Clinic
Tug River Health Association, INC.
Tug River Health Association, INC. was paid $910K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoTUG RIVER HEALTH ASSOCIATION, INC.
BRADSHAW, WV 24817
BRADSHAW, WV 24817
33aNPI1295033009assigned 03/02/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$910K
24GClaims13,111
24DCodes billed31
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#85 of 205
Median peer was paid$521K
This provider vs. median1.7×
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 | 989 | $61K | |
| 2019 | 372 | $32K | |
| 2020 | 1,727 | $115K | |
| 2021 | 1,835 | $145K | |
| 2022 | 2,850 | $183K | |
| 2023 | 2,766 | $182K | |
| 2024incomplete | 2,572 | $193K |
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 | 93% | 5,685 | 4,833 | $847K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 2,659 | 2,322 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 402 | 358 | $11K |
| 87428 | 1.0% | 333 | 294 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 881 | 708 | $8K |
| 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% | 727 | 647 | $7K |
| 81025 | <1% | 327 | 264 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 57 | 53 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 64 | 60 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 263 | 167 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 101 | 96 | $1K |
| 87807 | <1% | 49 | 40 | $482.28 |
19 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 212 | $448.89 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 265 | $209.88 |
| 81003 | <1% | 84 | $127.52 | |
| 81002 | <1% | 34 | $81.29 | |
| 0002A | <1% | 31 | $80.00 | |
| 96127 | <1% | 63 | $43.21 | |
| 99173 | 0% | 162 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 127 | $0.00 |
| 90461 | 0% | 27 | $0.00 | |
| 90633 | 0% | 18 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 16 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 35 | $0.00 |
| 90734 | 0% | 58 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 197 | $0.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 41 | $0.00 |
| 86308 | 0% | 86 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 27 | $0.00 |
| 0001A | 0% | 20 | $0.00 | |
| 92551 | 0% | 60 | $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 officialCROFTON, TIM (CEO)
| Provider | Location | Paid |
|---|---|---|
| Tug River Health Association, INC | Northfork, WV | $95.36 |
| Tug River Health Association, INC | Gary, WV | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.