Tri Area Community Health

Tri Area Community Health was paid $423K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoTRI AREA COMMUNITY HEALTH
FLOYD, VA 24091

33aNPI1194908491assigned 12/10/2007

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$423K

24GClaims10,712

24DCodes billed19

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

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

Rank by total paid#64 of 145

Median peer was paid$338K

This provider vs. median1.2×

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	2,053	$63K
2019	2,472	$75K
2020	1,782	$56K
2021	1,473	$66K
2022	1,133	$55K
2023	1,229	$72K
2024incomplete	570	$35K

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	67%	5,501	4,639	$283K
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	20%	1,322	1,229	$85K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	5.8%	202	155	$25K
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	3.3%	1,160	880	$14K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	1.1%	51	36	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	95	87	$3K
99000		<1%	1,178	1,033	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	102	95	$1K
36415	Collection of venous blood by venipuncture	<1%	766	670	$1K
87428		<1%	30	28	$959.93
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	47	44	$573.78
90686		<1%	32	32	$453.57

7 more codes

90756		<1%	82	$412.87
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	13	$380.83
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	19	$327.11
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	73	$208.30
J1020	Injection, methylprednisolone acetate, 20 mg	<1%	14	$28.98
99173		<1%	12	$19.76
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	13	$11.00

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 officialSHELOR, DEBRA (EXECUTIVE DIRECTOR)

Same official

Other billing entities under SHELOR, DEBRA

Full network →

Provider	Location	Paid
Tri Area Community Health	Laurel Fork, VA	$1.98M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.