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 $6.94M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoPORTSMOUTH COMMUNITY HEALTH CENTER, INC.
PORTSMOUTH, VA 23704
33aNPI1134199193assigned 01/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.94M
24GClaims263,892
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

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

Rank by total paid#4 of 145
Median peer was paid$338K
This provider vs. median21×

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$50K$100K$150K2018201920202021202220232024
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
201814,379$365K
201940,516$1.00M
202034,656$952K
202140,814$1.18M
202236,817$1.27M
202347,065$1.17M
2024incomplete49,645$1.01M
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 35% 46,728 42,254 $2.41M
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 23% 22,278 20,926 $1.61M
D7140 Extraction, erupted tooth or exposed root 7.7% 12,476 5,092 $531K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.6% 7,109 6,676 $252K
D0330 Panoramic radiographic image 2.2% 4,135 3,245 $150K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.0% 1,920 1,839 $141K
D0150 Comprehensive oral evaluation - new or established patient 1.9% 5,815 4,895 $132K
D0230 Intraoral - periapical each additional radiographic image 1.4% 15,830 2,262 $95K
D0140 Limited oral evaluation - problem focused 1.4% 6,057 4,598 $95K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.4% 882 848 $94K
83036 Hemoglobin; glycosylated (A1C) 1.3% 14,725 13,986 $87K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.1% 748 461 $79K
100 more codes
96127 1.1% 17,881 $76K
90832 Psychotherapy session, about 30 minutes 1.1% 1,301 $75K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.0% 934 $70K
G0467 Community health center visit, returning patient 1.0% 7,470 $70K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.0% 898 $70K
D0220 Intraoral - periapical first radiographic image <1% 9,517 $66K
D1120 Dental cleaning, child <1% 1,937 $56K
D1110 Prophylaxis - adult <1% 1,351 $51K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 583 $49K
99386 <1% 448 $46K
99385 <1% 464 $42K
36415 Collection of venous blood by venipuncture <1% 20,324 $42K
90863 <1% 1,073 $41K
90834 Psychotherapy session, about 45 minutes <1% 597 $39K
D1206 Topical application of fluoride varnish <1% 2,085 $38K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 724 $36K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 380 $32K
90791 Psychiatric diagnostic evaluation <1% 246 $23K
99383 <1% 251 $22K
92551 <1% 2,123 $21K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,622 $21K
D0210 Intraoral - complete series of radiographic images <1% 6,124 $20K
82962 <1% 8,255 $18K
99384 <1% 178 $16K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 174 $13K
80061 Lipid panel <1% 1,690 $11K
83655 <1% 933 $10K
D0272 Bitewings - two radiographic images <1% 533 $10K
D0120 Dental checkup, returning patient <1% 553 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 923 $9K
D0274 Bitewings - four radiographic images <1% 564 $9K
D4346 <1% 151 $9K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 117 $8K
D1351 Sealant - per tooth <1% 242 $8K
3044F <1% 2,401 $8K
81003 <1% 3,762 $7K
D4341 <1% 291 $7K
99490 Ccm add 20min <1% 257 $7K
81025 <1% 1,028 $7K
99173 <1% 2,544 $6K
85018 <1% 2,621 $6K
D4342 <1% 184 $6K
90461 <1% 1,757 $5K
G0444 Annual depression screening, 5 to 15 minutes <1% 1,438 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 911 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 468 $5K
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% 281 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 41 $3K
0012A <1% 114 $3K
3079F <1% 792 $3K
3077F <1% 842 $3K
97802 <1% 135 $3K
90792 Psychiatric diagnostic evaluation with medical services <1% 19 $2K
3074F <1% 742 $2K
3046F <1% 538 $2K
3078F <1% 718 $2K
90651 <1% 336 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 199 $2K
0011A <1% 114 $2K
99205 Prolong outpt/office vis <1% 13 $2K
3075F <1% 462 $2K
82270 <1% 816 $2K
3080F <1% 522 $2K
3051F <1% 467 $2K
99382 <1% 18 $1K
91320 <1% 18 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 183 $1K
90619 <1% 279 $1K
3052F <1% 285 $1K
D0270 <1% 108 $999.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 232 $937.21
92250 <1% 27 $743.23
90620 <1% 67 $491.13
0002A <1% 14 $420.68
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 198 $347.62
90677 <1% 25 $313.16
0001A <1% 15 $300.22
0072A <1% 14 $295.51
36416 <1% 1,929 $246.05
90633 <1% 116 $243.29
90480 <1% 19 $229.02
90686 <1% 1,073 $212.11
87430 <1% 26 $200.25
87400 <1% 42 $155.96
G0466 Community health center visit, new patient <1% 15 $136.15
99406 <1% 12 $115.61
86580 <1% 15 $86.10
90710 <1% 98 $66.77
90715 <1% 70 $66.60
90658 <1% 145 $64.04
80053 Comprehensive metabolic panel <1% 15 $42.24
90696 <1% 56 $22.53
90670 <1% 13 $11.12
90700 <1% 12 $11.11
91301 <1% 263 $2.29
91300 <1% 63 $0.50
91307 <1% 53 $0.36
D4910 0% 14 $0.00
3008F 0% 186 $0.00
D4355 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 officialWILLIS, BARBARA (CEO)