PENDLETON COMMUNITY CARE, INC.
NPI: 1417931379
· RIVERTON, WV 26814
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/05/2005
$600K
Total Medicaid Paid
Provider Details
| Authorized Official | HUDSON, JAMIE (CEO) |
| NPI Enumeration Date | 12/05/2005 |
Related Entities
Other providers sharing the same authorized official: HUDSON, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,287 |
$97K |
| 2019 |
695 |
$44K |
| 2020 |
1,164 |
$87K |
| 2021 |
1,558 |
$89K |
| 2022 |
2,410 |
$94K |
| 2023 |
3,054 |
$104K |
| 2024 |
1,258 |
$87K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,589 |
3,837 |
$551K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,356 |
2,016 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$3K |
| 90686 |
|
13 |
12 |
$576.23 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
14 |
$406.99 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,135 |
1,017 |
$278.06 |
| 3008F |
|
905 |
787 |
$0.00 |
| 3074F |
|
442 |
379 |
$0.00 |
| 1036F |
|
323 |
281 |
$0.00 |
| 1160F |
|
537 |
449 |
$0.00 |
| 3078F |
|
419 |
360 |
$0.00 |
| 1159F |
|
568 |
478 |
$0.00 |
| 3725F |
|
94 |
85 |
$0.00 |