Clinic
Family Health Centers, INC
Family Health Centers, INC was paid $12.02M by Medicaid between Jan 2018 and Nov 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTERS, INC
ORANGEBURG, SC 29115
ORANGEBURG, SC 29115
33aNPI1144248451assigned 07/17/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.02M
24GClaims112,036
24DCodes billed90
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#4 of 85
Median peer was paid$746K
This provider vs. median16×
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 | 23,311 | $2.83M | |
| 2019 | 17,199 | $2.38M | |
| 2020 | 9,842 | $1.29M | |
| 2021 | 12,476 | $1.45M | |
| 2022 | 17,766 | $1.50M | |
| 2023 | 19,027 | $1.53M | |
| 2024incomplete | 12,415 | $1.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 29,621 | 28,533 | $5.24M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 20% | 26,781 | 23,470 | $2.42M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 11,169 | 10,757 | $1.90M |
| 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 | 5.2% | 3,657 | 3,587 | $628K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 2,654 | 2,651 | $495K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 2,525 | 2,520 | $450K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 2,002 | 1,998 | $350K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 1,316 | 1,294 | $221K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 821 | 778 | $137K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 126 | 125 | $21K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 440 | 439 | $18K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 89 | 89 | $15K |
78 more codes
| 97802 | <1% | 92 | $14K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 53 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 212 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 42 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,937 | $7K |
| 0012A | <1% | 185 | $7K | |
| D1120 | Dental cleaning, child | <1% | 187 | $7K |
| 0011A | <1% | 175 | $6K | |
| 99051 | <1% | 439 | $5K | |
| 99381 | <1% | 29 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 50 | $4K |
| D1110 | Prophylaxis - adult | <1% | 76 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 223 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 97 | $4K |
| D0330 | Panoramic radiographic image | <1% | 64 | $3K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 97 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 569 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,017 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 104 | $2K |
| 99384 | <1% | 14 | $2K | |
| 99401 | <1% | 165 | $2K | |
| 81025 | <1% | 613 | $1K | |
| 85018 | <1% | 1,937 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 89 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,045 | $1K |
| 90658 | <1% | 69 | $998.06 | |
| 0013A | <1% | 24 | $960.00 | |
| 96161 | <1% | 133 | $665.72 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 392 | $613.65 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 124 | $450.08 |
| D0274 | Bitewings - four radiographic images | <1% | 16 | $438.88 |
| 90686 | <1% | 920 | $412.70 | |
| 96160 | <1% | 29 | $375.98 | |
| 98968 | <1% | 12 | $304.10 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 505 | $289.71 |
| 1159F | <1% | 1,692 | $283.81 | |
| 82947 | <1% | 215 | $200.39 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | $194.40 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 395 | $191.61 |
| 99050 | <1% | 42 | $170.40 | |
| 90649 | <1% | 140 | $157.49 | |
| 3078F | <1% | 2,339 | $156.34 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 194 | $149.16 |
| 3074F | <1% | 2,386 | $120.25 | |
| 81002 | <1% | 221 | $118.08 | |
| 81005 | <1% | 174 | $66.38 | |
| 90461 | <1% | 182 | $50.44 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 15 | $44.46 |
| 90715 | <1% | 153 | $39.04 | |
| 92551 | <1% | 41 | $7.77 | |
| 3079F | <1% | 499 | $0.04 | |
| 3077F | <1% | 123 | $0.02 | |
| 2000F | 0% | 745 | $0.00 | |
| 3008F | 0% | 1,286 | $0.00 | |
| 1126F | 0% | 1,614 | $0.00 | |
| 1125F | 0% | 118 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 1,120 | $0.00 |
| 2010F | 0% | 34 | $0.00 | |
| 3075F | 0% | 41 | $0.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 1,011 | $0.00 |
| 2001F | 0% | 918 | $0.00 | |
| 90647 | 0% | 37 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 13 | $0.00 |
| 1170F | 0% | 74 | $0.00 | |
| 90619 | 0% | 60 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 92 | $0.00 |
| 3080F | 0% | 27 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 1,043 | $0.00 |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 116 | $0.00 |
| 90670 | 0% | 476 | $0.00 | |
| 90633 | 0% | 84 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 59 | $0.00 |
| 99173 | 0% | 134 | $0.00 | |
| 99408 | 0% | 101 | $0.00 | |
| 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 | 0% | 19 | $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 officialWARDLAW, STAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Family Health Centers, INC | Holly Hill, SC | $399K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.