Clinic
Western North Carolina Community Health Services, INC.
Western North Carolina Community Health Services, INC. was paid $270K by Medicaid between Jan 2018 and Mar 2022, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoWESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.
ASHEVILLE, NC 28801
ASHEVILLE, NC 28801
33aNPI1043392921assigned 10/19/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$270K
24GClaims14,301
24DCodes billed26
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Community Health Clinic/Center providers in North Carolina
Rank by total paid#14 of 22
Median peer was paid$795K
This provider vs. median0.3×
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 | 3,364 | $19K | |
| 2019 | 2,970 | $13K | |
| 2020 | 910 | $5K | |
| 2021 | 6,318 | $194K | |
| 2022 | 739 | $40K |
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 | 68% | 1,634 | 914 | $183K |
| 99199 | Unlisted special service, procedure or report | 7.6% | 3,224 | 2,396 | $21K |
| 36415 | Collection of venous blood by venipuncture | 5.8% | 5,602 | 4,765 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.4% | 387 | 228 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.2% | 574 | 371 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 394 | 275 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 293 | 257 | $4K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.4% | 74 | 67 | $4K |
| 81025 | 1.1% | 395 | 331 | $3K | |
| 0002A | <1% | 48 | 30 | $3K | |
| 0001A | <1% | 55 | 33 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 73 | 53 | $2K |
14 more codes
| 81000 | <1% | 473 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $1K |
| 82962 | <1% | 292 | $850.35 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 82 | $708.75 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 15 | $602.52 |
| 59025 | Fetal non-stress test | <1% | 43 | $485.80 |
| 85610 | <1% | 94 | $448.29 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $174.84 |
| 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% | 23 | $128.00 |
| 91300 | <1% | 131 | $0.01 | |
| 90649 | 0% | 14 | $0.00 | |
| 90756 | 0% | 50 | $0.00 | |
| 90674 | 0% | 129 | $0.00 | |
| 90686 | 0% | 178 | $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 officialGOMEZ, CARLOS (PRESIDENT AND CEO)
Parent organizationTHE WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.
| Provider | Location | Paid |
|---|---|---|
| Western North Carolina Community Health Services INC. | Asheville, NC | $6.25M |
| Trauma Treatment & Counseling LLC | St George, UT | $269K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.