Clinic
Community Medicine Foundation
Community Medicine Foundation was paid $11.34M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoCOMMUNITY MEDICINE FOUNDATION
ROCK HILL, SC 29730
ROCK HILL, SC 29730
33aNPI1528004918assigned 06/22/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.34M
24GClaims109,368
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in South Carolina
Rank by total paid#5 of 85
Median peer was paid$746K
This provider vs. median15×
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 | 15,893 | $1.58M | |
| 2019 | 16,593 | $1.71M | |
| 2020 | 13,729 | $1.54M | |
| 2021 | 17,743 | $1.75M | |
| 2022 | 17,596 | $1.49M | |
| 2023 | 16,458 | $1.75M | |
| 2024incomplete | 11,356 | $1.52M |
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 | 40% | 28,548 | 25,879 | $4.50M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 24% | 26,928 | 23,419 | $2.71M |
| 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 | 22% | 16,127 | 15,155 | $2.44M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 2,412 | 2,328 | $346K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 1,713 | 1,700 | $281K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.3% | 3,032 | 2,967 | $255K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 1,458 | 1,443 | $240K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 825 | 820 | $130K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,385 | 3,329 | $112K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 632 | 627 | $103K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 525 | 413 | $81K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 1,438 | 1,418 | $68K |
41 more codes
| 90682 | <1% | 441 | $12K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 49 | $10K |
| 88738 | <1% | 2,751 | $7K | |
| 92551 | <1% | 1,511 | $5K | |
| 81025 | <1% | 2,003 | $5K | |
| 81002 | <1% | 3,172 | $5K | |
| 80061 | Lipid panel | <1% | 1,017 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 27 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 935 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 25 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,056 | $4K |
| 90461 | <1% | 229 | $3K | |
| 87430 | <1% | 271 | $1K | |
| 90671 | <1% | 132 | $960.32 | |
| 99051 | <1% | 76 | $890.97 | |
| 90677 | <1% | 17 | $771.75 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 212 | $628.55 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 75 | $527.13 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 210 | $451.66 |
| 82962 | <1% | 404 | $443.27 | |
| 90697 | <1% | 16 | $432.03 | |
| 99441 | <1% | 18 | $315.66 | |
| 87807 | <1% | 99 | $259.75 | |
| 90619 | <1% | 12 | $164.19 | |
| 90686 | <1% | 1,405 | $70.24 | |
| 99173 | <1% | 586 | $21.60 | |
| 90651 | <1% | 148 | $0.79 | |
| 90670 | <1% | 369 | $0.45 | |
| 90685 | <1% | 54 | $0.34 | |
| 90656 | <1% | 66 | $0.27 | |
| 3078F | <1% | 25 | $0.16 | |
| 3080F | <1% | 12 | $0.07 | |
| 3725F | <1% | 1,255 | $0.02 | |
| 3008F | 0% | 2,607 | $0.00 | |
| 90698 | 0% | 141 | $0.00 | |
| 90680 | 0% | 156 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 90688 | 0% | 41 | $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% | 479 | $0.00 |
| 90633 | 0% | 199 | $0.00 | |
| 1159F | 0% | 30 | $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 officialBROWN, ERNEST (EXECUTIVE DIRECTOR)