SCRANTON PRIMARY HEALTH CARE CENTER, INC.
NPI: 1801871579
· SCRANTON, PA 18509
· 261QF0400X
$6.93M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
27,244 |
$1.25M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
63,261 |
57,377 |
$6.84M |
| 0012A |
|
655 |
654 |
$24K |
| 0011A |
|
592 |
590 |
$17K |
| 0001A |
|
245 |
245 |
$9K |
| 0002A |
|
227 |
227 |
$9K |
| 99213 |
|
13,011 |
12,556 |
$7K |
| 0064A |
|
124 |
124 |
$5K |
| 99499 |
|
142 |
133 |
$3K |
| 91320 |
|
62 |
58 |
$2K |
| 0072A |
|
42 |
42 |
$2K |
| 99393 |
|
2,907 |
2,874 |
$2K |
| 99394 |
|
1,443 |
1,434 |
$1K |
| 0071A |
|
35 |
35 |
$1K |
| 90460 |
|
7,072 |
6,942 |
$834.57 |
| 90686 |
|
957 |
929 |
$540.00 |
| 3074F |
|
270 |
269 |
$540.00 |
| 92551 |
|
4,937 |
4,890 |
$500.26 |
| 99392 |
|
1,740 |
1,728 |
$499.19 |
| 99214 |
|
3,768 |
3,704 |
$401.72 |
| 3078F |
|
173 |
171 |
$360.00 |
| 59425 |
|
305 |
238 |
$239.38 |
| 90461 |
|
3,771 |
3,736 |
$199.63 |
| 90734 |
|
454 |
451 |
$80.00 |
| 92553 |
|
378 |
377 |
$58.37 |
| 90656 |
|
126 |
126 |
$48.00 |
| 90633 |
|
1,001 |
995 |
$33.00 |
| 90670 |
|
962 |
947 |
$20.00 |
| 90685 |
|
55 |
53 |
$20.00 |
| 3079F |
|
155 |
154 |
$20.00 |
| 83036 |
|
906 |
892 |
$7.00 |
| 82948 |
|
1,370 |
1,350 |
$0.00 |
| 99173 |
|
4,284 |
4,241 |
$0.00 |
| 88164 |
|
315 |
313 |
$0.00 |
| 83655 |
|
613 |
609 |
$0.00 |
| D0220 |
|
1,246 |
1,220 |
$0.00 |
| D1110 |
|
2,162 |
2,157 |
$0.00 |
| D1120 |
|
496 |
493 |
$0.00 |
| 99391 |
|
1,021 |
1,010 |
$0.00 |
| 90715 |
|
297 |
296 |
$0.00 |
| D0274 |
|
1,281 |
1,277 |
$0.00 |
| 87880 |
|
385 |
376 |
$0.00 |
| 3077F |
|
63 |
62 |
$0.00 |
| 90710 |
|
263 |
263 |
$0.00 |
| 90707 |
|
116 |
113 |
$0.00 |
| 99212 |
|
1,492 |
1,449 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
737 |
723 |
$0.00 |
| D1999 |
|
445 |
410 |
$0.00 |
| D2391 |
|
413 |
342 |
$0.00 |
| 90621 |
|
97 |
95 |
$0.00 |
| 99395 |
|
328 |
325 |
$0.00 |
| D0330 |
|
497 |
495 |
$0.00 |
| 59426 |
|
413 |
220 |
$0.00 |
| 81002 |
|
168 |
122 |
$0.00 |
| 99396 |
|
116 |
116 |
$0.00 |
| 99490 |
Ccm add 20min |
49 |
43 |
$0.00 |
| D9110 |
|
106 |
106 |
$0.00 |
| 87210 |
|
114 |
112 |
$0.00 |
| 99203 |
|
18 |
18 |
$0.00 |
| 90648 |
|
14 |
12 |
$0.00 |
| D1206 |
|
991 |
986 |
$0.00 |
| 90688 |
|
724 |
718 |
$0.00 |
| 90680 |
|
1,212 |
1,201 |
$0.00 |
| D1330 |
|
487 |
487 |
$0.00 |
| 85018 |
|
859 |
853 |
$0.00 |
| 90677 |
|
464 |
460 |
$0.00 |
| 90651 |
|
624 |
619 |
$0.00 |
| D0230 |
|
1,181 |
708 |
$0.00 |
| 90744 |
|
963 |
952 |
$0.00 |
| D2392 |
|
593 |
507 |
$0.00 |
| 90471 |
|
733 |
717 |
$0.00 |
| 90698 |
|
1,741 |
1,725 |
$0.00 |
| 59430 |
|
12 |
12 |
$0.00 |
| 90696 |
|
220 |
220 |
$0.00 |
| D0150 |
|
631 |
629 |
$0.00 |
| D0120 |
|
1,026 |
1,022 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
263 |
225 |
$0.00 |
| D2393 |
|
120 |
107 |
$0.00 |
| 99381 |
|
54 |
54 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| D7140 |
|
635 |
434 |
$0.00 |
| D00CP |
|
14 |
14 |
$0.00 |
| 96372 |
|
136 |
125 |
$0.00 |
| 90716 |
|
122 |
119 |
$0.00 |
| D0272 |
|
28 |
28 |
$0.00 |
| 90474 |
|
58 |
58 |
$0.00 |
| D0140 |
|
14 |
14 |
$0.00 |
| 99202 |
|
17 |
17 |
$0.00 |
| D2330 |
|
14 |
12 |
$0.00 |
| D5899 |
|
78 |
51 |
$0.00 |
| 90657 |
|
15 |
15 |
$0.00 |