Lincoln County Primary Care Center, INC.
Lincoln County Primary Care Center, INC. was paid $2.85M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
MAN, WV 25635
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,270 | $477K | |
| 2019 | 3,403 | $219K | |
| 2020 | 7,086 | $382K | |
| 2021 | 4,955 | $340K | |
| 2022 | 8,000 | $500K | |
| 2023 | 7,789 | $558K | |
| 2024incomplete | 5,113 | $372K |
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 | 85% | 18,974 | 15,820 | $2.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 9,692 | 8,278 | $102K |
| 3078F | 2.1% | 1,249 | 1,116 | $58K | |
| 3074F | 2.0% | 1,247 | 1,103 | $57K | |
| 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 | 1.4% | 7,534 | 6,431 | $41K |
| 3079F | 1.2% | 817 | 728 | $33K | |
| 96127 | 1.1% | 912 | 696 | $32K | |
| 3077F | 1.1% | 693 | 629 | $31K | |
| 3075F | <1% | 496 | 458 | $23K | |
| 3080F | <1% | 352 | 327 | $17K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 587 | 487 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 254 | 226 | $8K |
12 more codes
| 90658 | <1% | 142 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80 | $5K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 31 | $2K |
| 81002 | <1% | 27 | $639.24 | |
| G0008 | Administration of influenza virus vaccine | <1% | 76 | $272.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 79 | $272.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 652 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 483 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 117 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 745 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 365 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lincoln County Primary Care Center, INC. | Hamlin, WV | $10.75M |
| Lincoln County Primary Care Center, INC. | South Charleston, WV | $2.72M |
| Lincoln County Primary Care Center, INC. | Gilbert, WV | $1.77M |
| Lincoln County Primary Care Center, INC. | Delbarton, WV | $1.58M |
| Lincoln County Primary Care Center, INC. | Branchland, WV | $1.43M |
| Lincoln County Primary Care Center, INC | Logan, WV | $1.23M |
| Lincoln County Primary Care Center, INC | Hamlin, WV | $1.07M |
| Lincoln County Primary Care Center, INC. | Chapmanville, WV | $353K |
| Lincoln County Primary Care Center, INC. | Griffithsville, WV | $322K |
| Lincoln County Primary Care Center, INC. | Logan, WV | $188K |
| Lincoln County Primary Care Center, INC | Salt Rock, WV | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.