Clinic
Community Action Committee of Pike County
Community Action Committee of Pike County was paid $3.69M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoCOMMUNITY ACTION COMMITTEE OF PIKE COUNTY
JACKSON, OH 45640
JACKSON, OH 45640
33aNPI1023100955assigned 09/28/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.69M
24GClaims167,614
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#91 of 348
Median peer was paid$1.33M
This provider vs. median2.8×
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 | 13,528 | $307K | |
| 2019 | 30,209 | $552K | |
| 2020 | 25,018 | $551K | |
| 2021 | 30,682 | $696K | |
| 2022 | 17,650 | $467K | |
| 2023 | 33,738 | $696K | |
| 2024incomplete | 16,789 | $417K |
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 | 59% | 34,047 | 26,396 | $2.16M |
| 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 | 12% | 13,597 | 7,995 | $427K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 14,385 | 8,114 | $280K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 5,160 | 2,098 | $138K |
| D0330 | Panoramic radiographic image | 2.7% | 5,261 | 3,605 | $99K |
| D1110 | Prophylaxis - adult | 2.3% | 6,265 | 4,375 | $85K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.8% | 1,434 | 795 | $65K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 4,963 | 3,366 | $50K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 5,235 | 3,608 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 2,099 | 1,106 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.0% | 4,799 | 3,246 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 4,017 | 2,637 | $37K |
64 more codes
| D1206 | Topical application of fluoride varnish | <1% | 5,200 | $35K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,437 | $33K |
| D0274 | Bitewings - four radiographic images | <1% | 2,038 | $18K |
| 90837 | Psychotherapy session, about an hour | <1% | 472 | $18K |
| G0467 | Community health center visit, returning patient | <1% | 1,275 | $15K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 451 | $13K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 577 | $13K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 396 | $11K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,265 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 309 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 566 | $5K |
| 80305 | <1% | 667 | $4K | |
| 99441 | <1% | 605 | $3K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 327 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,590 | $3K |
| 99442 | <1% | 199 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 29 | $1K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 22 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 207 | $1K |
| 81025 | <1% | 225 | $1K | |
| 36416 | <1% | 1,309 | $855.81 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 181 | $812.83 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 272 | $790.95 |
| 99406 | <1% | 572 | $754.96 | |
| D1351 | Sealant - per tooth | <1% | 75 | $739.20 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 545 | $690.07 |
| 90686 | <1% | 98 | $625.21 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 27 | $605.70 |
| D2331 | <1% | 23 | $599.94 | |
| 82962 | <1% | 555 | $564.90 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 37 | $540.97 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 93 | $360.00 |
| 90756 | <1% | 29 | $305.39 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 43 | $149.30 |
| D0270 | <1% | 79 | $115.50 | |
| 90863 | <1% | 151 | $63.98 | |
| 82044 | <1% | 61 | $46.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $39.28 |
| 81002 | <1% | 69 | $36.93 | |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 17 | $33.60 |
| 99408 | <1% | 627 | $27.44 | |
| 3078F | <1% | 8,286 | $0.05 | |
| 3075F | <1% | 1,542 | $0.04 | |
| 3074F | <1% | 10,093 | $0.03 | |
| 3079F | <1% | 4,833 | $0.02 | |
| 1159F | 0% | 248 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,015 | $0.00 |
| D1999 | 0% | 1,162 | $0.00 | |
| 3077F | 0% | 660 | $0.00 | |
| 1160F | 0% | 248 | $0.00 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | 0% | 431 | $0.00 |
| 4004F | 0% | 38 | $0.00 | |
| 1036F | 0% | 2,767 | $0.00 | |
| 3044F | 0% | 38 | $0.00 | |
| 0001F | 0% | 5,348 | $0.00 | |
| 1000F | 0% | 1,396 | $0.00 | |
| D0603 | 0% | 719 | $0.00 | |
| 4000F | 0% | 1,102 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 115 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 343 | $0.00 |
| 3080F | 0% | 151 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 24 | $0.00 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 21 | $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 officialPITTS, KEITH (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Action Committee of Pike County | Waverly, OH | $7.34M |
| Community Action Committee of Pike County | Portsmouth, OH | $2.91M |
| Community Action Committee of Pike County | Piketon, OH | $2.59M |
| Community Action Committee of Pike County | West Portsmouth, OH | $1.90M |
| Community Action Committee of Pike County | Manchester, OH | $1.39M |
| Community Action Committee of Pike County | Waverly, OH | $1.25M |
| Community Action Committee of Pike County | Piketon, OH | $143K |
| Community Action Committee of Pike County | Piketon, OH | $3K |
| Community Action Committee of Pike County | Waverly, OH | $236.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.