Clinic
Tri Area Community Health
Tri Area Community Health was paid $757K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoTRI AREA COMMUNITY HEALTH
FERRUM, VA 24088
FERRUM, VA 24088
33aNPI1053442848assigned 03/07/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$757K
24GClaims16,039
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#51 of 145
Median peer was paid$338K
This provider vs. median2.2×
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 | 2,956 | $91K | |
| 2019 | 2,968 | $93K | |
| 2020 | 1,468 | $71K | |
| 2021 | 1,406 | $77K | |
| 2022 | 2,434 | $139K | |
| 2023 | 2,919 | $168K | |
| 2024incomplete | 1,888 | $116K |
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 | 52% | 7,135 | 6,230 | $393K |
| 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% | 4,379 | 3,981 | $317K |
| 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 | 1.9% | 1,254 | 1,031 | $14K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 161 | 131 | $14K |
| 87428 | <1% | 113 | 106 | $3K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 33 | 26 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 172 | 162 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 143 | 133 | $2K |
| 90686 | <1% | 107 | 105 | $2K | |
| 99000 | <1% | 1,050 | 913 | $1K | |
| 90756 | <1% | 212 | 199 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | 12 | $930.27 |
5 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 671 | $928.00 |
| 96127 | <1% | 292 | $906.23 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 243 | $823.95 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $341.99 |
| 99173 | <1% | 48 | $109.64 |
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 officialWERTH, JAMES (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Tri Area Community Health | Stuart, VA | $47K |
| Tri Area Community Health | Troutdale, VA | $43K |
| Tri Area Community Health | Fries, VA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.