Clinic
High Country Community Health
High Country Community Health was paid $1.42M by Medicaid between Jun 2020 and Dec 2024, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoHIGH COUNTRY COMMUNITY HEALTH
CONNELLY SPRINGS, NC 28612
CONNELLY SPRINGS, NC 28612
33aNPI1518502103assigned 11/07/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.42M
24GClaims42,667
24DCodes billed17
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#64 of 324
Median peer was paid$279K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2020 | 480 | $78K | |
| 2021 | 1,611 | $170K | |
| 2022 | 4,974 | $272K | |
| 2023 | 10,332 | $363K | |
| 2024incomplete | 25,270 | $539K |
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 | 86% | 7,700 | 5,563 | $1.23M |
| 99199 | Unlisted special service, procedure or report | 12% | 30,324 | 13,308 | $171K |
| 80305 | <1% | 1,221 | 853 | $13K | |
| 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% | 218 | 179 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 78 | 76 | $827.41 |
| 0012A | <1% | 12 | 12 | $715.00 | |
| 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% | 538 | 425 | $518.34 |
| 96127 | <1% | 303 | 270 | $426.28 | |
| 0011A | <1% | 12 | 12 | $360.00 | |
| 3079F | <1% | 571 | 501 | $0.85 | |
| 3074F | <1% | 793 | 690 | $0.85 | |
| 3078F | <1% | 516 | 469 | $0.58 |
5 more codes
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 officialSALTHOUSE, ALICE (CEO)
Parent organizationHIGH COUNTRY COMMUNITY HEALTH
| Provider | Location | Paid |
|---|---|---|
| High Country Community Health | Elkin, NC | $6.61M |
| High Country Community Health | Morganton, NC | $3.13M |
| High Country Community Health | Boone, NC | $2.86M |
| High Country Community Health | Newland, NC | $2.11M |
| High Country Community Health | Boone, NC | $988K |
| High Country Community Health | Boone, NC | $70K |
| High Country Community Health | Newland, NC | $33K |
| High Country Community Health | Morganton, NC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.