Clinic
Greater Prince William Area Community Health Center INC
Greater Prince William Area Community Health Center INC was paid $794K by Medicaid between Jan 2018 and Jun 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoGREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC
DUMFRIES, VA 22026
DUMFRIES, VA 22026
33aNPI1568838738assigned 08/11/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$794K
24GClaims31,237
24DCodes billed42
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#48 of 145
Median peer was paid$338K
This provider vs. median2.3×
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 | 2,839 | $87K | |
| 2019 | 3,392 | $70K | |
| 2020 | 3,212 | $50K | |
| 2021 | 4,717 | $99K | |
| 2022 | 6,584 | $185K | |
| 2023 | 7,869 | $220K | |
| 2024incomplete | 2,624 | $82K |
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 | 66% | 7,244 | 5,914 | $525K |
| 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 | 7.8% | 773 | 722 | $62K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 564 | 533 | $41K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.1% | 393 | 184 | $33K |
| 3008F | 3.9% | 10,667 | 9,039 | $31K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 330 | 327 | $25K |
| 90686 | 1.4% | 866 | 832 | $11K | |
| 90670 | 1.3% | 347 | 340 | $11K | |
| 90697 | 1.1% | 166 | 161 | $9K | |
| 90677 | <1% | 70 | 68 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 62 | 62 | $5K |
| 92551 | <1% | 439 | 429 | $4K |
30 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,693 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 298 | $4K |
| 90461 | <1% | 867 | $3K | |
| 99000 | <1% | 2,768 | $3K | |
| 0012A | <1% | 49 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 145 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,880 | $2K |
| 0011A | <1% | 56 | $2K | |
| 90651 | <1% | 28 | $1K | |
| 90633 | <1% | 116 | $1K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 12 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 96 | $1K |
| 90681 | <1% | 58 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 190 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 372 | $993.68 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $879.45 |
| 87428 | <1% | 29 | $866.32 | |
| 99173 | <1% | 351 | $800.28 | |
| 99188 | <1% | 24 | $498.96 | |
| 90716 | <1% | 12 | $263.47 | |
| 92587 | <1% | 14 | $202.84 | |
| 87807 | <1% | 12 | $144.10 | |
| G0467 | Community health center visit, returning patient | <1% | 13 | $123.70 |
| 99177 | <1% | 18 | $72.00 | |
| 80061 | Lipid panel | <1% | 58 | $66.95 |
| 36416 | <1% | 14 | $5.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 39 | $0.00 |
| V5008 | Hearing screening | 0% | 14 | $0.00 |
| 76801 | 0% | 36 | $0.00 | |
| 84439 | 0% | 41 | $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 officialMOORER, MELISSA (DIRECTOR OF REVENUE CYCLE)
Parent organizationGREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC
| Provider | Location | Paid |
|---|---|---|
| Greater Prince William Area Community Health Center INC | Woodbridge, VA | $11.53M |
| Greater Prince William Area Community Health Center INC | Manassas, VA | $2.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.