Clinic
ST. Charles Health Council INC
ST. Charles Health Council INC was paid $270K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoST. CHARLES HEALTH COUNCIL INC
DAMASCUS, VA 24236
DAMASCUS, VA 24236
33aNPI1679695316assigned 04/04/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$270K
24GClaims9,915
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#81 of 145
Median peer was paid$338K
This provider vs. median0.8×
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 | 3,321 | $73K | |
| 2019 | 2,694 | $65K | |
| 2020 | 1,483 | $43K | |
| 2021 | 22 | $841.85 | |
| 2022 | 869 | $21K | |
| 2023 | 947 | $39K | |
| 2024incomplete | 579 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 2,724 | 2,338 | $123K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 2,066 | 1,793 | $95K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 11% | 528 | 435 | $29K |
| 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 | 5.9% | 1,171 | 967 | $16K |
| 99441 | <1% | 111 | 95 | $2K | |
| 99000 | <1% | 1,074 | 972 | $2K | |
| 90674 | <1% | 111 | 101 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,409 | 1,263 | $841.84 |
| 2000F | <1% | 346 | 280 | $675.00 | |
| 3008F | <1% | 290 | 239 | $600.00 | |
| 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 | <1% | 14 | 14 | $59.76 |
| 81003 | <1% | 18 | 18 | $29.25 |
3 more codes
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 officialPERDUE, MALCOM (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| ST Charles Health Council INC | Haysi, VA | $168K |
| ST Charles Health Council INC | Damascus, VA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.