Agency
Appalachian District Health Department
Appalachian District Health Department was paid $99K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoAPPALACHIAN DISTRICT HEALTH DEPARTMENT
WARRENSVILLE, NC 28693
WARRENSVILLE, NC 28693
33aNPI1285081562assigned 05/17/2016
33bProvider typePublic Health or Welfare Agency
28Total paid$99K
24GClaims3,580
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in North Carolina
Rank by total paid#19 of 25
Median peer was paid$1.15M
This provider vs. median0.1×
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 | 1,116 | $31K | |
| 2019 | 849 | $23K | |
| 2020 | 288 | $6K | |
| 2021 | 55 | $4K | |
| 2022 | 144 | $7K | |
| 2023 | 246 | $15K | |
| 2024incomplete | 882 | $13K |
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 | 63% | 886 | 691 | $62K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 16% | 540 | 453 | $16K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.3% | 150 | 83 | $7K |
| 99199 | Unlisted special service, procedure or report | 4.3% | 705 | 397 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.4% | 272 | 225 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.0% | 34 | 25 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 122 | 90 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | 28 | $572.60 |
| 96127 | <1% | 190 | 160 | $542.07 | |
| 99173 | <1% | 29 | 13 | $1.00 | |
| 90649 | 0% | 16 | 13 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 598 | 496 | $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 officialDOUGHERTY, DANIELLE (CREDENTIALER/BILLING COORDINATOR)
Parent organizationAPPALACHIAN DISTRICT HEALTH DEPARTMENT
| Provider | Location | Paid |
|---|---|---|
| Appalachian District Health Department | Jefferson, NC | $1.13M |
| Appalachian District Health Dept | Sparta, NC | $1.12M |
| Appalachian District Health Dept | Jefferson, NC | $1.06M |
| Appalachian District Health Dept | Boone, NC | $406K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.