Clinic
Eastern Shore Rural Health System Incorporated
Eastern Shore Rural Health System Incorporated was paid $697K by Medicaid between Jan 2018 and Dec 2023, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
FRANKTOWN, VA 23354
FRANKTOWN, VA 23354
33aNPI1194856765assigned 03/08/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$697K
24GClaims19,977
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#52 of 145
Median peer was paid$338K
This provider vs. median2.1×
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 | 7,107 | $232K | |
| 2019 | 8,304 | $259K | |
| 2020 | 3,404 | $143K | |
| 2021 | 260 | $12K | |
| 2022 | 679 | $36K | |
| 2023 | 223 | $14K |
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 | 55% | 6,921 | 6,092 | $383K |
| 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 | 16% | 2,318 | 2,016 | $113K |
| G9002 | Coordinated care fee, maintenance rate | 8.5% | 508 | 495 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 408 | 402 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 399 | 396 | $30K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 205 | 203 | $15K |
| 90686 | 2.1% | 1,576 | 1,506 | $15K | |
| 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% | 1,622 | 1,251 | $11K |
| 92551 | 1.6% | 1,272 | 1,246 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 83 | 78 | $7K |
| 81025 | <1% | 676 | 599 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 58 | 53 | $2K |
25 more codes
| 90670 | <1% | 135 | $2K | |
| 99173 | <1% | 904 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $2K |
| 81002 | <1% | 697 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 137 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 157 | $1K |
| 99177 | <1% | 271 | $913.14 | |
| 0001A | <1% | 19 | $798.00 | |
| 0012A | <1% | 16 | $672.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 239 | $586.13 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 62 | $569.88 |
| 82962 | <1% | 298 | $550.70 | |
| 90685 | <1% | 29 | $297.22 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 113 | $296.17 |
| 36415 | Collection of venous blood by venipuncture | <1% | 380 | $283.16 |
| 90648 | <1% | 24 | $268.75 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 18 | $227.41 |
| 85018 | <1% | 92 | $200.02 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 16 | $138.00 |
| 90680 | <1% | 12 | $132.00 | |
| 94760 | <1% | 102 | $29.61 | |
| G0008 | Administration of influenza virus vaccine | <1% | 105 | $23.21 |
| D1999 | 0% | 24 | $0.00 | |
| 86328 | 0% | 37 | $0.00 | |
| 99000 | 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 officialEDWARDS, JEANNETTE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Eastern Shore Rural Health System Incorporated. | Onancock, VA | $5.68M |
| 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 | 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.