Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRI AREA COMMUNITY HEALTH

NPI: 1346227584 · LAUREL FORK, VA 24352 · Federally Qualified Health Center (FQHC) · NPI assigned 12/29/2005

$1.98M
Total Medicaid Paid
44,854
Total Claims
38,996
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHELOR, DEBRA (EXECUTIVE DIRECTOR)
NPI Enumeration Date12/29/2005

Related Entities

Other providers sharing the same authorized official: SHELOR, DEBRA

ProviderCityStateTotal Paid
TRI AREA COMMUNITY HEALTH FLOYD VA $423K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,218 $337K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,654 18,706 $1.09M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,007 6,374 $472K
90834 Psychotherapy, 45 minutes with patient 2,149 1,642 $166K
90837 Psychotherapy, 53 minutes with patient 741 566 $96K
G0467 Federally 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 4,111 3,193 $52K
87428 746 687 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 439 401 $16K
90686 696 675 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 653 601 $8K
90791 Psychiatric diagnostic evaluation 37 35 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 798 765 $4K
90832 Psychotherapy, 30 minutes with patient 54 51 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 242 227 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 98 97 $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 294 286 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 38 34 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 897 852 $3K
99000 1,785 1,613 $3K
90756 450 397 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 25 25 $2K
36415 Collection of venous blood by venipuncture 877 791 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $1K
96127 296 278 $1K
90734 29 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) 61 58 $650.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 34 31 $423.42
90651 14 14 $382.29
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 27 $366.57
81003 161 148 $342.49
90715 12 12 $218.08
90461 171 154 $186.64
87807 14 12 $177.54
99173 71 71 $171.63
92551 12 12 $115.56
G0008 Administration of influenza virus vaccine 58 45 $23.39
90473 12 12 $6.80
94760 75 61 $0.00