PENDLETON COMMUNITY CARE, INC.
NPI: 1427307222
· HARMAN, WV 26270
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/07/2012
$437K
Total Medicaid Paid
Provider Details
| Authorized Official | HUDSON, JAMIE (CEO) |
| NPI Enumeration Date | 09/07/2012 |
Related Entities
Other providers sharing the same authorized official: HUDSON, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,052 |
$88K |
| 2019 |
622 |
$44K |
| 2020 |
846 |
$68K |
| 2021 |
959 |
$73K |
| 2022 |
864 |
$56K |
| 2023 |
703 |
$63K |
| 2024 |
267 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,120 |
2,691 |
$400K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,549 |
1,351 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
148 |
$390.96 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
46 |
44 |
$65.14 |
| 1159F |
|
52 |
43 |
$0.00 |
| 1160F |
|
52 |
43 |
$0.00 |
| 3078F |
|
51 |
40 |
$0.00 |
| 3008F |
|
109 |
95 |
$0.00 |
| 87428 |
|
69 |
56 |
$0.00 |
| 3074F |
|
51 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$0.00 |
| 90686 |
|
13 |
12 |
$0.00 |