Clinic
Belington Community Medical Services Association
Belington Community Medical Services Association was paid $4.95M 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) — 93% of everything it billed.
33Billing provider infoBELINGTON COMMUNITY MEDICAL SERVICES ASSOCIATION
BELINGTON, WV 26250
BELINGTON, WV 26250
33aNPI1053347328assigned 06/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.95M
24GClaims98,356
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#31 of 205
Median peer was paid$521K
This provider vs. median9.5×
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 | 13,256 | $615K | |
| 2019 | 8,260 | $346K | |
| 2020 | 10,859 | $550K | |
| 2021 | 13,680 | $691K | |
| 2022 | 16,334 | $859K | |
| 2023 | 16,349 | $873K | |
| 2024incomplete | 19,618 | $1.02M |
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 | 93% | 44,128 | 34,168 | $4.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 14,748 | 13,112 | $99K |
| 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 | 2.0% | 11,601 | 10,649 | $98K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,976 | 2,218 | $29K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,553 | 4,344 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 893 | 817 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 487 | 436 | $10K |
| 81002 | <1% | 299 | 277 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 281 | 262 | $7K |
| 86403 | <1% | 313 | 280 | $7K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 264 | 245 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 311 | 274 | $6K |
26 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,653 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 199 | $6K |
| 90686 | <1% | 236 | $5K | |
| 99173 | <1% | 90 | $3K | |
| 92551 | <1% | 105 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 100 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 93 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,869 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 58 | $860.30 |
| 3351F | <1% | 452 | $406.07 | |
| 87428 | <1% | 2,354 | $252.04 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 127 | $176.97 |
| G0467 | Community health center visit, returning patient | <1% | 6,658 | $97.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 44 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 149 | $0.00 |
| 3008F | 0% | 12 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 19 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,046 | $0.00 |
| 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 | 0% | 30 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 45 | $0.00 |
| 99306 | Prolong nursin fac eval 15m | 0% | 15 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 50 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 90662 | 0% | 39 | $0.00 | |
| 80305 | 0% | 34 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 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 officialRUF, ERIC (CEO)