Clinic
Tug River Health Association, INC
Tug River Health Association, INC was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoTUG RIVER HEALTH ASSOCIATION, INC
GARY, WV 24836
GARY, WV 24836
33aNPI1174501068assigned 01/03/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.24M
24GClaims20,960
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#75 of 205
Median peer was paid$521K
This provider vs. median2.4×
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 | 4,278 | $284K | |
| 2019 | 1,952 | $79K | |
| 2020 | 4,059 | $244K | |
| 2021 | 3,739 | $253K | |
| 2022 | 2,449 | $150K | |
| 2023 | 2,569 | $128K | |
| 2024incomplete | 1,914 | $100K |
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 | 86% | 9,962 | 8,493 | $1.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 5,659 | 4,916 | $72K |
| 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% | 2,190 | 2,010 | $65K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1.5% | 465 | 422 | $18K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 597 | 533 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 793 | 683 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 111 | 81 | $3K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 67 | 61 | $2K |
| 90686 | <1% | 67 | 67 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | 47 | $1K |
| 81003 | <1% | 62 | 61 | $968.78 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 29 | 27 | $822.41 |
20 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $674.24 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 93 | $542.53 |
| 87428 | <1% | 53 | $431.65 | |
| 90674 | <1% | 17 | $368.48 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 15 | $253.52 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $59.38 |
| 96127 | <1% | 126 | $58.61 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 14 | $2.51 |
| G0467 | Community health center visit, returning patient | 0% | 275 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 32 | $0.00 |
| 99384 | 0% | 14 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 30 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 20 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 22 | $0.00 |
| 90734 | 0% | 19 | $0.00 | |
| 90461 | 0% | 16 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 65 | $0.00 |
| 99442 | 0% | 40 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 15 | $0.00 |
| 90715 | 0% | 16 | $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 officialAGNEW, SHARI (CREDENTIALING COORDINATOR)