Clinic
Centerville Clinics, INC.
Centerville Clinics, INC. was paid $15.36M by Medicaid between Jul 2019 and Dec 2024, across 140 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoCENTERVILLE CLINICS, INC.
FREDERICKTOWN, PA 15333
FREDERICKTOWN, PA 15333
33aNPI1437272697assigned 04/10/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$15.36M
24GClaims491,751
24DCodes billed140
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#16 of 240
Median peer was paid$909K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2019 | 275 | $14K | |
| 2020 | 20,789 | $821K | |
| 2021 | 108,908 | $3.44M | |
| 2022 | 119,731 | $3.77M | |
| 2023 | 130,839 | $3.84M | |
| 2024incomplete | 111,209 | $3.48M |
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 | 99% | 103,980 | 89,937 | $15.17M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,911 | 1,844 | $68K |
| 0012A | <1% | 1,132 | 1,125 | $38K | |
| 0011A | <1% | 1,237 | 1,217 | $31K | |
| 0064A | <1% | 508 | 508 | $21K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 238 | 230 | $13K |
| 0134A | <1% | 135 | 135 | $6K | |
| 87428 | <1% | 436 | 430 | $5K | |
| 0013A | <1% | 19 | 19 | $748.00 | |
| 80061 | Lipid panel | <1% | 2,502 | 2,493 | $629.39 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,070 | 1,068 | $613.65 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 3,414 | 2,897 | $424.59 |
128 more codes
| 80053 | Comprehensive metabolic panel | <1% | 2,519 | $372.95 |
| 3078F | <1% | 31,108 | $358.82 | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 238 | $355.00 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,288 | $301.73 |
| 3074F | <1% | 33,889 | $273.82 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,682 | $259.77 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,294 | $254.71 |
| 90686 | <1% | 571 | $100.36 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,010 | $90.00 |
| 82607 | <1% | 799 | $52.00 | |
| 82043 | <1% | 323 | $48.00 | |
| 96127 | <1% | 1,760 | $45.00 | |
| 82570 | <1% | 356 | $42.90 | |
| 3075F | <1% | 7,265 | $25.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 6,431 | $19.50 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,300 | $15.41 |
| 90700 | <1% | 20 | $10.00 | |
| 86580 | <1% | 218 | $9.90 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 360 | $9.36 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 186 | $6.00 |
| 81025 | <1% | 170 | $4.00 | |
| 80050 | General health panel | 0% | 604 | $0.00 |
| 91306 | 0% | 43 | $0.00 | |
| 3008F | 0% | 45,766 | $0.00 | |
| 3061F | 0% | 235 | $0.00 | |
| 99441 | 0% | 828 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,653 | $0.00 |
| 3014F | 0% | 559 | $0.00 | |
| 1157F | 0% | 712 | $0.00 | |
| 3044F | 0% | 1,704 | $0.00 | |
| 84436 | 0% | 295 | $0.00 | |
| 3351F | 0% | 3,483 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 36,994 | $0.00 |
| 1111F | 0% | 2,634 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 11,282 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 260 | $0.00 |
| 99496 | 0% | 826 | $0.00 | |
| 82746 | 0% | 134 | $0.00 | |
| 84479 | 0% | 264 | $0.00 | |
| 1036F | 0% | 12,988 | $0.00 | |
| 1035F | 0% | 883 | $0.00 | |
| 3017F | 0% | 619 | $0.00 | |
| 1000F | 0% | 7,479 | $0.00 | |
| 3080F | 0% | 3,822 | $0.00 | |
| 3352F | 0% | 199 | $0.00 | |
| 83550 | 0% | 130 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 150 | $0.00 |
| 1034F | 0% | 11,998 | $0.00 | |
| 99406 | 0% | 1,314 | $0.00 | |
| 81001 | 0% | 165 | $0.00 | |
| 99385 | 0% | 226 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 1,193 | $0.00 |
| 91301 | 0% | 2,887 | $0.00 | |
| 97802 | 0% | 390 | $0.00 | |
| 4000F | 0% | 1,528 | $0.00 | |
| 3079F | 0% | 12,008 | $0.00 | |
| 99495 | 0% | 512 | $0.00 | |
| 3354F | 0% | 510 | $0.00 | |
| 92551 | 0% | 760 | $0.00 | |
| 1031F | 0% | 2,656 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 83 | $0.00 |
| 1170F | 0% | 16 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 64 | $0.00 |
| 3060F | 0% | 70 | $0.00 | |
| 93000 | 0% | 146 | $0.00 | |
| 92283 | 0% | 237 | $0.00 | |
| 3353F | 0% | 400 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 124 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 24 | $0.00 |
| 99384 | 0% | 14 | $0.00 | |
| 90732 | 0% | 12 | $0.00 | |
| 90620 | 0% | 18 | $0.00 | |
| 3052F | 0% | 29 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 16 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 18 | $0.00 |
| 90651 | 0% | 39 | $0.00 | |
| 99349 | 0% | 13 | $0.00 | |
| 1159F | 0% | 48,009 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 814 | $0.00 |
| 99442 | 0% | 611 | $0.00 | |
| 82465 | 0% | 290 | $0.00 | |
| 81003 | 0% | 1,231 | $0.00 | |
| 11721 | 0% | 314 | $0.00 | |
| 90715 | 0% | 189 | $0.00 | |
| 4019F | 0% | 213 | $0.00 | |
| 99173 | 0% | 1,185 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 462 | $0.00 |
| 1033F | 0% | 120 | $0.00 | |
| 3015F | 0% | 712 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 1,921 | $0.00 |
| 96160 | 0% | 6,038 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 3,244 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 2,386 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 458 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,099 | $0.00 |
| G9920 | Screening performed and negative | 0% | 5,162 | $0.00 |
| G9016 | Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] | 0% | 3,877 | $0.00 |
| 84439 | 0% | 53 | $0.00 | |
| 83721 | 0% | 255 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 702 | $0.00 |
| D1999 | 0% | 377 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 3,010 | $0.00 |
| 3046F | 0% | 140 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,870 | $0.00 |
| 3077F | 0% | 5,815 | $0.00 | |
| 1160F | 0% | 416 | $0.00 | |
| 83540 | 0% | 142 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 76 | $0.00 |
| 99080 | 0% | 9,193 | $0.00 | |
| 1100F | 0% | 165 | $0.00 | |
| 80076 | 0% | 12 | $0.00 | |
| 90734 | 0% | 118 | $0.00 | |
| 99408 | 0% | 56 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 128 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 149 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 109 | $0.00 |
| 99499 | 0% | 559 | $0.00 | |
| 3051F | 0% | 56 | $0.00 | |
| 3288F | 0% | 228 | $0.00 | |
| 90682 | 0% | 43 | $0.00 | |
| 91313 | 0% | 128 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 13 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12 | $0.00 |
| 99348 | 0% | 99 | $0.00 | |
| 90649 | 0% | 26 | $0.00 | |
| 91322 | 0% | 31 | $0.00 | |
| 90633 | 0% | 22 | $0.00 | |
| 11307 | 0% | 28 | $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 officialMARTOS, PATTY (DIRECTOR FINANCE PERSONNEL)
| Provider | Location | Paid |
|---|---|---|
| Centerville Clinics, INC. | Washington, PA | $2.94M |
| Centerville Clinics, INC. | California, PA | $2.07M |
| Centerville Clinics, INC. | Waynesburg, PA | $1.22M |
| Centerville Clinics, INC Blended | Carmichaels, PA | $810K |
| Centerville Clinics, INC | Connellsville, PA | $294K |
| Centerville Clinics, INC. | Charleroi, PA | $188K |
| Centerville Clinics, INC. | Republic, PA | $24K |
| Centerville Clinics, INC. | Uniontown, PA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.