Clinic
Tri Area Community Health
Tri Area Community Health was paid $1.98M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoTRI AREA COMMUNITY HEALTH
LAUREL FORK, VA 24352
LAUREL FORK, VA 24352
33aNPI1346227584assigned 12/29/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.98M
24GClaims44,854
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#21 of 145
Median peer was paid$338K
This provider vs. median5.8×
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 | 4,947 | $132K | |
| 2019 | 9,286 | $280K | |
| 2020 | 5,647 | $221K | |
| 2021 | 5,689 | $230K | |
| 2022 | 6,493 | $359K | |
| 2023 | 7,574 | $420K | |
| 2024incomplete | 5,218 | $337K |
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 | 55% | 21,654 | 18,706 | $1.09M |
| 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 | 24% | 7,007 | 6,374 | $472K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.4% | 2,149 | 1,642 | $166K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.9% | 741 | 566 | $96K |
| 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 | 2.6% | 4,111 | 3,193 | $52K |
| 87428 | 1.2% | 746 | 687 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 439 | 401 | $16K |
| 90686 | <1% | 696 | 675 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 653 | 601 | $8K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 37 | 35 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 798 | 765 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 54 | 51 | $4K |
25 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 242 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 98 | $3K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 294 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 38 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 897 | $3K |
| 99000 | <1% | 1,785 | $3K | |
| 90756 | <1% | 450 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 877 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $1K |
| 96127 | <1% | 296 | $1K | |
| 90734 | <1% | 29 | $706.46 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 61 | $650.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 34 | $423.42 |
| 90651 | <1% | 14 | $382.29 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $366.57 |
| 81003 | <1% | 161 | $342.49 | |
| 90715 | <1% | 12 | $218.08 | |
| 90461 | <1% | 171 | $186.64 | |
| 87807 | <1% | 14 | $177.54 | |
| 99173 | <1% | 71 | $171.63 | |
| 92551 | <1% | 12 | $115.56 | |
| G0008 | Administration of influenza virus vaccine | <1% | 58 | $23.39 |
| 90473 | <1% | 12 | $6.80 | |
| 94760 | 0% | 75 | $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 officialSHELOR, DEBRA (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Tri Area Community Health | Floyd, VA | $423K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.