Clinic
High Country Community Health
High Country Community Health was paid $6.61M by Medicaid between May 2019 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoHIGH COUNTRY COMMUNITY HEALTH
ELKIN, NC 28621
ELKIN, NC 28621
33aNPI1336606938assigned 03/01/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.61M
24GClaims156,178
24DCodes billed50
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#11 of 324
Median peer was paid$279K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2019 | 7,350 | $435K | |
| 2020 | 12,867 | $773K | |
| 2021 | 21,959 | $1.34M | |
| 2022 | 41,541 | $1.41M | |
| 2023 | 39,047 | $1.37M | |
| 2024incomplete | 33,414 | $1.28M |
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 | 82% | 30,582 | 23,155 | $5.38M |
| 99199 | Unlisted special service, procedure or report | 6.7% | 75,144 | 48,458 | $440K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 1,721 | 1,378 | $133K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 1,525 | 1,173 | $115K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 2,664 | 2,093 | $88K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 1,120 | 848 | $83K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 3,294 | 2,205 | $71K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 911 | 578 | $61K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,369 | 4,899 | $55K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,037 | 2,465 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,755 | 3,076 | $28K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,055 | 699 | $27K |
38 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,676 | $22K |
| 96127 | <1% | 7,246 | $14K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,012 | $11K |
| 97803 | <1% | 1,067 | $9K | |
| 92551 | <1% | 3,062 | $7K | |
| 99173 | <1% | 3,718 | $3K | |
| 87807 | <1% | 102 | $2K | |
| 96160 | <1% | 977 | $1K | |
| 81003 | <1% | 118 | $400.84 | |
| 90651 | <1% | 105 | $257.98 | |
| 85018 | <1% | 75 | $206.80 | |
| 90474 | <1% | 12 | $164.52 | |
| 96161 | <1% | 193 | $157.08 | |
| 90473 | <1% | 88 | $109.68 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $33.36 |
| 90686 | <1% | 1,124 | $19.19 | |
| 3074F | <1% | 1,256 | $0.57 | |
| 3078F | <1% | 1,171 | $0.55 | |
| 3079F | <1% | 16 | $0.02 | |
| 90680 | 0% | 109 | $0.00 | |
| 90619 | 0% | 94 | $0.00 | |
| 90723 | 0% | 72 | $0.00 | |
| 90698 | 0% | 172 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 133 | $0.00 |
| 90647 | 0% | 62 | $0.00 | |
| 90674 | 0% | 18 | $0.00 | |
| 90656 | 0% | 85 | $0.00 | |
| 90696 | 0% | 19 | $0.00 | |
| 90748 | 0% | 13 | $0.00 | |
| 90670 | 0% | 531 | $0.00 | |
| 90633 | 0% | 115 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 206 | $0.00 |
| 90710 | 0% | 63 | $0.00 | |
| 90671 | 0% | 159 | $0.00 | |
| 90734 | 0% | 60 | $0.00 | |
| 90681 | 0% | 16 | $0.00 | |
| 90649 | 0% | 16 | $0.00 | |
| 90715 | 0% | 27 | $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 officialSALTHOUSE, ALICE (CEO)
Parent organizationHIGH COUNTRY COMMUNITY HEALTH
| Provider | Location | Paid |
|---|---|---|
| High Country Community Health | Morganton, NC | $3.13M |
| High Country Community Health | Boone, NC | $2.86M |
| High Country Community Health | Newland, NC | $2.11M |
| High Country Community Health | Connelly Springs, NC | $1.42M |
| High Country Community Health | Boone, NC | $988K |
| High Country Community Health | Boone, NC | $70K |
| High Country Community Health | Newland, NC | $33K |
| High Country Community Health | Morganton, NC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.