Clinic
Hygeia Facilities Foundation INC
Hygeia Facilities Foundation INC was paid $1.35M by Medicaid between Jan 2018 and Feb 2023, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoHYGEIA FACILITIES FOUNDATION INC
WHITESVILLE, WV 25209
WHITESVILLE, WV 25209
33aNPI1467512152assigned 12/11/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.35M
24GClaims33,359
24DCodes billed17
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#72 of 205
Median peer was paid$521K
This provider vs. median2.6×
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 | 7,019 | $322K | |
| 2019 | 3,435 | $133K | |
| 2020 | 8,350 | $319K | |
| 2021 | 6,167 | $242K | |
| 2022 | 7,216 | $283K | |
| 2023 | 1,172 | $51K |
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 | 85% | 16,316 | 13,291 | $1.15M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 10,833 | 9,145 | $150K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 3,920 | 3,362 | $42K |
| 36415 | Collection of venous blood by venipuncture | <1% | 956 | 856 | $5K |
| 87430 | <1% | 192 | 177 | $940.61 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 157 | 64 | $523.79 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 101 | 79 | $481.33 |
| 87252 | <1% | 97 | 76 | $317.40 | |
| 95117 | <1% | 87 | 25 | $288.71 | |
| 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% | 344 | 306 | $172.33 |
| 99201 | <1% | 12 | 12 | $102.21 | |
| 81002 | <1% | 81 | 73 | $88.00 |
5 more codes
| 90756 | <1% | 23 | $25.00 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 25 | $18.24 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 56 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 146 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $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 officialMARTIN, MARGARET (ADMINISTRAR)