Clinic
Family and Medical Counseling Service INC
Family and Medical Counseling Service INC was paid $5.37M by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoFAMILY AND MEDICAL COUNSELING SERVICE INC
WASHINGTON, DC 20020
WASHINGTON, DC 20020
33aNPI1124363072assigned 12/04/2012
28Total paid$5.37M
24GClaims76,130
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in District of Columbia
Rank by total paid#11 of 36
Median peer was paid$286K
This provider vs. median19×
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 | 14,811 | $1.05M | |
| 2019 | 15,407 | $838K | |
| 2020 | 25,608 | $1.39M | |
| 2021 | 11,314 | $625K | |
| 2022 | 4,094 | $591K | |
| 2023 | 2,781 | $199K | |
| 2024incomplete | 2,115 | $679K |
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 | 78% | 21,780 | 17,443 | $4.17M |
| 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 | 22% | 14,855 | 13,177 | $1.18M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 9,515 | 8,227 | $9K |
| 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 | <1% | 5,604 | 5,186 | $856.91 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 660 | 401 | $610.08 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 754 | 708 | $417.27 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 33 | 25 | $202.92 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 112 | 107 | $117.88 |
| 0003A | <1% | 30 | 30 | $86.71 | |
| 96127 | <1% | 432 | 379 | $4.95 | |
| 99173 | <1% | 257 | 203 | $3.68 | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 555 | 321 | $0.00 |
43 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 213 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 146 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 565 | $0.00 |
| 80061 | Lipid panel | 0% | 27 | $0.00 |
| 0002A | 0% | 38 | $0.00 | |
| 91300 | 0% | 68 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 28 | $0.00 |
| 90670 | 0% | 16 | $0.00 | |
| 90461 | 0% | 49 | $0.00 | |
| T2023 | Targeted case management; per month | 0% | 14 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 54 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 34 | $0.00 |
| 99442 | 0% | 159 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 17 | $0.00 |
| 97803 | 0% | 14 | $0.00 | |
| 99406 | 0% | 1,926 | $0.00 | |
| 0001A | 0% | 48 | $0.00 | |
| 2010F | 0% | 4,914 | $0.00 | |
| 2000F | 0% | 4,895 | $0.00 | |
| 0011A | 0% | 254 | $0.00 | |
| 92551 | 0% | 206 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 96 | $0.00 |
| 1000F | 0% | 1,106 | $0.00 | |
| 2001F | 0% | 4,942 | $0.00 | |
| 36416 | 0% | 91 | $0.00 | |
| 90674 | 0% | 524 | $0.00 | |
| 91301 | 0% | 241 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 15 | $0.00 |
| 4037F | 0% | 83 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 12 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 303 | $0.00 |
| 81001 | 0% | 47 | $0.00 | |
| 90688 | 0% | 13 | $0.00 | |
| 4000F | 0% | 94 | $0.00 | |
| 91306 | 0% | 38 | $0.00 | |
| 1036F | 0% | 77 | $0.00 | |
| 86592 | 0% | 27 | $0.00 | |
| 0064A | 0% | 57 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 12 | $0.00 |
| 99386 | 0% | 28 | $0.00 | |
| 0012A | 0% | 20 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 17 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $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 officialHAMILTON, FLORA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Family and Medical Counseling Service INC | Washington, DC | $96K |
| Family and Medical Counseling Service, INC | Seat Pleasant, MD | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.