Clinic
West Cecil Health Center INC.
West Cecil Health Center INC. was paid $10.25M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoWEST CECIL HEALTH CENTER INC.
CONOWINGO, MD 21918
CONOWINGO, MD 21918
33aNPI1366625089assigned 12/17/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.25M
24GClaims83,756
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maryland
Rank by total paid#12 of 34
Median peer was paid$741K
This provider vs. median14×
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 | 6,016 | $607K | |
| 2019 | 5,416 | $625K | |
| 2020 | 11,415 | $1.45M | |
| 2021 | 12,105 | $1.55M | |
| 2022 | 12,787 | $1.74M | |
| 2023 | 18,184 | $2.13M | |
| 2024incomplete | 17,833 | $2.15M |
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 | 64% | 48,302 | 30,578 | $6.60M |
| 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 | 19% | 11,373 | 9,997 | $1.94M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 10,077 | 8,701 | $1.63M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 350 | 325 | $58K |
| W7010 | <1% | 720 | 637 | $11K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 191 | 120 | $4K |
| 0011A | <1% | 127 | 94 | $4K | |
| 0012A | <1% | 109 | 89 | $4K | |
| 3074F | <1% | 4,807 | 4,295 | $3K | |
| 99385 | <1% | 15 | 13 | $2K | |
| 0064A | <1% | 45 | 45 | $2K | |
| 80305 | <1% | 30 | 28 | $508.82 |
15 more codes
| 92250 | <1% | 123 | $452.14 | |
| 3078F | <1% | 4,870 | $422.76 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 49 | $407.07 |
| 3079F | <1% | 381 | $201.38 | |
| 92015 | Determination of refractive state | <1% | 280 | $190.20 |
| 91301 | <1% | 70 | $170.80 | |
| 99000 | <1% | 32 | $170.50 | |
| 99406 | <1% | 1,049 | $111.94 | |
| 3075F | <1% | 107 | $45.00 | |
| 90674 | <1% | 89 | $26.79 | |
| G0467 | Community health center visit, returning patient | 0% | 285 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 30 | $0.00 |
| 83037 | 0% | 149 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 25 | $0.00 |
| 3077F | 0% | 71 | $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 officialNESS, JOHN (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| West Cecil Health Center INC. | Conowingo, MD | $1.68M |
| John Ness MD PA | Tallahassee, FL | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.