Highland Medical Center INC

Highland Medical Center INC was paid $114K by Medicaid between Jan 2018 and Jul 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoHIGHLAND MEDICAL CENTER INC
MONTEREY, VA 24465

33aNPI1194784280assigned 03/20/2006

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$114K

24GClaims3,478

24DCodes billed19

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

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

Rank by total paid#100 of 145

Median peer was paid$338K

This provider vs. median0.3×

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	187	$3K
2019	821	$25K
2020	514	$18K
2021	623	$18K
2022	561	$24K
2023	539	$20K
2024incomplete	233	$7K

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	60%	1,360	1,153	$69K
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	25%	422	359	$29K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	3.1%	214	214	$4K
D1110	Prophylaxis - adult	2.6%	87	87	$3K
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	2.5%	199	153	$3K
D1206	Topical application of fluoride varnish	<1%	57	57	$1K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	37	32	$1K
87428		<1%	29	28	$966.47
99000		<1%	583	496	$851.54
90686		<1%	65	56	$631.07
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	16	16	$504.93
D1120	Dental cleaning, childProphylaxis - child	<1%	15	15	$435.76

7 more codes

36415	Collection of venous blood by venipuncture	<1%	203	$418.29
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	27	$362.33
D0274	Bitewings - four radiographic images	<1%	12	$303.60
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	98	$238.34
D0210	Intraoral - complete series of radiographic images	0%	15	$0.00
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	0%	23	$0.00
D0150	Comprehensive oral evaluation - new or established patient	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 officialELLIS, JANICE (CFO/HR)