Clinic
Tug River Health Association, INC
Tug River Health Association, INC was paid $2.16M by Medicaid between Jan 2018 and Dec 2024, across 32 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 infoTUG RIVER HEALTH ASSOCIATION, INC
GARY, WV 24836
GARY, WV 24836
33aNPI1407922891assigned 11/28/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.16M
24GClaims26,995
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#51 of 205
Median peer was paid$521K
This provider vs. median4.1×
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
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 | 3,131 | $260K | |
| 2019 | 2,011 | $145K | |
| 2020 | 4,145 | $328K | |
| 2021 | 4,213 | $345K | |
| 2022 | 5,375 | $407K | |
| 2023 | 4,554 | $349K | |
| 2024incomplete | 3,566 | $326K |
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% | 13,473 | 11,320 | $1.99M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 8,694 | 7,508 | $98K |
| 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 | 1.2% | 876 | 813 | $26K |
| 87428 | <1% | 715 | 569 | $15K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,102 | 866 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 139 | 138 | $4K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 56 | 34 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 132 | 127 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 69 | 69 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 94 | 88 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | 14 | $565.71 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 167 | 156 | $450.04 |
20 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 200 | $409.66 |
| 92551 | <1% | 368 | $358.44 | |
| 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 | <1% | 39 | $293.04 |
| 87807 | <1% | 29 | $234.63 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 41 | $210.70 |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 204 | $204.00 |
| 96127 | <1% | 158 | $165.31 | |
| 0002A | <1% | 18 | $160.00 | |
| 90686 | <1% | 48 | $88.22 | |
| 90715 | <1% | 12 | $33.44 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 32 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 33 | $0.00 |
| 90619 | 0% | 13 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 60 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 27 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 42 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 41 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 62 | $0.00 |
| 90461 | 0% | 25 | $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 officialHARRIS, KIM (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Tug River Health Association, INC | Northfork, WV | $2.44M |
| Tug River Health Association, INC | Welch, WV | $264K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.