Clinic
Eastern Shore Rural Health System Incorporated.
Eastern Shore Rural Health System Incorporated. was paid $5.68M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED.
ONANCOCK, VA 23417
ONANCOCK, VA 23417
33aNPI1174502967assigned 01/11/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.68M
24GClaims200,052
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#6 of 145
Median peer was paid$338K
This provider vs. median17×
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 | 21,114 | $551K | |
| 2019 | 30,536 | $892K | |
| 2020 | 21,453 | $631K | |
| 2021 | 30,286 | $890K | |
| 2022 | 31,849 | $1.07M | |
| 2023 | 37,770 | $1.03M | |
| 2024incomplete | 27,044 | $606K |
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 | 23% | 24,347 | 22,309 | $1.31M |
| 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 | 14% | 13,570 | 12,612 | $784K |
| D1120 | Dental cleaning, childProphylaxis - child | 13% | 24,794 | 24,595 | $710K |
| D1206 | Topical application of fluoride varnish | 10% | 33,666 | 33,409 | $596K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.5% | 28,460 | 28,182 | $484K |
| D1110 | Prophylaxis - adult | 6.5% | 9,729 | 9,614 | $371K |
| D1351 | Sealant - per tooth | 2.4% | 4,533 | 1,670 | $137K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.4% | 1,699 | 1,400 | $135K |
| D0272 | Bitewings - two radiographic images | 1.8% | 5,810 | 5,759 | $105K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 1,255 | 1,034 | $91K |
| 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 | 1.6% | 6,217 | 5,488 | $90K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 1,119 | 1,104 | $86K |
70 more codes
| D0330 | Panoramic radiographic image | 1.5% | 1,760 | $83K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 4,155 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 830 | $66K |
| 92551 | <1% | 4,969 | $49K | |
| 90686 | <1% | 4,278 | $46K | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 421 | $46K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,553 | $44K |
| D1354 | <1% | 2,285 | $44K | |
| D0274 | Bitewings - four radiographic images | <1% | 2,121 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 395 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 598 | $29K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 851 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,720 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 253 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 920 | $16K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 225 | $14K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 632 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 455 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 644 | $9K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 59 | $8K |
| 99173 | <1% | 2,966 | $7K | |
| D0240 | <1% | 538 | $7K | |
| 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% | 902 | $6K |
| 0002A | <1% | 133 | $5K | |
| 81025 | <1% | 684 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 42 | $5K |
| 0001A | <1% | 112 | $4K | |
| 99177 | <1% | 1,106 | $4K | |
| 90656 | <1% | 309 | $4K | |
| 0011A | <1% | 106 | $3K | |
| 90677 | <1% | 138 | $3K | |
| 0012A | <1% | 68 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 640 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 38 | $2K |
| 81002 | <1% | 732 | $2K | |
| 0071A | <1% | 49 | $2K | |
| 82962 | <1% | 656 | $2K | |
| D9995 | <1% | 42 | $1K | |
| 90697 | <1% | 75 | $1K | |
| 0072A | <1% | 34 | $1K | |
| 90670 | <1% | 92 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 459 | $1K |
| D1355 | <1% | 67 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 132 | $938.18 |
| D4910 | <1% | 12 | $896.64 | |
| 90651 | <1% | 40 | $871.52 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 125 | $821.16 |
| 90633 | <1% | 36 | $565.00 | |
| 0064A | <1% | 13 | $520.00 | |
| D2940 | <1% | 13 | $498.64 | |
| 90648 | <1% | 41 | $451.00 | |
| 0031A | <1% | 16 | $425.85 | |
| 90734 | <1% | 24 | $408.18 | |
| 90681 | <1% | 15 | $397.38 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 29 | $381.17 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | $365.18 |
| D0270 | <1% | 67 | $348.72 | |
| 85018 | <1% | 101 | $245.64 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $174.22 |
| 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 | <1% | 27 | $26.64 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 13 | $26.53 |
| G0008 | Administration of influenza virus vaccine | <1% | 61 | $19.19 |
| D9630 | 0% | 26 | $0.00 | |
| 91307 | 0% | 28 | $0.00 | |
| 91301 | 0% | 17 | $0.00 | |
| D1999 | 0% | 580 | $0.00 | |
| 91300 | 0% | 157 | $0.00 | |
| 86328 | 0% | 83 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 37 | $0.00 |
| 3078F | 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 officialEDWARDS, JEANNETTE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Eastern Shore Rural Health System Incorporated | Onley, VA | $3.72M |
| Eastern Shore Rural Health System Incorporated | Eastville, VA | $1.55M |
| Eastern Shore Rural Health System Incorporated | New Church, VA | $1.55M |
| Eastern Shore Rural Health System Incorporated | Franktown, VA | $697K |
| Eastern Shore Rural Health System Incorporated | Chincoteague, VA | $202K |
| Eastern Shore Rural Health System Incorporated | Onley, VA | $182K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.