NP / PA
Wayne Memorial Community Health Centers
Wayne Memorial Community Health Centers was paid $17.04M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
HONESDALE, PA 18431
HONESDALE, PA 18431
33aNPI1952395121assigned 09/02/2005
33bProvider typeNurse Practitioner
28Total paid$17.04M
24GClaims271,575
24DCodes billed109
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#1 of 372
Median peer was paid$7K
This provider vs. median2,475×
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 | 3,773 | $197K | |
| 2019 | 7,608 | $373K | |
| 2020 | 32,366 | $1.92M | |
| 2021 | 84,499 | $5.30M | |
| 2022 | 92,710 | $5.96M | |
| 2023 | 48,108 | $3.03M | |
| 2024incomplete | 2,511 | $256K |
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 | 96% | 109,380 | 96,601 | $16.39M |
| 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% | 59,245 | 53,209 | $151K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 950 | 945 | $129K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 42 | 42 | $84K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 639 | 617 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,667 | 3,417 | $40K |
| 0012A | <1% | 805 | 805 | $30K | |
| 0011A | <1% | 815 | 814 | $29K | |
| 76830 | Ultrasound, transvaginal | <1% | 210 | 205 | $15K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 9,472 | 9,126 | $15K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 13 | 13 | $14K |
| 0002A | <1% | 347 | 343 | $13K |
97 more codes
| 0001A | <1% | 345 | $13K | |
| G9016 | Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] | <1% | 767 | $11K |
| T1001 | Nursing assessment / evaluation | <1% | 60 | $10K |
| 0071A | <1% | 167 | $6K | |
| 0064A | <1% | 154 | $6K | |
| 0072A | <1% | 131 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,720 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,442 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,334 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 470 | $3K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 28 | $2K |
| 99460 | <1% | 48 | $1K | |
| 0004A | <1% | 36 | $1K | |
| 96127 | <1% | 1,577 | $1K | |
| 90686 | <1% | 1,520 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 540 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,438 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,039 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 12 | $963.49 |
| 0134A | <1% | 21 | $840.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 39 | $512.55 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 53 | $259.00 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 67 | $221.09 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 67 | $175.64 |
| 90715 | <1% | 1,156 | $47.52 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,091 | $40.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,137 | $20.97 |
| 90633 | <1% | 1,783 | $20.00 | |
| 94727 | <1% | 13 | $19.24 | |
| 94060 | <1% | 13 | $15.20 | |
| 85018 | <1% | 1,654 | $13.65 | |
| 90651 | <1% | 1,136 | $10.00 | |
| 90680 | <1% | 1,287 | $10.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 756 | $10.00 |
| 90670 | <1% | 2,643 | $10.00 | |
| 3008F | 0% | 33,939 | $0.00 | |
| 90744 | 0% | 460 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 67 | $0.00 |
| 3074F | 0% | 1,702 | $0.00 | |
| WA078 | 0% | 17 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 64 | $0.00 |
| 87807 | 0% | 111 | $0.00 | |
| 90723 | 0% | 511 | $0.00 | |
| 90647 | 0% | 576 | $0.00 | |
| 90688 | 0% | 1,394 | $0.00 | |
| 3079F | 0% | 1,111 | $0.00 | |
| 90696 | 0% | 530 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 629 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 659 | $0.00 |
| 90698 | 0% | 689 | $0.00 | |
| 90619 | 0% | 338 | $0.00 | |
| 90697 | 0% | 237 | $0.00 | |
| 90716 | 0% | 322 | $0.00 | |
| 3080F | 0% | 203 | $0.00 | |
| 3075F | 0% | 147 | $0.00 | |
| 92551 | 0% | 12 | $0.00 | |
| D0603 | 0% | 41 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 599 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 12 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 138 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 167 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 25 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 191 | $0.00 |
| 81000 | 0% | 28 | $0.00 | |
| 90620 | 0% | 32 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 24 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 138 | $0.00 |
| 3044F | 0% | 88 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 100 | $0.00 |
| D2331 | 0% | 30 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 56 | $0.00 |
| D0602 | 0% | 27 | $0.00 | |
| D1330 | 0% | 275 | $0.00 | |
| D5899 | 0% | 64 | $0.00 | |
| 87428 | 0% | 31 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 15 | $0.00 |
| 90732 | 0% | 12 | $0.00 | |
| 90648 | 0% | 193 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 373 | $0.00 |
| 3077F | 0% | 327 | $0.00 | |
| 90734 | 0% | 657 | $0.00 | |
| 90700 | 0% | 530 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 27 | $0.00 |
| 99173 | 0% | 921 | $0.00 | |
| 90710 | 0% | 689 | $0.00 | |
| 90671 | 0% | 34 | $0.00 | |
| 90707 | 0% | 376 | $0.00 | |
| 3078F | 0% | 670 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 773 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 66 | $0.00 |
| 92552 | 0% | 241 | $0.00 | |
| 90685 | 0% | 83 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 128 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 230 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 26 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 71 | $0.00 |
| D0270 | 0% | 20 | $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 officialLACEY, TERESA (CHIEF EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Wayne Memorial Community Health Centers | Carbondale, PA | $2.76M |
| Wayne Memorial Community Health Centers | Lake Ariel, PA | $1.67M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $1.31M |
| Wayne Memorial Community Health Centers | Honesdale, PA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.