Clinic
ST. George Medical Clinic INC.
ST. George Medical Clinic INC. was paid $9.73M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoST. GEORGE MEDICAL CLINIC INC.
PARSONS, WV 26287
PARSONS, WV 26287
33aNPI1497853600assigned 09/20/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.73M
24GClaims114,827
24DCodes billed41
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#11 of 205
Median peer was paid$521K
This provider vs. median19×
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 | 9,073 | $438K | |
| 2019 | 8,188 | $517K | |
| 2020 | 15,282 | $1.22M | |
| 2021 | 17,793 | $1.48M | |
| 2022 | 21,250 | $1.91M | |
| 2023 | 22,998 | $2.16M | |
| 2024incomplete | 20,243 | $2.00M |
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 | 97% | 59,160 | 40,242 | $9.46M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 28,858 | 23,060 | $152K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 116 | 101 | $24K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,373 | 2,177 | $15K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,386 | 655 | $13K |
| 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% | 3,058 | 2,727 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 641 | 555 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,770 | 2,175 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 109 | 105 | $5K |
| 90688 | <1% | 101 | 99 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 214 | 175 | $4K |
| 81002 | <1% | 152 | 138 | $3K |
29 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 306 | $3K |
| 92551 | <1% | 103 | $2K | |
| 99173 | <1% | 93 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 268 | $2K |
| 90686 | <1% | 48 | $2K | |
| D1120 | Dental cleaning, child | <1% | 67 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 76 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 88 | $2K |
| 69210 | <1% | 12 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 22 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 72 | $673.37 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 5,098 | $649.89 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 41 | $619.00 |
| D0120 | Dental checkup, returning patient | <1% | 42 | $524.35 |
| 90461 | <1% | 43 | $506.00 | |
| 0001A | <1% | 53 | $487.84 | |
| G0467 | Community health center visit, returning patient | <1% | 4,978 | $244.95 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 55 | $217.63 |
| 87428 | <1% | 902 | $151.42 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 257 | $20.00 |
| 91300 | <1% | 123 | $0.03 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 15 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 2,222 | $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% | 449 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 119 | $0.00 |
| 90656 | 0% | 12 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 296 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 14 | $0.00 |
| 90715 | 0% | 15 | $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 officialWAMSLEY, PAUL (CEO)