NPI: 1700054574 · FOUR OAKS, NC 27524 · Federally Qualified Health Center (FQHC) · NPI assigned 02/14/2008
| Authorized Official | ELLISON, WILLIAM (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 02/14/2008 |
Other providers sharing the same authorized official: ELLISON, WILLIAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $2.29M |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SALEMBURG | NC | $936K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC. | DUNN | NC | $820K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | BOLIVIA | NC | $816K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | BENSON | NC | $787K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC. | DUNN | NC | $768K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SHALLOTTE | NC | $509K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | CLINTON | NC | $484K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | TAR HEEL | NC | $324K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SMITHFIELD | NC | $264K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | WILLARD | NC | $255K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | HARRELLS | NC | $249K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $224K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | OCEAN ISLE BEACH | NC | $168K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $89K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | WILLARD | NC | $26K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUBLIN | NC | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 180 | $3K |
| 2019 | 121 | $2K |
| 2020 | 12 | $339.72 |
| 2024 | 1,420 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 135 | 97 | $20K |
| D0120 | 53 | 52 | $1K | |
| D0220 | 101 | 88 | $1K | |
| 99199 | 288 | 283 | $857.90 | |
| D0230 | 85 | 56 | $810.16 | |
| D0274 | 28 | 24 | $628.45 | |
| D1208 | 29 | 28 | $459.00 | |
| D1120 | 17 | 15 | $362.18 | |
| 36415 | 34 | 33 | $66.56 | |
| 92551 | 37 | 32 | $24.36 | |
| 99173 | 35 | 30 | $11.27 | |
| 1159F | 148 | 113 | $0.28 | |
| 1160F | 148 | 113 | $0.28 | |
| 3078F | 84 | 71 | $0.19 | |
| 3074F | 84 | 71 | $0.19 | |
| 2001F | 150 | 114 | $0.00 | |
| 2000F | 110 | 88 | $0.00 | |
| 1000F | 21 | 13 | $0.00 | |
| 1220F | 32 | 25 | $0.00 | |
| 3008F | 114 | 90 | $0.00 |