Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Portsmouth Community Health Center, INC

Portsmouth Community Health Center, INC was paid $318K by Medicaid between Jan 2018 and Oct 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoPORTSMOUTH COMMUNITY HEALTH CENTER, INC
NORFOLK, VA 23505
33aNPI1073833760assigned 06/04/2010
28Total paid$318K
24GClaims11,475
24DCodes billed36
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Virginia

Rank by total paid#77 of 145
Median peer was paid$338K
This provider vs. median0.9×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,806$78K
2019958$17K
2020222$3K
20221,049$38K
20236,506$171K
2024incomplete934$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51% 3,136 2,773 $161K
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 33% 1,420 1,358 $104K
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 2.8% 1,430 1,243 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.4% 207 203 $8K
96127 1.9% 1,392 1,322 $6K
99385 1.6% 53 53 $5K
83036 Hemoglobin; glycosylated (A1C) 1.5% 675 649 $5K
99386 <1% 29 27 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 31 30 $2K
99383 <1% 27 27 $2K
3044F <1% 267 261 $2K
36415 Collection of venous blood by venipuncture <1% 942 898 $2K
24 more codes
3074F <1% 152 $1K
3078F <1% 143 $950.00
3079F <1% 98 $900.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 $850.71
92551 <1% 80 $816.46
3077F <1% 110 $800.00
3080F <1% 94 $725.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 71 $649.84
3075F <1% 60 $550.00
85018 <1% 174 $388.73
3046F <1% 44 $350.00
82962 <1% 149 $300.44
99173 <1% 116 $274.23
90460 Immunization administration through 18 years of age via any route, first or only component <1% 55 $228.60
3051F <1% 25 $210.00
81003 <1% 140 $208.85
G0444 Annual depression screening, 5 to 15 minutes <1% 182 $69.73
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 19 $27.04
82270 <1% 13 $25.10
90461 <1% 12 $13.60
36416 0% 65 $0.00
90688 0% 16 $0.00
G0008 Administration of influenza virus vaccine 0% 16 $0.00
90686 0% 20 $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 officialBILE, MICHEL (CEO)
Same official

Other billing entities under BILE, MICHEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.