Clinic
ST. Charles Health Counsel, INC.
ST. Charles Health Counsel, INC. was paid $2.46M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoST. CHARLES HEALTH COUNSEL, INC.
JONESVILLE, VA 24263
JONESVILLE, VA 24263
33aNPI1740252501assigned 02/06/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.46M
24GClaims101,470
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#19 of 145
Median peer was paid$338K
This provider vs. median7.3×
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 | 5,732 | $126K | |
| 2019 | 17,501 | $451K | |
| 2020 | 8,743 | $299K | |
| 2021 | 6,872 | $211K | |
| 2022 | 26,633 | $440K | |
| 2023 | 22,961 | $470K | |
| 2024incomplete | 13,028 | $467K |
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 | 49% | 24,949 | 19,297 | $1.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 25,437 | 18,682 | $919K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.6% | 3,467 | 2,462 | $112K |
| 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 | 3.0% | 2,554 | 2,156 | $74K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 702 | 520 | $34K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 265 | 180 | $18K |
| 90674 | <1% | 908 | 715 | $14K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,754 | 6,845 | $13K |
| 99000 | <1% | 13,657 | 10,127 | $12K | |
| 99441 | <1% | 481 | 421 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,071 | 762 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,534 | 1,145 | $7K |
26 more codes
| 99442 | <1% | 208 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 248 | $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 | <1% | 656 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 237 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 506 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 113 | $2K |
| 90661 | <1% | 111 | $1K | |
| 81003 | <1% | 582 | $786.37 | |
| 90756 | <1% | 51 | $752.00 | |
| 80305 | <1% | 206 | $711.57 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 91 | $361.30 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $259.77 |
| 3008F | <1% | 6,683 | $225.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 92 | $141.94 |
| 2000F | <1% | 6,642 | $100.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 20 | $93.27 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 38 | $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 | <1% | 12 | $54.78 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 334 | $11.80 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 214 | $10.65 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 223 | $9.85 |
| 99406 | <1% | 28 | $0.12 | |
| 1000F | 0% | 34 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 298 | $0.00 |
| 3725F | 0% | 34 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialPERDUE, MALCOLM (CEO)
| Provider | Location | Paid |
|---|---|---|
| ST. Charles Health Council INC | Jonesville, VA | $1.18M |
| ST. Charles Health Council INC | Ewing, VA | $912K |
| ST. Charles Health Council INC | St. Charles, VA | $526K |
| ST. Charles Health Council INC | Vansant, VA | $332K |
| ST Charles Health Council INC | St Paul, VA | $211K |
| ST Charles Health Council INC | Appalachia, VA | $85K |
| ST Charles Health Council INC | Davenport, VA | $70K |
| ST Charles Health Council INC | Hurley, VA | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.