Clinic
Wayne Community Health Centers INC
Wayne Community Health Centers INC was paid $680K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
33Billing provider infoWAYNE COMMUNITY HEALTH CENTERS INC
BICKNELL, UT 84715
BICKNELL, UT 84715
33aNPI1093816282assigned 09/26/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$680K
24GClaims13,214
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Utah
Rank by total paid#7 of 26
Median peer was paid$102K
This provider vs. median6.7×
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 | 1,075 | $56K | |
| 2019 | 1,069 | $54K | |
| 2020 | 963 | $52K | |
| 2021 | 2,504 | $114K | |
| 2022 | 3,858 | $176K | |
| 2023 | 2,734 | $114K | |
| 2024incomplete | 1,011 | $114K |
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 | 61% | 6,063 | 4,741 | $415K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 4,560 | 3,848 | $184K |
| 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 | 7.1% | 973 | 867 | $48K |
| D0220 | Intraoral - periapical first radiographic image | 2.1% | 273 | 269 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 222 | 196 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 134 | 133 | $6K |
| D1206 | Topical application of fluoride varnish | <1% | 174 | 173 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 162 | 162 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 97 | 93 | $413.34 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $245.44 |
| 36415 | Collection of venous blood by venipuncture | <1% | 221 | 203 | $105.53 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 67 | 66 | $100.00 |
7 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 79 | $66.42 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $31.22 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 89 | $10.32 |
| 81003 | <1% | 18 | $3.06 | |
| 91301 | 0% | 28 | $0.00 | |
| 0011A | 0% | 14 | $0.00 | |
| 0013A | 0% | 12 | $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 officialELMER, DARCI (BILLING MANAGER)