Clinic
Community Action Committee of Pike County
Community Action Committee of Pike County was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoCOMMUNITY ACTION COMMITTEE OF PIKE COUNTY
MANCHESTER, OH 45144
MANCHESTER, OH 45144
33aNPI1336550755assigned 05/20/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.39M
24GClaims58,443
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#172 of 348
Median peer was paid$1.33M
This provider vs. median1.0×
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 | 2,913 | $93K | |
| 2019 | 5,021 | $118K | |
| 2020 | 5,231 | $123K | |
| 2021 | 7,873 | $206K | |
| 2022 | 8,647 | $236K | |
| 2023 | 19,756 | $346K | |
| 2024incomplete | 9,002 | $269K |
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 | 63% | 16,656 | 10,293 | $881K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 4,353 | 2,235 | $87K |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 3,052 | 1,109 | $85K |
| D0330 | Panoramic radiographic image | 4.0% | 3,107 | 1,820 | $55K |
| 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 | 3.4% | 1,457 | 904 | $47K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 3,035 | 1,779 | $30K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 893 | 218 | $27K |
| D1110 | Prophylaxis - adult | 1.5% | 1,585 | 942 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.5% | 668 | 356 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 2,121 | 1,266 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 622 | 298 | $18K |
| D1206 | Topical application of fluoride varnish | <1% | 2,226 | 1,272 | $13K |
30 more codes
| D0120 | Dental checkup, returning patient | <1% | 1,659 | $12K |
| D1120 | Dental cleaning, child | <1% | 1,583 | $12K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,182 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 1,005 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,066 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 412 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 236 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 124 | $5K |
| 92015 | Determination of refractive state | <1% | 755 | $3K |
| D1351 | Sealant - per tooth | <1% | 364 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 356 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 146 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 217 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 330 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 55 | $1K |
| D0270 | <1% | 518 | $1K | |
| 99173 | <1% | 131 | $146.52 | |
| 86403 | <1% | 28 | $132.52 | |
| 81002 | <1% | 67 | $78.18 | |
| 90686 | <1% | 53 | $39.16 | |
| 3074F | <1% | 511 | $0.01 | |
| 3078F | 0% | 168 | $0.00 | |
| 1159F | 0% | 216 | $0.00 | |
| 1160F | 0% | 214 | $0.00 | |
| D1999 | 0% | 679 | $0.00 | |
| 90734 | 0% | 21 | $0.00 | |
| D0603 | 0% | 299 | $0.00 | |
| 1036F | 0% | 47 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 158 | $0.00 |
| 3079F | 0% | 68 | $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 officialPITTS, KEITH (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Action Committee of Pike County | Waverly, OH | $7.34M |
| Community Action Committee of Pike County | Jackson, OH | $3.69M |
| Community Action Committee of Pike County | Portsmouth, OH | $2.91M |
| Community Action Committee of Pike County | Piketon, OH | $2.59M |
| Community Action Committee of Pike County | West Portsmouth, OH | $1.90M |
| Community Action Committee of Pike County | Waverly, OH | $1.25M |
| Community Action Committee of Pike County | Piketon, OH | $143K |
| Community Action Committee of Pike County | Piketon, OH | $3K |
| Community Action Committee of Pike County | Waverly, OH | $236.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.