Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PENDLETON COMMUNITY CARE INC

NPI: 1417936535 · FRANKLIN, WV 26807 · Federally Qualified Health Center (FQHC) · NPI assigned 01/17/2006

$3.86M
Total Medicaid Paid
73,764
Total Claims
63,695
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUDSON, JAMIE (CEO)
NPI Enumeration Date01/17/2006

Related Entities

Other providers sharing the same authorized official: HUDSON, JAMIE

ProviderCityStateTotal Paid
PENDLETON COMMUNITY CARE, INC. RIVERTON WV $600K
PENDLETON COMMUNITY CARE, INC. HARMAN WV $437K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,125 $569K
2019 4,954 $310K
2020 8,251 $533K
2021 9,799 $544K
2022 13,441 $605K
2023 17,766 $677K
2024 11,428 $625K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 28,715 23,847 $3.54M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,917 15,340 $225K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 774 718 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,093 1,014 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 280 253 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 167 157 $9K
36416 283 258 $8K
90472 Immunization administration, each additional vaccine (list separately) 162 155 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 251 216 $4K
90686 247 223 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 139 131 $3K
87428 472 446 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 58 55 $1K
90688 37 36 $1K
99406 13 13 $958.24
99173 201 177 $945.95
92551 224 194 $945.95
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 27 27 $745.56
3008F 5,466 4,904 $641.12
G0008 Administration of influenza virus vaccine 95 94 $395.79
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 31 30 $333.98
3078F 2,685 2,452 $195.48
99308 Subsequent nursing facility care, per day, straightforward 1,472 1,322 $104.64
81000 13 12 $30.40
1159F 3,480 3,101 $0.00
1160F 3,338 2,971 $0.00
99348 29 26 $0.00
3725F 120 114 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 249 229 $0.00
3077F 40 37 $0.00
99307 174 167 $0.00
91300 37 27 $0.00
90662 29 29 $0.00
90837 Psychotherapy, 53 minutes with patient 15 12 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $0.00
90670 16 16 $0.00
3074F 3,108 2,831 $0.00
1036F 1,900 1,695 $0.00
3075F 45 43 $0.00
3079F 94 85 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 221 195 $0.00
99349 35 31 $0.00