Clinic
Family Healthcare Associates, INC
Family Healthcare Associates, INC was paid $3.99M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoFAMILY HEALTHCARE ASSOCIATES, INC
WELCH, WV 24801
WELCH, WV 24801
33aNPI1215365028assigned 10/15/2013
33bProvider typeRural Health Clinic/Center
28Total paid$3.99M
24GClaims102,662
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#10 of 49
Median peer was paid$956K
This provider vs. median4.2×
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 | 7,162 | $311K | |
| 2019 | 5,011 | $185K | |
| 2020 | 14,747 | $525K | |
| 2021 | 20,535 | $796K | |
| 2022 | 22,318 | $831K | |
| 2023 | 16,799 | $665K | |
| 2024incomplete | 16,090 | $681K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 50,487 | 37,069 | $3.81M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 38,061 | 30,483 | $165K |
| 87206 | <1% | 479 | 427 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 160 | 151 | $6K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 288 | 276 | $3K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 256 | 238 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 576 | 539 | $534.12 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 178 | 156 | $361.44 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 97 | 89 | $356.08 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 104 | 98 | $356.08 |
| 90756 | <1% | 13 | 13 | $295.36 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 58 | 55 | $295.36 |
6 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 10,754 | $60.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 96 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 714 | $0.00 |
| 90674 | 0% | 59 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 269 | $0.00 |
| 87807 | 0% | 13 | $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 officialSIZEMORE, STEPHANIE (CREDENTIALING ADMIN)