Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. CHARLES HEALTH COUNSEL, INC.

NPI: 1740252501 · JONESVILLE, VA 24263 · Federally Qualified Health Center (FQHC)

$2.46M
Total Medicaid Paid
101,470
Total Claims
76,336
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,732 $126K
2019 17,501 $451K
2020 8,743 $299K
2021 6,872 $211K
2022 26,633 $440K
2023 22,961 $470K
2024 13,028 $467K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 24,949 19,297 $1.21M
99213 25,437 18,682 $919K
90832 3,467 2,462 $112K
G0467 Federally 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 2,554 2,156 $74K
90834 702 520 $34K
99215 Prolong outpt/office vis 265 180 $18K
90674 908 715 $14K
36415 8,754 6,845 $13K
99000 13,657 10,127 $12K
99441 481 421 $10K
87804 1,071 762 $7K
83036 1,534 1,145 $7K
99442 208 155 $6K
87811 248 220 $5K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 656 286 $4K
99212 237 168 $4K
87880 506 374 $3K
90837 113 37 $2K
90661 111 109 $1K
81003 582 439 $786.37
90756 51 37 $752.00
80305 206 119 $711.57
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 91 73 $361.30
99203 13 12 $259.77
3008F 6,683 5,032 $225.00
J1885 Injection, ketorolac tromethamine, per 15 mg 92 79 $141.94
2000F 6,642 4,912 $100.00
87426 20 12 $93.27
J0696 Injection, ceftriaxone sodium, per 250 mg 38 26 $59.83
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 12 12 $54.78
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 334 255 $11.80
G8752 Most recent systolic blood pressure < 140 mmhg 214 164 $10.65
G8754 Most recent diastolic blood pressure < 90 mmhg 223 171 $9.85
99406 28 25 $0.12
1000F 34 28 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 298 240 $0.00
3725F 34 26 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 17 13 $0.00