Oconee Valley Healthcare INC

Oconee Valley Healthcare INC was paid $4.01M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoOCONEE VALLEY HEALTHCARE INC
GREENSBORO, GA 30642

33aNPI1255433736assigned 09/04/2006

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$4.01M

24GClaims135,033

24DCodes billed66

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Georgia

Rank by total paid#4 of 13

Median peer was paid$30K

This provider vs. median132×

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	22,674	$634K
2019	21,610	$680K
2020	13,765	$519K
2021	16,110	$546K
2022	20,310	$621K
2023	24,327	$632K
2024incomplete	16,237	$380K

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	54%	27,814	23,955	$2.15M
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	21%	14,077	11,987	$850K
D0999	Unspecified diagnostic procedure, by report	9.1%	3,491	3,100	$364K
99308	Subsequent nursing facility care, per day, straightforward	4.6%	7,054	6,408	$183K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.0%	1,265	1,147	$119K
D0140	Limited oral evaluation - problem focused	<1%	644	625	$39K
99307		<1%	1,828	1,486	$37K
D0150	Comprehensive oral evaluation - new or established patient	<1%	1,164	1,049	$36K
D1110	Prophylaxis - adult	<1%	826	792	$27K
D1120	Dental cleaning, childProphylaxis - child	<1%	1,137	1,129	$25K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	1,660	1,614	$25K
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%	181	167	$18K

54 more codes

99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	180	$16K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	221	$14K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	972	$13K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	136	$13K
D0330	Panoramic radiographic image	<1%	530	$12K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	772	$11K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	83	$9K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	216	$8K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	68	$6K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	64	$6K
D0274	Bitewings - four radiographic images	<1%	673	$5K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	63	$4K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	31	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	64	$2K
99306	Prolong nursin fac eval 15m	<1%	99	$2K
99173		<1%	462	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	58	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	492	$1K
D0220	Intraoral - periapical first radiographic image	<1%	577	$999.18
36415	Collection of venous blood by venipuncture	<1%	6,191	$971.34
99232	Hospital visit by a doctor, follow-up day	<1%	26	$768.58
D1206	Topical application of fluoride varnish	<1%	1,793	$749.41
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	257	$637.75
92551		<1%	197	$582.03
96127		<1%	451	$504.02
90686		<1%	237	$417.99
90674		<1%	312	$261.96
90688		<1%	67	$260.94
D0272	Bitewings - two radiographic images	<1%	148	$200.00
3008F		<1%	6,316	$115.82
1036F		<1%	2,379	$113.93
36416		<1%	191	$28.00
81025		<1%	53	$23.88
92552		<1%	14	$22.48
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	673	$15.08
81002		<1%	901	$3.66
99001		0%	1,124	$0.00
1159F		0%	6,373	$0.00
4013F		0%	944	$0.00
1160F		0%	6,373	$0.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	0%	219	$0.00
3725F		0%	8,596	$0.00
4004F		0%	430	$0.00
G8598	Aspirin or another antiplatelet therapy used	0%	34	$0.00
G0467	Community health center visit, returning patient	0%	12,447	$0.00
1220F		0%	10,158	$0.00
99000		0%	282	$0.00
G0008	Administration of influenza virus vaccine	0%	86	$0.00
1101F		0%	291	$0.00
1126F		0%	112	$0.00
1125F		0%	81	$0.00
1034F		0%	331	$0.00
36410		0%	28	$0.00
80053	Comprehensive metabolic panel	0%	16	$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 officialRINGER, DAVE (CEO)