Clinic
Ritchie County Primary Care Assoc., INC.
Ritchie County Primary Care Assoc., INC. was paid $1.70M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoRITCHIE COUNTY PRIMARY CARE ASSOC., INC.
HARRISVILLE, WV 26362
HARRISVILLE, WV 26362
33aNPI1265404230assigned 02/03/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.70M
24GClaims41,029
24DCodes billed35
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#63 of 205
Median peer was paid$521K
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 | 4,945 | $241K | |
| 2019 | 1,665 | $71K | |
| 2020 | 3,694 | $186K | |
| 2021 | 4,552 | $187K | |
| 2022 | 6,939 | $268K | |
| 2023 | 9,598 | $364K | |
| 2024incomplete | 9,636 | $380K |
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 | 91% | 14,899 | 12,724 | $1.55M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 5,520 | 4,950 | $76K |
| 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 | 1.8% | 5,187 | 4,804 | $30K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,891 | 3,345 | $14K |
| 87428 | <1% | 1,154 | 1,070 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 172 | 141 | $6K |
| 81002 | <1% | 71 | 69 | $3K | |
| 99000 | <1% | 90 | 88 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | 12 | $1K |
| 92551 | <1% | 14 | 14 | $1K | |
| 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% | 1,417 | 1,151 | $705.41 |
| 86318 | <1% | 15 | 12 | $513.59 |
23 more codes
| 94760 | <1% | 13 | $499.34 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 68 | $414.30 |
| 0011A | <1% | 29 | $258.05 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 392 | $31.41 |
| 1000F | 0% | 1,705 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 3074F | 0% | 1,240 | $0.00 | |
| 4000F | 0% | 243 | $0.00 | |
| 3351F | 0% | 366 | $0.00 | |
| 3079F | 0% | 241 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 217 | $0.00 |
| 3354F | 0% | 13 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 44 | $0.00 |
| 1160F | 0% | 1,995 | $0.00 | |
| 3078F | 0% | 968 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 889 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 30 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| 99173 | 0% | 37 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 26 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 20 | $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 officialYOKUM, AMY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Ritchie County Primary Care Assoc., INC. | Ellenboro, WV | $996K |
| Ritchie County Primary Care Assoc., INC. | West Union, WV | $768K |
| Ritchie County Primary Care Assoc., INC. | Parkersburg, WV | $726K |
| Ritchie County Primary Care Assoc., INC. | Parkersburg, WV | $568K |
| Ritchie County Primary Care Assoc., INC. | West Union, WV | $337K |
| Ritchie County Primary Care Assoc., INC. | Saint Marys, WV | $189K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.