Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Tri Area Community Health

Tri Area Community Health was paid $43K by Medicaid between Mar 2022 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoTRI AREA COMMUNITY HEALTH
TROUTDALE, VA 24378
33aNPI1376142281assigned 10/21/2020
28Total paid$43K
24GClaims894
24DCodes billed5
24AFirst – last monthMar 2022 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Virginia

Rank by total paid#118 of 145
Median peer was paid$338K
This provider vs. median0.1×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202297$6K
2023360$17K
2024incomplete437$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72% 500 453 $31K
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% 101 95 $8K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 8.7% 49 37 $4K
99000 <1% 151 139 $217.12
36415 Collection of venous blood by venipuncture <1% 93 89 $171.20

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 officialWERTH, JAMES (CEO)
Same official

Other billing entities under WERTH, JAMES

Full network →
ProviderLocationPaid
Tri Area Community HealthFerrum, VA$757K
Tri Area Community HealthStuart, VA$47K
Tri Area Community HealthFries, VA$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.