Clinic
Pendleton Community Care, INC.
Pendleton Community Care, INC. was paid $600K by Medicaid between Jan 2018 and Dec 2024, across 13 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 infoPENDLETON COMMUNITY CARE, INC.
RIVERTON, WV 26814
RIVERTON, WV 26814
33aNPI1417931379assigned 12/05/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$600K
24GClaims11,426
24DCodes billed13
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#98 of 205
Median peer was paid$521K
This provider vs. median1.2×
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 | 1,287 | $97K | |
| 2019 | 695 | $44K | |
| 2020 | 1,164 | $87K | |
| 2021 | 1,558 | $89K | |
| 2022 | 2,410 | $94K | |
| 2023 | 3,054 | $104K | |
| 2024incomplete | 1,258 | $87K |
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% | 4,589 | 3,837 | $551K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 2,356 | 2,016 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | 29 | $3K |
| 90686 | <1% | 13 | 12 | $576.23 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 14 | 14 | $406.99 |
| 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% | 1,135 | 1,017 | $278.06 |
| 3008F | 0% | 905 | 787 | $0.00 | |
| 3074F | 0% | 442 | 379 | $0.00 | |
| 1036F | 0% | 323 | 281 | $0.00 | |
| 1160F | 0% | 537 | 449 | $0.00 | |
| 3078F | 0% | 419 | 360 | $0.00 | |
| 1159F | 0% | 568 | 478 | $0.00 |
1 more codes
| 3725F | 0% | 94 | $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 officialHUDSON, JAMIE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pendleton Community Care INC | Franklin, WV | $3.86M |
| Pendleton Community Care, INC. | Harman, WV | $437K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.