Clinic
Loudoun Community Health Center
Loudoun Community Health Center was paid $398K by Medicaid between Jan 2018 and Jul 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoLOUDOUN COMMUNITY HEALTH CENTER
HERNDON, VA 20170
HERNDON, VA 20170
33aNPI1629325758assigned 08/08/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$398K
24GClaims14,747
24DCodes billed33
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#67 of 145
Median peer was paid$338K
This provider vs. median1.2×
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 | 7,373 | $194K | |
| 2019 | 4,863 | $120K | |
| 2020 | 1,188 | $32K | |
| 2021 | 129 | $5K | |
| 2022 | 123 | $5K | |
| 2023 | 555 | $21K | |
| 2024incomplete | 516 | $21K |
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 | 59% | 4,330 | 3,738 | $233K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 497 | 478 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 445 | 418 | $34K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 353 | 300 | $24K |
| 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 | 2.3% | 151 | 139 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 97 | 88 | $8K |
| 92551 | 1.7% | 728 | 695 | $7K | |
| 90670 | 1.7% | 271 | 249 | $7K | |
| 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 | 1.6% | 513 | 375 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 432 | 192 | $5K |
| 90686 | 1.2% | 429 | 393 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 364 | 348 | $5K |
21 more codes
| 99173 | <1% | 1,083 | $3K | |
| 85018 | <1% | 1,137 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,409 | $2K |
| 90461 | <1% | 693 | $1K | |
| 90733 | <1% | 27 | $1K | |
| 90651 | <1% | 42 | $1K | |
| 90633 | <1% | 69 | $903.99 | |
| 90685 | <1% | 66 | $714.43 | |
| 90680 | <1% | 60 | $708.60 | |
| 90648 | <1% | 58 | $549.11 | |
| 99000 | <1% | 177 | $393.16 | |
| 36416 | <1% | 1,097 | $253.95 | |
| 90715 | <1% | 15 | $226.29 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 75 | $116.53 |
| 96127 | <1% | 12 | $58.56 | |
| 81002 | <1% | 14 | $33.16 | |
| 3074F | 0% | 35 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 12 | $0.00 |
| 3079F | 0% | 15 | $0.00 | |
| 3078F | 0% | 12 | $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 officialJAMESON, CAROL (EXECUTIVE DIRECTOR)