Clinic
New River Health Association, INC.
New River Health Association, INC. was paid $230K by Medicaid between Oct 2018 and Oct 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoNEW RIVER HEALTH ASSOCIATION, INC.
COAL CITY, WV 25823
COAL CITY, WV 25823
33aNPI1235436478assigned 02/24/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$230K
24GClaims2,813
24DCodes billed6
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#127 of 205
Median peer was paid$521K
This provider vs. median0.4×
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 | 34 | $2K | |
| 2019 | 437 | $32K | |
| 2020 | 353 | $25K | |
| 2022 | 673 | $61K | |
| 2023 | 1,301 | $108K | |
| 2024incomplete | 15 | $3K |
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 | 97% | 1,441 | 741 | $222K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 917 | 548 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 211 | 131 | $162.05 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 18 | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 184 | 84 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 42 | 23 | $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 officialSCHULTZ, JOHN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| New River Health Association, INC. | Scarbro, WV | $8.27M |
| Hopkins School District | Hopkins, MN | $6.69M |
| New River Health Association, INC. | Sophia, WV | $1.89M |
| New River Health Association, INC. | Oak Hill, WV | $1.48M |
| New River Health Association, INC. | Summersville, WV | $1.31M |
| New River Health Association, INC. | Coal City, WV | $1.15M |
| New River Health Association, INC. | Coal City, WV | $355K |
| Family First Healthcare PLLC | Weirton, WV | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.