Clinic
Tug River Health Association, INC
Tug River Health Association, INC was paid $587K by Medicaid between Mar 2021 and Dec 2024, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoTUG RIVER HEALTH ASSOCIATION, INC
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1639842818assigned 07/26/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$587K
24GClaims8,033
24DCodes billed13
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#100 of 205
Median peer was paid$521K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2021 | 544 | $35K | |
| 2022 | 2,339 | $169K | |
| 2023 | 3,026 | $214K | |
| 2024incomplete | 2,124 | $169K |
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 | 99% | 4,172 | 3,523 | $579K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 111 | 96 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 2,720 | 2,345 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 522 | 462 | $1K |
| 87428 | <1% | 30 | 28 | $701.14 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 118 | 98 | $391.02 |
| 96127 | <1% | 167 | 148 | $222.93 | |
| 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% | 99 | 89 | $175.66 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 29 | 27 | $135.06 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 20 | 14 | $123.70 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 13 | 13 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 20 | 18 | $0.00 |
1 more codes
| 99385 | 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 officialAGNEW, SHARON (CREDENTIALING SPECIALIST)
Parent organizationTUG RIVER HEALTH ASSOCIATION, INC