Clinic
ST. Charles Health Council INC
ST. Charles Health Council INC was paid $526K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoST. CHARLES HEALTH COUNCIL INC
ST. CHARLES, VA 24282
ST. CHARLES, VA 24282
33aNPI1144342270assigned 04/06/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$526K
24GClaims26,387
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#60 of 145
Median peer was paid$338K
This provider vs. median1.6×
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 | 6,520 | $108K | |
| 2019 | 6,009 | $102K | |
| 2020 | 2,762 | $64K | |
| 2021 | 1,961 | $53K | |
| 2022 | 3,648 | $63K | |
| 2023 | 3,512 | $81K | |
| 2024incomplete | 1,975 | $55K |
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 | 49% | 5,687 | 4,768 | $257K |
| 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 | 38% | 4,332 | 3,664 | $199K |
| 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 | 5.3% | 3,338 | 2,542 | $28K |
| G9002 | Coordinated care fee, maintenance rate | 3.1% | 143 | 139 | $16K |
| 99000 | 1.3% | 4,862 | 3,457 | $7K | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | <1% | 1,959 | 809 | $4K |
| S0215 | Non-emergency transportation; mileage, per mile | <1% | 145 | 141 | $3K |
| 80305 | <1% | 476 | 334 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,650 | 2,166 | $2K |
| 90674 | <1% | 91 | 89 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 103 | 73 | $1K |
| 90756 | <1% | 48 | 46 | $1K |
12 more codes
| 2000F | <1% | 1,002 | $1K | |
| 3008F | <1% | 609 | $1K | |
| 81003 | <1% | 266 | $414.87 | |
| 99441 | <1% | 19 | $172.65 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $154.53 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 35 | $39.33 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 269 | $5.15 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 106 | $3.50 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 106 | $2.80 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 12 | $0.00 |
| 80301 | 0% | 94 | $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% | 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 officialPERDUE, MALCOLM (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST. Charles Health Counsel, INC. | Jonesville, VA | $2.46M |
| ST. Charles Health Council INC | Jonesville, VA | $1.18M |
| ST. Charles Health Council INC | Ewing, VA | $912K |
| ST. Charles Health Council INC | Vansant, VA | $332K |
| ST Charles Health Council INC | St Paul, VA | $211K |
| ST Charles Health Council INC | Appalachia, VA | $85K |
| ST Charles Health Council INC | Davenport, VA | $70K |
| ST Charles Health Council INC | Hurley, VA | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.