Clinic
Tri County Community Health Council INC
Tri County Community Health Council INC was paid $787K by Medicaid between Jan 2018 and Dec 2024, across 34 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 infoTRI COUNTY COMMUNITY HEALTH COUNCIL INC
BENSON, NC 27504
BENSON, NC 27504
33aNPI1376899252assigned 07/30/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$787K
24GClaims78,917
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#97 of 324
Median peer was paid$279K
This provider vs. median2.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ELLISON, WILLIAM controls 17+ related entities in our dataset. Read more
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 | 620 | $42K | |
| 2019 | 754 | $58K | |
| 2020 | 440 | $38K | |
| 2021 | 4,808 | $90K | |
| 2022 | 14,894 | $123K | |
| 2023 | 28,465 | $200K | |
| 2024incomplete | 28,936 | $236K |
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% | 5,868 | 4,210 | $500K |
| 99199 | Unlisted special service, procedure or report | 31% | 50,890 | 28,524 | $247K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 594 | 469 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 643 | 314 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 233 | 179 | $5K |
| D0330 | Panoramic radiographic image | <1% | 141 | 105 | $5K |
| D1110 | Prophylaxis - adult | <1% | 172 | 139 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 145 | 113 | $4K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 211 | 160 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 253 | 152 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,579 | 1,048 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 219 | 166 | $1K |
22 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 15 | $914.16 |
| 90686 | <1% | 79 | $273.64 | |
| 81003 | <1% | 14 | $31.46 | |
| 3074F | <1% | 1,229 | $1.74 | |
| 3078F | <1% | 1,217 | $1.59 | |
| 1126F | <1% | 1,109 | $1.45 | |
| 99173 | <1% | 28 | $1.00 | |
| 1125F | <1% | 300 | $0.47 | |
| 3079F | <1% | 239 | $0.27 | |
| 1159F | <1% | 103 | $0.17 | |
| 1160F | <1% | 103 | $0.16 | |
| 3075F | <1% | 96 | $0.13 | |
| 3008F | <1% | 2,469 | $0.12 | |
| 3044F | <1% | 43 | $0.01 | |
| 1000F | 0% | 2,578 | $0.00 | |
| 2000F | 0% | 2,107 | $0.00 | |
| D1310 | 0% | 408 | $0.00 | |
| 3351F | 0% | 543 | $0.00 | |
| 2001F | 0% | 2,084 | $0.00 | |
| D1330 | 0% | 790 | $0.00 | |
| 1220F | 0% | 2,104 | $0.00 | |
| D0603 | 0% | 311 | $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 officialELLISON, WILLIAM (REVENUE CYCLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Tri County Community Health Council INC | Dunn, NC | $2.29M |
| Tri County Community Health Council INC | Salemburg, NC | $936K |
| Tri County Community Health Council INC. | Dunn, NC | $820K |
| Tri County Community Health Council INC | Bolivia, NC | $816K |
| Tri County Community Health Council INC. | Dunn, NC | $768K |
| Tri County Community Health Council INC | Shallotte, NC | $509K |
| Tri County Community Health Council INC | Clinton, NC | $484K |
| Tri County Community Health Council INC | Tar Heel, NC | $324K |
| Tri County Community Health Council INC | Smithfield, NC | $264K |
| Tri County Community Health Council INC | Willard, NC | $255K |
| Tri County Community Health Council INC | Harrells, NC | $249K |
| Tri County Community Health Council INC | Dunn, NC | $224K |
| Tri County Community Health Council INC | Ocean Isle Beach, NC | $168K |
| Tri County Community Health Council INC | Dunn, NC | $89K |
| Tri County Community Health Council INC | Willard, NC | $26K |
| Tri County Community Health Council INC | Four Oaks, NC | $25K |
| Tri County Community Health Council INC | Dublin, NC | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.