Clinic
Scranton Primary Health Care Center, INC.
Scranton Primary Health Care Center, INC. was paid $6.93M by Medicaid between Jan 2018 and Dec 2024, across 91 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 infoSCRANTON PRIMARY HEALTH CARE CENTER, INC.
SCRANTON, PA 18509
SCRANTON, PA 18509
33aNPI1801871579assigned 12/14/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.93M
24GClaims142,748
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#39 of 240
Median peer was paid$909K
This provider vs. median7.6×
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 | 3,863 | $285K | |
| 2019 | 3,256 | $246K | |
| 2020 | 10,937 | $465K | |
| 2021 | 39,015 | $1.81M | |
| 2022 | 29,618 | $1.47M | |
| 2023 | 28,815 | $1.41M | |
| 2024incomplete | 27,244 | $1.25M |
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% | 63,261 | 57,377 | $6.84M |
| 0012A | <1% | 655 | 654 | $24K | |
| 0011A | <1% | 592 | 590 | $17K | |
| 0001A | <1% | 245 | 245 | $9K | |
| 0002A | <1% | 227 | 227 | $9K | |
| 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% | 13,011 | 12,556 | $7K |
| 0064A | <1% | 124 | 124 | $5K | |
| 99499 | <1% | 142 | 133 | $3K | |
| 91320 | <1% | 62 | 58 | $2K | |
| 0072A | <1% | 42 | 42 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,907 | 2,874 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,443 | 1,434 | $1K |
79 more codes
| 0071A | <1% | 35 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 7,072 | $834.57 |
| 90686 | <1% | 957 | $540.00 | |
| 3074F | <1% | 270 | $540.00 | |
| 92551 | <1% | 4,937 | $500.26 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,740 | $499.19 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,768 | $401.72 |
| 3078F | <1% | 173 | $360.00 | |
| 59425 | <1% | 305 | $239.38 | |
| 90461 | <1% | 3,771 | $199.63 | |
| 90734 | <1% | 454 | $80.00 | |
| 92553 | <1% | 378 | $58.37 | |
| 90656 | <1% | 126 | $48.00 | |
| 90633 | <1% | 1,001 | $33.00 | |
| 90670 | <1% | 962 | $20.00 | |
| 90685 | <1% | 55 | $20.00 | |
| 3079F | <1% | 155 | $20.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 906 | $7.00 |
| 82948 | 0% | 1,370 | $0.00 | |
| 99173 | 0% | 4,284 | $0.00 | |
| 88164 | 0% | 315 | $0.00 | |
| 83655 | 0% | 613 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,246 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 2,162 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 496 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,021 | $0.00 |
| 90715 | 0% | 297 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 1,281 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 385 | $0.00 |
| 3077F | 0% | 63 | $0.00 | |
| 90710 | 0% | 263 | $0.00 | |
| 90707 | 0% | 116 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,492 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 737 | $0.00 |
| D1999 | 0% | 445 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 413 | $0.00 |
| 90621 | 0% | 97 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 328 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 497 | $0.00 |
| 59426 | 0% | 413 | $0.00 | |
| 81002 | 0% | 168 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 116 | $0.00 |
| 99490 | Ccm add 20min | 0% | 49 | $0.00 |
| D9110 | 0% | 106 | $0.00 | |
| 87210 | 0% | 114 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 18 | $0.00 |
| 90648 | 0% | 14 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 991 | $0.00 |
| 90688 | 0% | 724 | $0.00 | |
| 90680 | 0% | 1,212 | $0.00 | |
| D1330 | 0% | 487 | $0.00 | |
| 85018 | 0% | 859 | $0.00 | |
| 90677 | 0% | 464 | $0.00 | |
| 90651 | 0% | 624 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,181 | $0.00 |
| 90744 | 0% | 963 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 593 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 733 | $0.00 |
| 90698 | 0% | 1,741 | $0.00 | |
| 59430 | 0% | 12 | $0.00 | |
| 90696 | 0% | 220 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 631 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 1,026 | $0.00 |
| 90619 | 0% | 12 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 263 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 120 | $0.00 |
| 99381 | 0% | 54 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 635 | $0.00 |
| D00CP | 0% | 14 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 136 | $0.00 |
| 90716 | 0% | 122 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 28 | $0.00 |
| 90474 | 0% | 58 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 14 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 17 | $0.00 |
| D2330 | 0% | 14 | $0.00 | |
| D5899 | 0% | 78 | $0.00 | |
| 90657 | 0% | 15 | $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 officialHOLLANDER, JOSEPH (CEO)