELA (CREDENTIALING COORDINATOR)
Parent OrganizationNORTH PENN COMPREHENSIVE HEALTH SERVICES
NPI Enumeration Date05/23/2019

Related Entities

Other providers sharing the same authorized official: VANZILE, ANGELA

ProviderCityStateTotal Paid
NORTH PENN COMPREHENSIVE HEALTH SERVICES BLOSSBURG PA $6.22M
NORTH PENN COMPREHENSIVE HEALTH SERVICES WELLSBORO PA $5.29M
NORTH PENN COMPREHENSIVE HEALTH SERVICES MANSFIELD PA $2.92M
NORTH PENN COMPREHENSIVE HEALTH SERVICES ELKLAND PA $2.15M
NORTH PENN COMPREHENSIVE HEALTH SERVICES LAWRENCEVILLE PA $1.90M
NORTH PENN COMPREHENSIVE HEALTH SERVICES MANSFIELD PA $851K
NORTH PENN COMPREHENSIVE HEALTH SERVICES WESTFIELD PA $626K
NORTH PENN COMPREHENSIVE HEALTH SERVICES MANSFIELD PA $288K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,107 $10K
2020 2,666 $215K
2021 4,789 $395K
2022 4,715 $362K
2023 4,639 $363K
2024 2,881 $243K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 10,074 8,380 $1.57M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,039 2,792 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,765 1,602 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,170 1,136 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 432 426 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 222 221 $675.92
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 434 409 $416.98
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 211 208 $281.46
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 335 323 $244.36
90460 Immunization administration through 18 years of age via any route, first or only component 686 675 $128.65
99173 94 89 $117.36
90461 393 383 $99.63
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 247 137 $92.20
92567 107 101 $85.09
90472 Immunization administration, each additional vaccine (list separately) 683 654 $56.29
92551 59 56 $29.00
81002 32 30 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 117 108 $0.00
83655 19 15 $0.00
87430 426 394 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 195 192 $0.00
90474 41 39 $0.00
96161 16 14 $0.00