Clinic
Ironton & Lawrence County Area Community Action Organization
Ironton & Lawrence County Area Community Action Organization was paid $9.68M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 53% of everything it billed.
33Billing provider infoIRONTON & LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
IRONTON, OH 45638
IRONTON, OH 45638
33aNPI1093022287assigned 09/09/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.68M
24GClaims456,047
24DCodes billed123
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#23 of 348
Median peer was paid$1.33M
This provider vs. median7.3×
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 | 52,225 | $1.18M | |
| 2019 | 43,819 | $1.27M | |
| 2020 | 53,175 | $1.49M | |
| 2021 | 68,212 | $1.67M | |
| 2022 | 71,324 | $1.46M | |
| 2023 | 97,483 | $1.60M | |
| 2024incomplete | 69,809 | $1.01M |
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 | 53% | 69,495 | 49,626 | $5.12M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 53,938 | 32,455 | $1.22M |
| 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 | 8.2% | 26,687 | 15,346 | $792K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 16,368 | 8,823 | $314K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 5,701 | 3,604 | $215K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.8% | 8,310 | 2,662 | $171K |
| D1110 | Prophylaxis - adult | 1.5% | 5,713 | 4,099 | $142K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 3,875 | 2,418 | $126K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 8,820 | 5,309 | $126K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 3,113 | 1,938 | $120K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 8,530 | 5,645 | $120K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 2,595 | 936 | $96K |
111 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 5,739 | $94K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 10,088 | $92K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,340 | $90K |
| D0120 | Dental checkup, returning patient | <1% | 7,150 | $68K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,010 | $66K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,563 | $56K |
| D0274 | Bitewings - four radiographic images | <1% | 3,865 | $54K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,196 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,281 | $47K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 755 | $39K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 758 | $39K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,612 | $36K |
| D1351 | Sealant - per tooth | <1% | 1,563 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 657 | $30K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,123 | $30K |
| 92551 | <1% | 5,595 | $28K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 863 | $27K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,266 | $26K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 7,106 | $25K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,425 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,498 | $18K |
| D0272 | Bitewings - two radiographic images | <1% | 3,388 | $18K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 758 | $13K |
| G0467 | Community health center visit, returning patient | <1% | 3,617 | $12K |
| 99174 | <1% | 8,144 | $11K | |
| 80306 | <1% | 1,837 | $8K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,393 | $8K |
| 90677 | <1% | 363 | $8K | |
| 90686 | <1% | 3,780 | $7K | |
| 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% | 801 | $5K |
| D0330 | Panoramic radiographic image | <1% | 257 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 485 | $4K |
| 99381 | <1% | 103 | $4K | |
| D2332 | <1% | 47 | $3K | |
| 87807 | <1% | 439 | $3K | |
| D1354 | <1% | 289 | $3K | |
| D2335 | <1% | 22 | $3K | |
| 0071A | <1% | 79 | $2K | |
| 0031A | <1% | 105 | $2K | |
| 90651 | <1% | 386 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 76 | $2K |
| 80305 | <1% | 393 | $2K | |
| 90670 | <1% | 3,420 | $2K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 31 | $2K |
| D2331 | <1% | 58 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 88 | $1K |
| 90734 | <1% | 473 | $1K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 35,546 | $1K |
| 90461 | <1% | 219 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 50 | $1K |
| 36416 | <1% | 675 | $1K | |
| 0072A | <1% | 38 | $1K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 52 | $1K |
| 99383 | <1% | 15 | $1K | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 434 | $985.49 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $980.64 |
| 90633 | <1% | 2,030 | $888.50 | |
| 0001A | <1% | 19 | $817.26 | |
| 90723 | <1% | 2,827 | $763.65 | |
| 85018 | <1% | 523 | $671.92 | |
| 90648 | <1% | 3,897 | $669.05 | |
| 99173 | <1% | 510 | $627.12 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 312 | $493.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 32 | $478.66 |
| 83655 | <1% | 61 | $331.47 | |
| 1000F | <1% | 1,069 | $317.10 | |
| 90715 | <1% | 185 | $306.83 | |
| 90656 | <1% | 128 | $293.57 | |
| 90681 | <1% | 1,193 | $245.87 | |
| 90710 | <1% | 283 | $220.74 | |
| 90688 | <1% | 41 | $197.09 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 34,125 | $188.32 |
| 90716 | <1% | 173 | $161.18 | |
| 3074F | <1% | 7,572 | $152.71 | |
| 81025 | <1% | 31 | $148.58 | |
| 3079F | <1% | 4,122 | $112.08 | |
| 81003 | <1% | 177 | $110.19 | |
| Q3014 | Telehealth originating site facility fee | <1% | 40 | $101.88 |
| 90662 | <1% | 45 | $100.00 | |
| 90707 | <1% | 156 | $91.41 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 140 | $89.68 |
| 90672 | <1% | 211 | $53.31 | |
| 90696 | <1% | 240 | $48.35 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,703 | $45.30 |
| 3078F | <1% | 5,447 | $41.76 | |
| 99406 | <1% | 2,037 | $36.59 | |
| 90660 | <1% | 12 | $29.15 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 10,931 | $1.50 |
| 91307 | <1% | 197 | $1.01 | |
| 99408 | <1% | 4,373 | $0.76 | |
| 91303 | <1% | 103 | $0.50 | |
| 3075F | <1% | 1,086 | $0.48 | |
| 90700 | <1% | 191 | $0.41 | |
| 3077F | <1% | 502 | $0.36 | |
| 91300 | <1% | 49 | $0.28 | |
| 96161 | <1% | 50 | $0.18 | |
| 1126F | <1% | 404 | $0.11 | |
| 3080F | <1% | 51 | $0.04 | |
| 1125F | <1% | 107 | $0.01 | |
| 1160F | 0% | 2,539 | $0.00 | |
| 1159F | 0% | 2,620 | $0.00 | |
| 1003F | 0% | 600 | $0.00 | |
| 4004F | 0% | 181 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 63 | $0.00 |
| 87400 | 0% | 16 | $0.00 | |
| D0603 | 0% | 1,878 | $0.00 | |
| D0601 | 0% | 358 | $0.00 | |
| 1036F | 0% | 406 | $0.00 | |
| 87430 | 0% | 14 | $0.00 | |
| D0602 | 0% | 412 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 90 | $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 officialGOSSETT, DONALD (CEO)
| Provider | Location | Paid |
|---|---|---|
| Ironton & Lawrence County Area Community Action Organization | Ironton, OH | $4.31M |
| Ironton & Lawrence County Area Community Action Organization | Proctorville, OH | $1.93M |
| Ironton & Lawrence County Area Community Action Organization | Chesapeake, OH | $1.49M |
| Ironton & Lawrence County Area Community Action Organization | South Point, OH | $1.33M |
| Ironton & Lawrence County Area Community Action Organization | Ironton, OH | $1.15M |
| Ironton & Lawrence County Area Community Action Organization | Ironton, OH | $911K |
| Ironton & Lawrence County Area Community Action Organization | Kitts Hill, OH | $306K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.