Clinic
Eastern Shore Rural Health System Incorporated
Eastern Shore Rural Health System Incorporated was paid $3.72M by Medicaid between Jan 2018 and Nov 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoEASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
ONLEY, VA 23418
ONLEY, VA 23418
33aNPI1568592426assigned 03/07/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.72M
24GClaims100,753
24DCodes billed61
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#11 of 145
Median peer was paid$338K
This provider vs. median11×
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 | 17,309 | $582K | |
| 2019 | 20,646 | $698K | |
| 2020 | 14,676 | $529K | |
| 2021 | 15,443 | $523K | |
| 2022 | 14,436 | $606K | |
| 2023 | 13,665 | $578K | |
| 2024incomplete | 4,578 | $202K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 22,291 | 20,003 | $1.41M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 26,056 | 23,182 | $1.39M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 2,778 | 2,545 | $200K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 2,545 | 2,515 | $199K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 1,370 | 1,343 | $104K |
| 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 | 1.4% | 7,047 | 5,503 | $54K |
| 90686 | 1.4% | 5,140 | 4,865 | $53K | |
| 90670 | <1% | 1,768 | 1,735 | $36K | |
| 92551 | <1% | 3,974 | 3,897 | $35K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 281 | 279 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,859 | 1,802 | $17K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 352 | 301 | $17K |
49 more codes
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 364 | $17K |
| 0012A | <1% | 366 | $14K | |
| 90648 | <1% | 1,138 | $12K | |
| 0002A | <1% | 283 | $11K | |
| 0011A | <1% | 374 | $11K | |
| 0001A | <1% | 240 | $10K | |
| 81025 | <1% | 1,446 | $8K | |
| 90723 | <1% | 535 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,658 | $7K |
| 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 | <1% | 467 | $7K |
| 99177 | <1% | 1,721 | $7K | |
| 82962 | <1% | 3,334 | $6K | |
| 99173 | <1% | 2,905 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,399 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 467 | $5K |
| 81002 | <1% | 1,688 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 339 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,470 | $3K |
| 90633 | <1% | 273 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 35 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 227 | $3K |
| 90697 | <1% | 190 | $3K | |
| 90681 | <1% | 192 | $2K | |
| 0071A | <1% | 52 | $2K | |
| 91322 | <1% | 27 | $2K | |
| 90656 | <1% | 159 | $2K | |
| 0072A | <1% | 45 | $2K | |
| 0031A | <1% | 60 | $2K | |
| 0064A | <1% | 44 | $2K | |
| 90651 | <1% | 29 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $1K |
| 90677 | <1% | 48 | $833.66 | |
| 85018 | <1% | 315 | $593.82 | |
| 94760 | <1% | 799 | $410.25 | |
| 90685 | <1% | 31 | $319.66 | |
| 90680 | <1% | 18 | $296.00 | |
| 0134A | <1% | 13 | $290.20 | |
| 90716 | <1% | 25 | $285.00 | |
| 90707 | <1% | 25 | $285.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 455 | $259.67 |
| 90480 | <1% | 29 | $188.53 | |
| 1111F | <1% | 15 | $50.00 | |
| 36416 | <1% | 123 | $42.63 | |
| 91303 | <1% | 20 | $0.03 | |
| 99000 | 0% | 137 | $0.00 | |
| 91301 | 0% | 228 | $0.00 | |
| 91307 | 0% | 72 | $0.00 | |
| 91300 | 0% | 371 | $0.00 | |
| 86328 | 0% | 26 | $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 officialEDWARDS, JEANNETTE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Eastern Shore Rural Health System Incorporated. | Onancock, VA | $5.68M |
| Eastern Shore Rural Health System Incorporated | Eastville, VA | $1.55M |
| Eastern Shore Rural Health System Incorporated | New Church, VA | $1.55M |
| Eastern Shore Rural Health System Incorporated | Franktown, VA | $697K |
| Eastern Shore Rural Health System Incorporated | Chincoteague, VA | $202K |
| Eastern Shore Rural Health System Incorporated | Onley, VA | $182K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.