Clinic
Southwest Virginia Community Health Systems INC
Southwest Virginia Community Health Systems INC was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC
BRISTOL, VA 24201
BRISTOL, VA 24201
33aNPI1225169295assigned 03/08/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.11M
24GClaims44,971
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#36 of 145
Median peer was paid$338K
This provider vs. median3.3×
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 | 5,272 | $170K | |
| 2019 | 7,453 | $159K | |
| 2020 | 5,901 | $126K | |
| 2021 | 6,753 | $121K | |
| 2022 | 6,866 | $202K | |
| 2023 | 7,386 | $184K | |
| 2024incomplete | 5,340 | $148K |
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 | 42% | 10,803 | 9,063 | $470K |
| 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 | 24% | 4,851 | 4,325 | $265K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.2% | 1,849 | 1,389 | $103K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.5% | 833 | 644 | $61K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.6% | 914 | 831 | $29K |
| G9012 | Other specified case management service not elsewhere classified | 2.2% | 114 | 104 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 330 | 302 | $20K |
| 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 | 1.2% | 1,211 | 954 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 175 | 159 | $11K |
| 92587 | <1% | 930 | 850 | $10K | |
| 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% | 165 | 147 | $9K |
| 3074F | <1% | 1,441 | 1,164 | $9K |
43 more codes
| 3078F | <1% | 1,318 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 919 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 673 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 429 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,366 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,650 | $5K |
| 3079F | <1% | 752 | $5K | |
| 99000 | <1% | 4,185 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,661 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 50 | $3K |
| 80305 | <1% | 262 | $3K | |
| 90686 | <1% | 309 | $2K | |
| 92551 | <1% | 314 | $2K | |
| 99174 | <1% | 722 | $2K | |
| 99177 | <1% | 731 | $2K | |
| 3075F | <1% | 296 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 137 | $2K |
| 90756 | <1% | 137 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $1K |
| 87430 | <1% | 120 | $1K | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 160 | $1K |
| 87428 | <1% | 41 | $1K | |
| 3077F | <1% | 200 | $920.00 | |
| 87807 | <1% | 129 | $907.29 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 16 | $895.28 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 30 | $886.46 |
| 90658 | <1% | 85 | $837.34 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 325 | $831.10 |
| 99441 | <1% | 62 | $750.26 | |
| 99383 | <1% | 19 | $745.86 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 24 | $656.71 |
| 90734 | <1% | 27 | $364.18 | |
| 99442 | <1% | 15 | $341.17 | |
| G0008 | Administration of influenza virus vaccine | <1% | 149 | $324.56 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 14 | $324.00 |
| 90656 | <1% | 26 | $249.90 | |
| 99072 | <1% | 912 | $205.70 | |
| 81002 | <1% | 52 | $82.49 | |
| 36416 | <1% | 939 | $51.10 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 29 | $25.70 |
| 99173 | <1% | 13 | $22.08 | |
| 86403 | <1% | 14 | $18.87 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 14 | $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 officialHAYNES, JOSEPH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Southwest Virginia Community Health Systems Incorporated | Saltville, VA | $3.18M |
| Southwest Virginia Community Health Systems INC | Saltville, VA | $1.50M |
| Southwest Virginia Community Health Systems Incorporated | Saltville, VA | $871K |
| Southwest Virginia Community Health Systems INC. | Meadowview, VA | $665K |
| Southwest Virginia Community Health Systems INC | Tazewell, VA | $633K |
| Southwest Virginia Community Health Systems INC | Saltville, VA | $74K |
| Southwest Virginia Community Health Systems INC | Marion, VA | $22K |
| Southwest Virginia Community Health Systems INC. | Chilhowie, VA | $12K |
| Southwest Virginia Community Health Systems INC | Bristol, VA | $5K |
| Southwest Virginia Community Health Systems Incorporated | Saltville, VA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.