Clinic
Clinch River Health Services INC
Clinch River Health Services INC was paid $606K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoCLINCH RIVER HEALTH SERVICES INC
DUNGANNON, VA 24245
DUNGANNON, VA 24245
33aNPI1558653741assigned 05/06/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$606K
24GClaims49,731
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#57 of 145
Median peer was paid$338K
This provider vs. median1.8×
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 | 8,239 | $123K | |
| 2019 | 8,924 | $81K | |
| 2020 | 5,057 | $67K | |
| 2021 | 7,865 | $72K | |
| 2022 | 8,029 | $95K | |
| 2023 | 6,419 | $120K | |
| 2024incomplete | 5,198 | $47K |
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 | 67% | 9,016 | 7,479 | $405K |
| 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 | 9.8% | 894 | 776 | $59K |
| 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 | 7.4% | 3,508 | 2,502 | $45K |
| 2001F | 2.4% | 6,739 | 5,819 | $15K | |
| 2010F | 2.4% | 6,738 | 5,812 | $15K | |
| 3008F | 2.2% | 6,027 | 5,220 | $13K | |
| 2000F | 2.1% | 7,179 | 6,194 | $13K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.0% | 490 | 450 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 699 | 566 | $9K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.1% | 141 | 126 | $7K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 86 | 76 | $5K |
| 99000 | <1% | 1,668 | 1,492 | $2K |
23 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 158 | $2K |
| 94760 | <1% | 4,734 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 684 | $556.28 |
| 99442 | <1% | 16 | $520.57 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 40 | $457.38 |
| 0011A | <1% | 26 | $391.94 | |
| 0012A | <1% | 24 | $360.00 | |
| 90686 | <1% | 29 | $258.16 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 79 | $227.19 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 15 | $220.92 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 32 | $204.85 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 20 | $168.70 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80 | $153.80 |
| 81003 | <1% | 66 | $92.46 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 14 | $67.01 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 202 | $59.83 |
| 99173 | <1% | 13 | $27.17 | |
| 36416 | <1% | 69 | $16.07 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 56 | $11.79 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15 | $11.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 136 | $4.54 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 19 | $4.34 |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $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 (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Clinch River Health Services, INC. | Dungannon, VA | $487K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.