Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Wayne Memorial Community Health Centers (NPI 1952395121)

Field	Value
Entity Type	Organization
Organization	Wayne Memorial Community Health Centers
Address	600 Maple Ave Ste 2
City	Honesdale
State	PA
ZIP	18431
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 2, 2005

Payer Source	Total Paid
Medicaid	$17.1M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

109 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	109,380	$150	$16.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	59,250	$1	$177.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	950	$140	$129.2K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	40	$1,990	$83.7K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	640	$80	$48.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,670	$10	$40.3K
0012A	N/A	810	$40	$30.6K
0011A	N/A	820	$40	$29.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	9,470	$1	$18.9K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	210	$70	$15.1K

Showing 1–10 of 109

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

Wayne Memorial Community Health Centers — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

109 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	19	1,690	760	$170	$1.2M
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	3	10	60	$1,820	$147.7K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	18	20	40	$1,340	$124.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	56	820	230	$80	$71.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	163	8,160	210	$60	$68.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	52	660	180	$70	$63.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	359	550	160	$80	$58.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	16	8,870	240	$40	$56.1K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	80	90	200	$60	$50.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	537	710	230	$70	$49.7K

Showing 1–10 of 109

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wayne Memorial Community Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wayne Memorial Community Health Centers	PA	Federally Qualified Health Center (FQHC)	$0	$10.5M
Samuel Ganz	FL	Internal Medicine Physician	$5.3M	$0
Abdalla Sholi	PA	Hematology & Oncology Physician	$134.2K	$3.2K
Sean Mcveigh	PA	Pulmonary Disease Physician	$108.8K	$0
Ramesh Pandit	DE	Internal Medicine Physician	$83.1K	$0
Mehran Hamzeh Langroudi	DE	Obstetrics & Gynecology Physician	$7K	$64.4K

Nearby Providers

Other providers in the same ZIP code as Wayne Memorial Community Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wayne Memorial Hospital	PA	General Acute Care Hospital	$0	$9.2M
Mountain Laurel Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$618.5K	$445.8K
Medical Shoppe Ltd	PA	Pharmacy	$104.7K	$789.2K
Philip Liu	PA	Otolaryngology Physician	$468.7K	$0
Glenn Woodley	PA	Foot & Ankle Surgery Podiatrist	$268.1K	$280
David Reynolds	PA	Gastroenterology Physician	$194.7K	$0
Walter Kaniefski	PA	Emergency Medicine Physician	$47.3K	$4K
Melissa Gibblets	PA	Occupational Therapist	$32.6K	$0
Jeffrey Becker	PA	Optometrist	$21.4K	$0
Lisa Dowling	PA	Optometrist	$18.5K	$0

Wayne Memorial Community Health Centers — Billing Profile & Reimbursement Data

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Wayne Memorial Community Health Centers — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References