Clinic
Clinch River Health Services, INC.
Clinch River Health Services, INC. was paid $487K by Medicaid between May 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoCLINCH RIVER HEALTH SERVICES, INC.
DUNGANNON, VA 24245
DUNGANNON, VA 24245
33aNPI1508845389assigned 01/11/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$487K
24GClaims49,403
24DCodes billed28
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#63 of 145
Median peer was paid$338K
This provider vs. median1.4×
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 | 1,192 | $8K | |
| 2019 | 11,518 | $94K | |
| 2020 | 5,800 | $61K | |
| 2021 | 8,139 | $82K | |
| 2022 | 9,377 | $100K | |
| 2023 | 7,937 | $91K | |
| 2024incomplete | 5,440 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 75% | 6,935 | 6,127 | $367K |
| 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 | 13% | 766 | 728 | $62K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.5% | 768 | 697 | $22K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.6% | 113 | 106 | $8K |
| 94760 | 1.3% | 4,713 | 4,236 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 447 | 400 | $5K |
| 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% | 488 | 362 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 275 | 254 | $4K |
| 99000 | <1% | 1,850 | 1,655 | $2K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 32 | 26 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | 31 | $1K |
| 99442 | <1% | 15 | 14 | $724.26 |
16 more codes
| 90686 | <1% | 46 | $598.05 | |
| 0012A | <1% | 33 | $480.00 | |
| 0011A | <1% | 31 | $440.27 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 89 | $341.76 |
| 81003 | <1% | 40 | $84.41 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 12 | $84.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $81.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 14 | $78.41 |
| 36415 | Collection of venous blood by venipuncture | <1% | 39 | $77.81 |
| 36416 | <1% | 28 | $20.60 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 31 | $17.19 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $4.76 |
| 2010F | 0% | 8,272 | $0.00 | |
| 2000F | 0% | 8,474 | $0.00 | |
| 2001F | 0% | 8,268 | $0.00 | |
| 3008F | 0% | 7,562 | $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 officialGILLIAM, GARY (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Clinch River Health Services INC | Dungannon, VA | $606K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.