Clinic
Morgan County Health Council INC
Morgan County Health Council INC was paid $1.47M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoMORGAN COUNTY HEALTH COUNCIL INC
WARTBURG, TN 37887
WARTBURG, TN 37887
33aNPI1720099419assigned 08/10/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.47M
24GClaims56,861
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#15 of 90
Median peer was paid$87K
This provider vs. median17×
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 | 8,711 | $211K | |
| 2019 | 8,684 | $224K | |
| 2020 | 7,308 | $188K | |
| 2021 | 7,773 | $215K | |
| 2022 | 7,268 | $170K | |
| 2023 | 8,882 | $194K | |
| 2024incomplete | 8,235 | $265K |
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 | 61% | 28,381 | 23,128 | $897K |
| 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 | 11% | 4,185 | 3,586 | $159K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.4% | 4,526 | 3,905 | $108K |
| 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 | 4.1% | 5,917 | 4,619 | $59K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 935 | 509 | $40K |
| D0330 | Panoramic radiographic image | 2.3% | 923 | 871 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 871 | 740 | $16K |
| D1110 | Prophylaxis - adult | 1.1% | 537 | 452 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 1,519 | 1,343 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,592 | 1,418 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 173 | 168 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 150 | 142 | $12K |
30 more codes
| D1206 | Topical application of fluoride varnish | <1% | 553 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 283 | $8K |
| D1120 | Dental cleaning, child | <1% | 251 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 338 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 126 | $7K |
| 80305 | <1% | 1,106 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 80 | $6K |
| 81002 | <1% | 1,970 | $3K | |
| 81025 | <1% | 693 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 303 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 80 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 189 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 35 | $2K |
| 90756 | <1% | 85 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $2K |
| 0011A | <1% | 82 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 180 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 17 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 60 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 20 | $1K |
| 90686 | <1% | 69 | $1K | |
| 0012A | <1% | 45 | $1K | |
| 99173 | <1% | 246 | $1K | |
| 90688 | <1% | 67 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 104 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 15 | $959.16 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 24 | $767.04 |
| 93000 | <1% | 45 | $596.53 | |
| D0274 | Bitewings - four radiographic images | <1% | 35 | $371.28 |
| 72100 | <1% | 18 | $172.78 |
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 officialJONES, KELLIE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Byhalia Vision Center LLC | Byhalia, MS | $39K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.