Clinic
ST. Charles Health Council INC
ST. Charles Health Council INC was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoST. CHARLES HEALTH COUNCIL INC
JONESVILLE, VA 24263
JONESVILLE, VA 24263
33aNPI1295857993assigned 04/04/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.18M
24GClaims40,447
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#35 of 145
Median peer was paid$338K
This provider vs. median3.5×
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 | 10,001 | $198K | |
| 2019 | 6,973 | $207K | |
| 2020 | 3,988 | $146K | |
| 2021 | 3,731 | $137K | |
| 2022 | 6,842 | $161K | |
| 2023 | 5,343 | $199K | |
| 2024incomplete | 3,569 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 11,211 | 9,662 | $616K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 7,509 | 6,391 | $368K |
| 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 | 5.6% | 6,537 | 4,315 | $66K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.8% | 696 | 590 | $57K |
| D1110 | Prophylaxis - adult | 1.1% | 545 | 544 | $13K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 180 | 129 | $6K |
| 90674 | <1% | 273 | 251 | $6K | |
| 3008F | <1% | 2,516 | 2,124 | $5K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 312 | 311 | $5K |
| 2000F | <1% | 2,266 | 1,895 | $5K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 74 | 50 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 113 | 89 | $4K |
32 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,590 | $4K |
| 99000 | <1% | 2,011 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 131 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 194 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 182 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 78 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 91 | $1K |
| 99441 | <1% | 62 | $1K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 16 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,127 | $886.81 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 417 | $839.36 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 131 | $526.79 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 12 | $517.29 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 40 | $515.53 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 26 | $462.43 |
| 99442 | <1% | 22 | $454.41 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 60 | $386.21 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 19 | $316.14 |
| D0272 | Bitewings - two radiographic images | <1% | 40 | $288.20 |
| 90756 | <1% | 14 | $210.84 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 20 | $195.72 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $90.34 |
| 81003 | <1% | 32 | $45.77 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 702 | $20.69 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 495 | $16.45 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 410 | $13.37 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $2.25 |
| D1206 | Topical application of fluoride varnish | 0% | 85 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 12 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 43 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 28 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 100 | $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 officialPERDUE, MALCOLM (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST. Charles Health Counsel, INC. | Jonesville, VA | $2.46M |
| ST. Charles Health Council INC | Ewing, VA | $912K |
| ST. Charles Health Council INC | St. Charles, VA | $526K |
| ST. Charles Health Council INC | Vansant, VA | $332K |
| ST Charles Health Council INC | St Paul, VA | $211K |
| ST Charles Health Council INC | Appalachia, VA | $85K |
| ST Charles Health Council INC | Davenport, VA | $70K |
| ST Charles Health Council INC | Hurley, VA | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.