Clinic
Pendleton Community Care INC
Pendleton Community Care INC was paid $3.86M by Medicaid between Jan 2018 and Dec 2024, across 42 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
FRANKLIN, WV 26807
FRANKLIN, WV 26807
33aNPI1417936535assigned 01/17/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.86M
24GClaims73,764
24DCodes billed42
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#38 of 205
Median peer was paid$521K
This provider vs. median7.4×
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 | 8,125 | $569K | |
| 2019 | 4,954 | $310K | |
| 2020 | 8,251 | $533K | |
| 2021 | 9,799 | $544K | |
| 2022 | 13,441 | $605K | |
| 2023 | 17,766 | $677K | |
| 2024incomplete | 11,428 | $625K |
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% | 28,715 | 23,847 | $3.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 17,917 | 15,340 | $225K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 774 | 718 | $22K |
| 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% | 1,093 | 1,014 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 280 | 253 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 167 | 157 | $9K |
| 36416 | <1% | 283 | 258 | $8K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 162 | 155 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 251 | 216 | $4K |
| 90686 | <1% | 247 | 223 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 139 | 131 | $3K |
| 87428 | <1% | 472 | 446 | $2K |
30 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 58 | $1K |
| 90688 | <1% | 37 | $1K | |
| 99406 | <1% | 13 | $958.24 | |
| 99173 | <1% | 201 | $945.95 | |
| 92551 | <1% | 224 | $945.95 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | $745.56 |
| 3008F | <1% | 5,466 | $641.12 | |
| G0008 | Administration of influenza virus vaccine | <1% | 95 | $395.79 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 31 | $333.98 |
| 3078F | <1% | 2,685 | $195.48 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,472 | $104.64 |
| 81000 | <1% | 13 | $30.40 | |
| 1159F | 0% | 3,480 | $0.00 | |
| 1160F | 0% | 3,338 | $0.00 | |
| 99348 | 0% | 29 | $0.00 | |
| 3725F | 0% | 120 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 249 | $0.00 |
| 3077F | 0% | 40 | $0.00 | |
| 99307 | 0% | 174 | $0.00 | |
| 91300 | 0% | 37 | $0.00 | |
| 90662 | 0% | 29 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 15 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| 90670 | 0% | 16 | $0.00 | |
| 3074F | 0% | 3,108 | $0.00 | |
| 1036F | 0% | 1,900 | $0.00 | |
| 3075F | 0% | 45 | $0.00 | |
| 3079F | 0% | 94 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 221 | $0.00 |
| 99349 | 0% | 35 | $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. | Riverton, WV | $600K |
| 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.