Physician
Family Healthcare Associates INC
Family Healthcare Associates INC was paid $8.50M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is S0281, Medical home program, comprehensive care coordination and planning, maintenance of plan — 54% of everything it billed.
33Billing provider infoFAMILY HEALTHCARE ASSOCIATES INC
PINEVILLE, WV 24874
PINEVILLE, WV 24874
33aNPI1225067317assigned 07/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$8.50M
24GClaims223,042
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#5 of 202
Median peer was paid$172K
This provider vs. median49×
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 | 27,151 | $1.15M | |
| 2019 | 25,344 | $1.10M | |
| 2020 | 37,191 | $1.41M | |
| 2021 | 38,212 | $1.41M | |
| 2022 | 39,500 | $1.39M | |
| 2023 | 31,691 | $1.17M | |
| 2024incomplete | 23,953 | $860K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 54% | 91,379 | 90,545 | $4.59M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 43% | 63,435 | 52,529 | $3.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 34,385 | 28,276 | $212K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,256 | 6,313 | $16K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 660 | 501 | $8K |
| 87206 | <1% | 991 | 888 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 291 | 284 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 154 | 146 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 168 | 163 | $2K |
| 90734 | <1% | 119 | 112 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 42 | 39 | $801.18 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 96 | 94 | $590.36 |
16 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,241 | $250.00 |
| 90756 | <1% | 13 | $165.36 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 510 | $32.08 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 516 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 452 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 47 | $0.00 |
| 87807 | 0% | 16 | $0.00 | |
| 90619 | 0% | 32 | $0.00 | |
| 90674 | 0% | 53 | $0.00 | |
| 0011A | 0% | 14 | $0.00 | |
| 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 | 0% | 18,509 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 2,384 | $0.00 |
| 81002 | 0% | 167 | $0.00 | |
| J2010 | Injection, lincomycin hcl, up to 300 mg | 0% | 82 | $0.00 |
| 90649 | 0% | 12 | $0.00 | |
| 90715 | 0% | 18 | $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 officialMUSCARI, SAMUEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Family Healthcare Associates INC | Oceana, WV | $7.85M |
| Family Healthcare Associates INC | Man, WV | $7.74M |
| Family Healthcare Associates INC | Mullens, WV | $2.61M |
| Central Labs INC | Pineville, WV | $1.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.