Clinic
Western Maryland Health Care Corporation
Western Maryland Health Care Corporation was paid $11.60M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 39% of everything it billed.
33Billing provider infoWESTERN MARYLAND HEALTH CARE CORPORATION
OAKLAND, MD 21550
OAKLAND, MD 21550
33aNPI1467427047assigned 02/17/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.60M
24GClaims108,842
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maryland
Rank by total paid#11 of 34
Median peer was paid$741K
This provider vs. median16×
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 | 3,564 | $285K | |
| 2019 | 4,175 | $378K | |
| 2020 | 12,523 | $2.01M | |
| 2021 | 14,969 | $2.05M | |
| 2022 | 18,680 | $2.52M | |
| 2023 | 23,884 | $2.30M | |
| 2024incomplete | 31,047 | $2.04M |
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 | 39% | 19,080 | 13,446 | $4.58M |
| 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 | 33% | 19,047 | 17,407 | $3.78M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 13,724 | 12,321 | $3.04M |
| 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 | 1.2% | 6,700 | 5,552 | $137K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 598 | 367 | $17K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 511 | 467 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 854 | 772 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | 20 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 38 | 36 | $6K |
| 90686 | <1% | 457 | 415 | $3K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 423 | 283 | $3K |
| 3074F | <1% | 12,919 | 12,065 | $2K |
25 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 202 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 303 | $970.01 |
| 1036F | <1% | 1,775 | $753.92 | |
| 87428 | <1% | 49 | $586.43 | |
| 96127 | <1% | 562 | $492.17 | |
| 90688 | <1% | 12 | $430.68 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 34 | $417.14 |
| 1159F | <1% | 3,368 | $361.42 | |
| 3008F | <1% | 7,263 | $276.22 | |
| 0011A | <1% | 18 | $169.40 | |
| 90837 | Psychotherapy session, about an hour | <1% | 145 | $111.06 |
| 3725F | <1% | 5,791 | $104.89 | |
| 3077F | <1% | 181 | $25.00 | |
| 3075F | <1% | 361 | $20.00 | |
| 3079F | <1% | 2,323 | $10.00 | |
| 3078F | <1% | 11,526 | $10.00 | |
| 92551 | <1% | 91 | $9.72 | |
| 99173 | <1% | 93 | $2.60 | |
| 1126F | 0% | 243 | $0.00 | |
| 3080F | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 45 | $0.00 |
| 3288F | 0% | 34 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 99408 | 0% | 14 | $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 officialDIXON, MICHELLE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Western Maryland Health Care Corporation | Westernport, MD | $541K |
| Western Maryland Health Care Corporation | Bruceton Mills, WV | $100K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.