Physician
Family Healthcare Associates INC
Family Healthcare Associates INC was paid $5.09M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoFAMILY HEALTHCARE ASSOCIATES INC
GILBERT, WV 25621
GILBERT, WV 25621
33aNPI1376572479assigned 07/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$5.09M
24GClaims130,171
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#8 of 202
Median peer was paid$172K
This provider vs. median30×
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 | 16,512 | $738K | |
| 2019 | 7,764 | $280K | |
| 2020 | 19,071 | $703K | |
| 2021 | 24,342 | $959K | |
| 2022 | 24,708 | $878K | |
| 2023 | 19,717 | $774K | |
| 2024incomplete | 18,057 | $757K |
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 | 92% | 63,520 | 49,778 | $4.69M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 46,795 | 39,050 | $385K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 283 | 266 | $4K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 184 | 180 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 149 | 138 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 140 | 134 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 101 | 97 | $983.67 |
| 90734 | <1% | 32 | 31 | $890.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 83 | 80 | $818.98 |
| 90756 | <1% | 24 | 24 | $818.98 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 581 | 549 | $708.55 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14,921 | 12,115 | $248.65 |
12 more codes
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 13 | $178.04 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,916 | $100.00 |
| 87206 | <1% | 95 | $34.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 23 | $0.00 |
| 90674 | 0% | 34 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 74 | $0.00 |
| 87807 | 0% | 81 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 309 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 770 | $0.00 |
| 90715 | 0% | 17 | $0.00 | |
| 81002 | 0% | 13 | $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 officialMUSCARI, SAMUE (PRESIDENT)