Clinic
Tug River Health Association, INC
Tug River Health Association, INC was paid $264K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoTUG RIVER HEALTH ASSOCIATION, INC
WELCH, WV 24801
WELCH, WV 24801
33aNPI1013093350assigned 10/30/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$264K
24GClaims3,213
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#124 of 205
Median peer was paid$521K
This provider vs. median0.5×
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 | 343 | $34K | |
| 2019 | 611 | $29K | |
| 2020 | 403 | $30K | |
| 2021 | 316 | $27K | |
| 2022 | 443 | $39K | |
| 2023 | 226 | $19K | |
| 2024incomplete | 871 | $85K |
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 | 92% | 1,683 | 1,381 | $243K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 1,226 | 991 | $12K |
| 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 | 3.0% | 93 | 86 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 17 | 15 | $720.63 |
| 87428 | <1% | 15 | 15 | $700.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 50 | 45 | $266.23 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 41 | 37 | $61.85 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 13 | 12 | $0.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 49 | 47 | $0.00 |
| 99173 | 0% | 12 | 12 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 14 | 13 | $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 officialHARRIS, KIM (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Tug River Health Association, INC | Northfork, WV | $2.44M |
| Tug River Health Association, INC | Gary, WV | $2.16M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.