Loudoun Community Health Center

Loudoun Community Health Center was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 97 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

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	10,709	$277K
2019	11,593	$298K
2020	13,383	$325K
2021	17,472	$431K
2022	17,514	$437K
2023	14,610	$424K
2024incomplete	11,891	$307K

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	44%	20,333	18,356	$1.10M
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	13%	5,366	4,823	$328K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.1%	2,365	2,272	$178K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.0%	2,068	1,986	$150K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.2%	1,561	1,439	$106K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.2%	657	642	$54K
90686		1.9%	4,459	4,178	$47K
90651		1.7%	665	648	$42K
90670		1.6%	1,561	1,481	$40K
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%	2,568	2,036	$31K
D1120	Dental cleaning, childProphylaxis - child	1.2%	1,257	1,246	$31K
92551		1.1%	3,049	2,913	$28K

85 more codes

90837	Psychotherapy session, about an hour	<1%	198	$21K
D0120	Dental checkup, returning patient	<1%	1,431	$20K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	265	$19K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	241	$18K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,389	$15K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,219	$15K
99203	Doctor's office visit, new patient (routine)	<1%	175	$14K
D1206	Topical application of fluoride varnish	<1%	688	$13K
99173		<1%	5,769	$13K
85018		<1%	6,094	$12K
90633		<1%	823	$10K
90680		<1%	608	$10K
90791	Psychiatric diagnostic evaluation	<1%	87	$9K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	7,172	$9K
D1208	Topical application of fluoride, excluding varnish	<1%	918	$8K
90674		<1%	428	$8K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	268	$7K
0072A		<1%	172	$7K
90792	Psychiatric diagnostic evaluation with medical services	<1%	119	$6K
0071A		<1%	164	$6K
0002A		<1%	168	$6K
87428		<1%	206	$6K
0012A		<1%	159	$6K
90648		<1%	546	$6K
90832	Psychotherapy session, about 30 minutes	<1%	86	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	3,634	$5K
99385		<1%	60	$5K
0011A		<1%	125	$5K
3074F		<1%	777	$4K
0001A		<1%	185	$4K
90461		<1%	3,109	$4K
D1110	Prophylaxis - adult	<1%	121	$4K
0124A		<1%	114	$4K
D0150	Comprehensive oral evaluation - new or established patient	<1%	117	$4K
3078F		<1%	637	$4K
99188		<1%	188	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	107	$3K
90710		<1%	79	$3K
90685		<1%	283	$3K
90723		<1%	210	$3K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	231	$3K
99000		<1%	1,161	$3K
90715		<1%	146	$2K
90834	Psychotherapy session, about 45 minutes	<1%	29	$2K
81025		<1%	410	$2K
90734		<1%	123	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	247	$2K
90621		<1%	100	$2K
90698		<1%	129	$2K
96127		<1%	334	$2K
36415	Collection of venous blood by venipuncture	<1%	836	$1K
0054A		<1%	56	$1K
3079F		<1%	184	$1K
0003A		<1%	36	$1K
81002		<1%	533	$1K
99383		<1%	13	$1K
90656		<1%	58	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	59	$867.26
90744		<1%	83	$856.44
D0330	Panoramic radiographic image	<1%	39	$842.28
D1351	Sealant - per tooth	<1%	26	$839.28
0004A		<1%	16	$640.00
90472	Immunization administration, each additional vaccine (list separately)	<1%	862	$554.19
90700		<1%	43	$530.05
3075F		<1%	52	$525.00
36416		<1%	4,324	$437.16
90480		<1%	41	$422.50
90707		<1%	27	$368.67
90671		<1%	14	$338.00
D0140	Limited oral evaluation - problem focused	<1%	13	$322.79
D0274	Bitewings - four radiographic images	<1%	12	$303.60
90716		<1%	13	$256.72
D0210	Intraoral - complete series of radiographic images	<1%	23	$215.04
D1354		<1%	15	$168.00
86756		<1%	31	$26.34
3080F		<1%	13	$25.00
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	0%	67	$0.00
91307		0%	447	$0.00
91305		0%	117	$0.00
91301		0%	365	$0.00
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	0%	36	$0.00
91300		0%	565	$0.00
91312		0%	104	$0.00
99473		0%	77	$0.00
D0220	Intraoral - periapical first radiographic image	0%	14	$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 officialDHINDSA, AMANDEEP (CHIEF FINANCIAL OFFICER)