Clinic
Eastern Shore Rural Health System Incorporated
Eastern Shore Rural Health System Incorporated was paid $1.55M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
NEW CHURCH, VA 23415
NEW CHURCH, VA 23415
33aNPI1043341613assigned 03/08/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.55M
24GClaims42,122
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#27 of 145
Median peer was paid$338K
This provider vs. median4.6×
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 | 7,442 | $220K | |
| 2019 | 8,335 | $297K | |
| 2020 | 5,262 | $185K | |
| 2021 | 6,555 | $213K | |
| 2022 | 5,008 | $204K | |
| 2023 | 5,509 | $241K | |
| 2024incomplete | 4,011 | $189K |
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 | 48% | 14,672 | 12,180 | $744K |
| 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 | 36% | 9,803 | 8,289 | $554K |
| 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 | 2.9% | 5,020 | 4,056 | $45K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 468 | 466 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 503 | 439 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 402 | 401 | $31K |
| 90686 | 1.1% | 1,993 | 1,796 | $17K | |
| 92551 | <1% | 1,743 | 1,718 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 167 | 167 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,011 | 974 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 157 | 149 | $6K |
| 0012A | <1% | 132 | 131 | $5K |
39 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 395 | $5K |
| 0011A | <1% | 91 | $3K | |
| 0002A | <1% | 70 | $3K | |
| 99173 | <1% | 1,071 | $2K | |
| 0001A | <1% | 56 | $2K | |
| 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% | 146 | $2K |
| 91322 | <1% | 14 | $2K | |
| 99177 | <1% | 506 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 384 | $2K |
| 90656 | <1% | 109 | $1K | |
| 90670 | <1% | 118 | $1K | |
| 90648 | <1% | 114 | $1K | |
| 90677 | <1% | 78 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 104 | $1K |
| 82962 | <1% | 602 | $1K | |
| 90697 | <1% | 71 | $979.76 | |
| 81025 | <1% | 121 | $655.35 | |
| 90734 | <1% | 24 | $652.54 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 403 | $617.64 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 19 | $483.00 |
| 0071A | <1% | 12 | $480.00 | |
| 81002 | <1% | 166 | $385.68 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 394 | $326.25 |
| G0008 | Administration of influenza virus vaccine | <1% | 392 | $293.64 |
| 90723 | <1% | 26 | $285.00 | |
| 85018 | <1% | 82 | $158.79 | |
| 90633 | <1% | 13 | $143.00 | |
| 90651 | <1% | 12 | $132.00 | |
| 90681 | <1% | 13 | $132.00 | |
| 90685 | <1% | 13 | $126.22 | |
| 90480 | <1% | 13 | $79.20 | |
| 94760 | <1% | 247 | $42.89 | |
| 87280 | <1% | 12 | $26.84 | |
| 99000 | 0% | 13 | $0.00 | |
| 91301 | 0% | 31 | $0.00 | |
| 91307 | 0% | 13 | $0.00 | |
| 91300 | 0% | 13 | $0.00 | |
| 86328 | 0% | 43 | $0.00 | |
| D1999 | 0% | 47 | $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 officialEDWARDS, JEANNETTE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Eastern Shore Rural Health System Incorporated. | Onancock, VA | $5.68M |
| Eastern Shore Rural Health System Incorporated | Onley, VA | $3.72M |
| Eastern Shore Rural Health System Incorporated | Eastville, VA | $1.55M |
| Eastern Shore Rural Health System Incorporated | Franktown, VA | $697K |
| Eastern Shore Rural Health System Incorporated | Chincoteague, VA | $202K |
| Eastern Shore Rural Health System Incorporated | Onley, VA | $182K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.