Clinic
ST. Charles Health Council INC
ST. Charles Health Council INC was paid $912K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoST. CHARLES HEALTH COUNCIL INC
EWING, VA 24248
EWING, VA 24248
33aNPI1023237724assigned 04/24/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$912K
24GClaims34,465
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#40 of 145
Median peer was paid$338K
This provider vs. median2.7×
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 | 5,711 | $141K | |
| 2019 | 4,830 | $127K | |
| 2020 | 3,534 | $96K | |
| 2021 | 4,570 | $137K | |
| 2022 | 7,246 | $158K | |
| 2023 | 5,297 | $153K | |
| 2024incomplete | 3,277 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 9,138 | 7,760 | $450K |
| 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 | 42% | 6,932 | 6,188 | $387K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3.7% | 2,402 | 2,034 | $34K |
| 99000 | <1% | 4,379 | 3,779 | $6K | |
| 3008F | <1% | 2,505 | 2,152 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 556 | 500 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 499 | 461 | $4K |
| 2000F | <1% | 2,015 | 1,707 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,884 | 3,428 | $4K |
| 90674 | <1% | 125 | 115 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 89 | 74 | $2K |
| 99441 | <1% | 122 | 111 | $2K |
11 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 97 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 408 | $1K |
| 90619 | <1% | 21 | $381.86 | |
| 81003 | <1% | 272 | $377.04 | |
| 90715 | <1% | 19 | $241.36 | |
| 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% | 42 | $208.44 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 236 | $9.42 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 449 | $8.73 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 234 | $5.68 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 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 officialPERDUE, MALCOLM (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST. Charles Health Counsel, INC. | Jonesville, VA | $2.46M |
| ST. Charles Health Council INC | Jonesville, VA | $1.18M |
| ST. Charles Health Council INC | St. Charles, VA | $526K |
| ST. Charles Health Council INC | Vansant, VA | $332K |
| ST Charles Health Council INC | St Paul, VA | $211K |
| ST Charles Health Council INC | Appalachia, VA | $85K |
| ST Charles Health Council INC | Davenport, VA | $70K |
| ST Charles Health Council INC | Hurley, VA | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.