Clinic
Change, Incorporated
Change, Incorporated was paid $21.26M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoCHANGE, INCORPORATED
WEIRTON, WV 26062
WEIRTON, WV 26062
33aNPI1245244367assigned 07/27/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$21.26M
24GClaims335,017
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#3 of 205
Median peer was paid$521K
This provider vs. median41×
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 | 49,755 | $2.48M | |
| 2019 | 30,304 | $1.41M | |
| 2020 | 43,852 | $2.89M | |
| 2021 | 52,136 | $3.31M | |
| 2022 | 58,562 | $4.08M | |
| 2023 | 61,635 | $4.07M | |
| 2024incomplete | 38,773 | $3.01M |
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 | 82% | 141,769 | 96,606 | $17.33M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 81,331 | 62,583 | $1.45M |
| D0999 | Unspecified diagnostic procedure, by report | 3.0% | 2,931 | 2,547 | $638K |
| 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 | 2.8% | 31,168 | 24,858 | $604K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 24,475 | 12,086 | $482K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.6% | 18,582 | 11,305 | $340K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,152 | 4,940 | $63K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,487 | 2,006 | $48K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,089 | 1,009 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,320 | 1,034 | $31K |
| 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% | 1,495 | 1,310 | $27K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 950 | 603 | $19K |
67 more codes
| D1110 | Prophylaxis - adult | <1% | 1,393 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 618 | $15K |
| H0031 | Mental health assessment, by non-physician | <1% | 905 | $15K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 887 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 627 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 851 | $10K |
| 76801 | <1% | 159 | $10K | |
| D0120 | Dental checkup, returning patient | <1% | 1,041 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 283 | $7K |
| 99223 | Prolong inpt eval add15 m | <1% | 83 | $7K |
| G0467 | Community health center visit, returning patient | <1% | 1,185 | $7K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 129 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 951 | $5K |
| 76830 | Ultrasound, transvaginal | <1% | 73 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 58 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 232 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 922 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 338 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 251 | $4K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 14 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 364 | $3K |
| 59025 | Fetal non-stress test | <1% | 116 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 801 | $2K |
| D1120 | Dental cleaning, child | <1% | 256 | $2K |
| 59430 | <1% | 17 | $2K | |
| 90686 | <1% | 276 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 445 | $1K |
| 81002 | <1% | 691 | $1K | |
| 99234 | <1% | 20 | $995.04 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 16 | $755.79 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $717.70 |
| 3044F | <1% | 36 | $610.09 | |
| D0330 | Panoramic radiographic image | <1% | 188 | $602.16 |
| 99442 | <1% | 46 | $480.80 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 55 | $436.48 |
| 4004F | <1% | 14 | $413.80 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $383.58 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 243 | $316.20 |
| 81025 | <1% | 37 | $209.25 | |
| 99188 | <1% | 13 | $169.50 | |
| 80305 | <1% | 20 | $157.55 | |
| 99490 | Ccm add 20min | <1% | 25 | $147.76 |
| D0140 | Limited oral evaluation - problem focused | <1% | 66 | $112.90 |
| 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 | <1% | 300 | $71.71 |
| 97802 | <1% | 392 | $63.61 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | <1% | 56 | $58.72 |
| 96158 | <1% | 35 | $21.21 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 61 | $15.00 |
| 99406 | <1% | 108 | $0.74 | |
| 3074F | <1% | 12 | $0.09 | |
| 90734 | <1% | 18 | $0.04 | |
| 90715 | <1% | 14 | $0.03 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 13 | $0.00 |
| 99496 | 0% | 122 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 47 | $0.00 |
| 4000F | 0% | 12 | $0.00 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 25 | $0.00 |
| 99385 | 0% | 12 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 34 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 17 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,900 | $0.00 |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 0% | 17 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 40 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 39 | $0.00 |
| 90836 | 0% | 149 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 31 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 44 | $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 officialRAVEAUX, JUDY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Change Incorporated | Newell, WV | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.