Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Rockbridge Area Free Clinic

Rockbridge Area Free Clinic was paid $5.28M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoROCKBRIDGE AREA FREE CLINIC
LEXINGTON, VA 24450
33aNPI1205267002assigned 12/03/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.28M
24GClaims223,413
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

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

Rank by total paid#8 of 145
Median peer was paid$338K
This provider vs. median16×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201813,465$370K
201924,587$668K
202021,291$628K
202128,749$773K
202235,609$1.06M
202347,804$1.11M
2024incomplete51,908$675K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 29,865 26,158 $1.67M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 12% 9,337 5,037 $622K
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 11% 7,981 7,275 $600K
D1110 Prophylaxis - adult 4.5% 6,538 6,409 $240K
D7140 Extraction, erupted tooth or exposed root 3.7% 4,195 1,140 $194K
D1120 Dental cleaning, childProphylaxis - child 3.1% 5,749 5,707 $165K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.9% 9,759 9,629 $156K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.9% 2,521 1,553 $155K
D0330 Panoramic radiographic image 2.9% 4,108 3,430 $155K
D1206 Topical application of fluoride varnish 2.8% 8,308 8,236 $147K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.5% 3,391 3,073 $131K
D0150 Comprehensive oral evaluation - new or established patient 1.8% 4,333 3,703 $97K
94 more codes
D0140 Limited oral evaluation - problem focused 1.4% 4,619 $74K
G0467 Community health center visit, returning patient 1.1% 3,856 $58K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.1% 910 $57K
90832 Psychotherapy session, about 30 minutes 1.0% 1,108 $54K
D0274 Bitewings - four radiographic images <1% 2,488 $53K
Q3014 Telehealth originating site facility fee <1% 3,357 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 656 $52K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 558 $40K
3008F <1% 25,462 $39K
D1351 Sealant - per tooth <1% 1,359 $39K
3074F <1% 5,533 $29K
96127 <1% 3,555 $28K
3078F <1% 4,390 $23K
90686 <1% 1,922 $21K
99000 <1% 15,457 $20K
92552 <1% 818 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 282 $20K
D0220 Intraoral - periapical first radiographic image <1% 2,989 $20K
80305 <1% 1,768 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 227 $17K
D0272 Bitewings - two radiographic images <1% 1,016 $17K
87428 <1% 499 $16K
3079F <1% 1,881 $13K
D0210 Intraoral - complete series of radiographic images <1% 939 $13K
3037F <1% 8,788 $10K
3028F <1% 8,802 $10K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,215 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 628 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 128 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 598 $7K
0012A <1% 193 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 72 $6K
90670 <1% 257 $5K
90791 Psychiatric diagnostic evaluation <1% 54 $5K
3725F <1% 4,388 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 401 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 671 $5K
1000F <1% 1,971 $5K
99215 Doctor's office visit, returning patient (complex) <1% 38 $4K
90677 <1% 48 $4K
0011A <1% 191 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 47 $4K
90461 <1% 1,668 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,137 $3K
3075F <1% 417 $3K
0064A <1% 84 $3K
90656 <1% 158 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 86 $2K
36415 Collection of venous blood by venipuncture <1% 1,846 $2K
1036F <1% 1,048 $2K
90651 <1% 52 $2K
90837 Psychotherapy session, about an hour <1% 20 $2K
99203 Doctor's office visit, new patient (routine) <1% 32 $2K
90723 <1% 82 $2K
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% 153 $2K
90688 <1% 124 $1K
91320 <1% 14 $1K
99383 <1% 15 $1K
90633 <1% 99 $1K
90647 <1% 79 $1K
99406 <1% 112 $959.72
90680 <1% 28 $931.77
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 41 $927.72
83655 <1% 101 $909.00
90619 <1% 24 $763.72
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 87 $722.09
3077F <1% 41 $650.00
0072A <1% 13 $520.00
82947 <1% 172 $486.67
92551 <1% 46 $481.46
1034F <1% 138 $425.00
81025 <1% 59 $401.39
3351F <1% 1,258 $400.00
90480 <1% 17 $303.86
90715 <1% 24 $280.74
85018 <1% 126 $257.41
99188 <1% 12 $249.48
90734 <1% 12 $240.75
97802 <1% 267 $225.04
36416 <1% 731 $140.86
90710 <1% 12 $132.00
90648 <1% 12 $132.00
87210 <1% 28 $105.88
96161 <1% 88 $100.40
81000 <1% 45 $87.60
99408 <1% 12 $74.80
99173 <1% 13 $32.95
81003 <1% 16 $32.16
90472 Immunization administration, each additional vaccine (list separately) <1% 33 $21.60
G0008 Administration of influenza virus vaccine <1% 32 $6.52
3080F 0% 14 $0.00
D2331 0% 19 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 16 $0.00
G9920 Screening performed and negative 0% 426 $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 officialSHERIDAN, VALERIE (EXECUTIVE DIRECTOR)