Clinic
Kuumba Community Health & Wellness Center, INC.
Kuumba Community Health & Wellness Center, INC. was paid $5.04M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoKUUMBA COMMUNITY HEALTH & WELLNESS CENTER, INC.
ROANOKE, VA 24017
ROANOKE, VA 24017
33aNPI1205815420assigned 01/16/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.04M
24GClaims143,532
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#9 of 145
Median peer was paid$338K
This provider vs. median15×
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 | 13,733 | $363K | |
| 2019 | 17,525 | $619K | |
| 2020 | 16,165 | $573K | |
| 2021 | 20,619 | $773K | |
| 2022 | 22,571 | $912K | |
| 2023 | 30,450 | $1.02M | |
| 2024incomplete | 22,469 | $786K |
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 | 33% | 33,054 | 29,038 | $1.68M |
| 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 | 27% | 19,395 | 17,577 | $1.35M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.9% | 4,833 | 3,153 | $349K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.6% | 5,345 | 5,285 | $133K |
| G9012 | Other specified case management service not elsewhere classified | 2.4% | 599 | 580 | $123K |
| D1206 | Topical application of fluoride varnish | 2.4% | 7,975 | 7,886 | $121K |
| 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 | 1.8% | 8,107 | 6,371 | $93K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.7% | 937 | 610 | $87K |
| D1110 | Prophylaxis - adult | 1.4% | 2,268 | 2,228 | $73K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 3,992 | 3,936 | $69K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 3,096 | 3,014 | $60K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 1,137 | 838 | $58K |
78 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.1% | 282 | $57K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 1,121 | $57K |
| 90832 | Psychotherapy session, about 30 minutes | 1.1% | 952 | $56K |
| D1351 | Sealant - per tooth | <1% | 2,150 | $48K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 593 | $46K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 836 | $39K |
| 90686 | <1% | 3,084 | $38K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 446 | $36K |
| D0330 | Panoramic radiographic image | <1% | 1,008 | $36K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 290 | $35K |
| 87428 | <1% | 1,043 | $33K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,125 | $31K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,602 | $31K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,207 | $24K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,528 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 254 | $20K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 808 | $19K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 234 | $18K |
| 80305 | <1% | 1,284 | $15K | |
| 90651 | <1% | 260 | $14K | |
| D0272 | Bitewings - two radiographic images | <1% | 965 | $14K |
| D0274 | Bitewings - four radiographic images | <1% | 679 | $14K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,145 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,599 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 908 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 766 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,866 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 924 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,332 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 152 | $6K |
| D0240 | <1% | 671 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 272 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 66 | $5K |
| D1354 | <1% | 564 | $5K | |
| 90734 | <1% | 121 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 55 | $4K |
| 90656 | <1% | 186 | $3K | |
| 97802 | <1% | 57 | $3K | |
| 90620 | <1% | 32 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 40 | $3K |
| 96127 | <1% | 518 | $3K | |
| 90461 | <1% | 816 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 252 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 25 | $2K |
| 99177 | <1% | 421 | $2K | |
| 90670 | <1% | 73 | $1K | |
| 92551 | <1% | 145 | $1K | |
| 82947 | <1% | 587 | $1K | |
| 99383 | <1% | 15 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 101 | $1K |
| 91322 | <1% | 13 | $1K | |
| 97803 | <1% | 76 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $1K |
| 80061 | Lipid panel | <1% | 83 | $1K |
| D9630 | <1% | 59 | $1K | |
| 87807 | <1% | 79 | $987.88 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 84 | $946.65 |
| 0012A | <1% | 26 | $840.00 | |
| 36416 | <1% | 4,928 | $826.78 | |
| 90633 | <1% | 55 | $732.83 | |
| 90715 | <1% | 45 | $673.40 | |
| 81003 | <1% | 279 | $484.62 | |
| 99000 | <1% | 678 | $445.64 | |
| 0064A | <1% | 12 | $440.00 | |
| 83655 | <1% | 34 | $422.13 | |
| 90698 | <1% | 30 | $410.30 | |
| D0270 | <1% | 34 | $406.84 | |
| 99173 | <1% | 180 | $388.34 | |
| G0008 | Administration of influenza virus vaccine | <1% | 341 | $334.48 |
| D3120 | <1% | 17 | $276.97 | |
| 81025 | <1% | 42 | $213.89 | |
| 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% | 12 | $165.05 |
| 90694 | <1% | 25 | $124.31 | |
| 85018 | <1% | 51 | $123.41 | |
| 2028F | <1% | 41 | $75.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 18 | $32.14 |
| 91301 | <1% | 66 | $0.11 | |
| 91306 | 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 officialSTEWART, JONATHAN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Kuumba Community Health & Wellness Center, INC. | Roanoke, VA | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.