Clinic
Oak Orchard Community Health Center, INC.
Oak Orchard Community Health Center, INC. was paid $333K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoOAK ORCHARD COMMUNITY HEALTH CENTER, INC.
ALBION, NY 14411
ALBION, NY 14411
33aNPI1558584458assigned 04/10/2007
33bProvider typeCommunity Health Clinic/Center
28Total paid$333K
24GClaims7,076
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in New York
Rank by total paid#20 of 29
Median peer was paid$569K
This provider vs. median0.6×
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 | 1,015 | $42K | |
| 2019 | 621 | $25K | |
| 2020 | 132 | $8K | |
| 2021 | 1,137 | $57K | |
| 2022 | 956 | $69K | |
| 2023 | 1,459 | $71K | |
| 2024incomplete | 1,756 | $62K |
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 | 55% | 3,010 | 2,593 | $183K |
| 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 | 35% | 1,974 | 1,473 | $116K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 2.4% | 106 | 102 | $8K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.9% | 44 | 42 | $6K |
| 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 | 1.3% | 297 | 121 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 219 | 218 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 45 | 45 | $3K |
| 96127 | <1% | 535 | 510 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 26 | 26 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 19 | 14 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | 35 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | 12 | $615.72 |
6 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $161.20 |
| 90656 | <1% | 18 | $21.00 | |
| 3074F | 0% | 342 | $0.00 | |
| 3078F | 0% | 286 | $0.00 | |
| 2014F | 0% | 55 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 40 | $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 officialPETTIBON, MARY ANN (CEO)
Parent organizationOAK ORCHARD COMMUNITY HEALTH CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| Oak Orchard Community Health Center, INC. | Hornell, NY | $793K |
| Oak Orchard Community Health Center, INC. | Hornell, NY | $384K |
| Oak Orchard Community Health Center, INC. | Lyndonville, NY | $328.79 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.