Clinic
Camden on Gauley Medical Center INC
Camden on Gauley Medical Center INC was paid $15.96M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoCAMDEN ON GAULEY MEDICAL CENTER INC
CAMDEN ON GAULEY, WV 26208
CAMDEN ON GAULEY, WV 26208
33aNPI1598749244assigned 12/05/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$15.96M
24GClaims271,285
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#4 of 205
Median peer was paid$521K
This provider vs. median31×
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 | 32,282 | $1.84M | |
| 2019 | 21,724 | $968K | |
| 2020 | 41,750 | $2.14M | |
| 2021 | 39,887 | $1.92M | |
| 2022 | 42,394 | $2.29M | |
| 2023 | 47,891 | $2.78M | |
| 2024incomplete | 45,357 | $4.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 93% | 127,136 | 96,232 | $14.80M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 77,097 | 63,599 | $834K |
| 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 | <1% | 13,482 | 12,482 | $89K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,866 | 4,009 | $49K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 2,102 | 1,818 | $26K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,912 | 1,601 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 642 | 594 | $17K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 761 | 702 | $14K |
| 95117 | <1% | 2,095 | 755 | $12K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 443 | 356 | $11K |
| 90686 | <1% | 939 | 873 | $10K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,918 | 1,813 | $9K |
45 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 5,272 | $9K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,354 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,272 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,513 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 640 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 195 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 485 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 180 | $5K |
| 94664 | <1% | 75 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 264 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 56 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,170 | $3K |
| 92587 | <1% | 43 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $1K |
| 80305 | <1% | 472 | $892.38 | |
| 81003 | <1% | 728 | $699.92 | |
| 81025 | <1% | 302 | $443.19 | |
| 93000 | <1% | 47 | $381.19 | |
| G0467 | Community health center visit, returning patient | <1% | 16,371 | $238.80 |
| 90715 | <1% | 42 | $119.10 | |
| 90734 | <1% | 80 | $79.20 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 14 | $57.20 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 15 | $14.90 |
| 99205 | Prolong outpt/office vis | <1% | 62 | $5.00 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | <1% | 100 | $2.18 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 461 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 109 | $0.00 |
| 90732 | 0% | 15 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 49 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 74 | $0.00 |
| 92250 | 0% | 139 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 59 | $0.00 |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 32 | $0.00 |
| 90656 | 0% | 55 | $0.00 | |
| 87428 | 0% | 31 | $0.00 | |
| 86308 | 0% | 12 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 528 | $0.00 |
| 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 | 0% | 52 | $0.00 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 0% | 60 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 188 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 38 | $0.00 |
| 92015 | Determination of refractive state | 0% | 119 | $0.00 |
| 90662 | 0% | 46 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 32 | $0.00 |
| G0466 | Community health center visit, new patient | 0% | 27 | $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 officialGROVES, MARGARET (ADMINISTRATOR)