Clinic
Adena Fayette Medical Center
Adena Fayette Medical Center was paid $1.64M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 27% of everything it billed.
33Billing provider infoADENA FAYETTE MEDICAL CENTER
WASHINGTON COURT HOUSE, OH 43160
WASHINGTON COURT HOUSE, OH 43160
33aNPI1013220805assigned 07/21/2010
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.64M
24GClaims101,638
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Ohio
Rank by total paid#11 of 48
Median peer was paid$245K
This provider vs. median6.7×
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 | 6,682 | $164K | |
| 2019 | 5,411 | $129K | |
| 2020 | 4,009 | $109K | |
| 2021 | 25,510 | $230K | |
| 2022 | 32,553 | $410K | |
| 2023 | 18,505 | $387K | |
| 2024incomplete | 8,968 | $209K |
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 | 27% | 14,215 | 9,216 | $445K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 18,558 | 12,363 | $404K |
| 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 | 17% | 8,855 | 6,031 | $282K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 17% | 11,417 | 6,466 | $274K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 7.8% | 7,828 | 3,668 | $128K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 4,276 | 2,980 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 645 | 428 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 328 | 253 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 348 | 267 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 631 | 387 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 185 | 119 | $7K |
| 99307 | <1% | 336 | 254 | $6K |
26 more codes
| 99382 | <1% | 148 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 166 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 522 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 445 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 22 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 73 | $957.30 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $797.28 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 70 | $608.29 |
| 90686 | <1% | 46 | $535.62 | |
| 99050 | <1% | 14 | $247.24 | |
| 81003 | <1% | 197 | $147.68 | |
| 90656 | <1% | 15 | $133.47 | |
| 96127 | <1% | 54 | $116.96 | |
| 3008F | <1% | 13,738 | $0.84 | |
| 3074F | <1% | 1,797 | $0.02 | |
| 3077F | <1% | 79 | $0.02 | |
| 3078F | <1% | 1,862 | $0.02 | |
| 1036F | 0% | 4,172 | $0.00 | |
| 1000F | 0% | 7,806 | $0.00 | |
| 1101F | 0% | 154 | $0.00 | |
| 3075F | 0% | 48 | $0.00 | |
| 3079F | 0% | 127 | $0.00 | |
| 3288F | 0% | 2,110 | $0.00 | |
| 98960 | 0% | 107 | $0.00 | |
| 4004F | 0% | 220 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 12 | $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 officialCARLSON, LISA (CFO)
Parent organizationFAYETTE COUNTY MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Adena Fayette Medical Center | Washington Court House, OH | $14.39M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.