Clinic
Knox County General Health District
Knox County General Health District was paid $4.63M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoKNOX COUNTY GENERAL HEALTH DISTRICT
MOUNT VERNON, OH 43050
MOUNT VERNON, OH 43050
33aNPI1740727510assigned 01/31/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.63M
24GClaims200,520
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#72 of 348
Median peer was paid$1.33M
This provider vs. median3.5×
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 | 15,134 | $239K | |
| 2019 | 11,111 | $301K | |
| 2020 | 16,692 | $435K | |
| 2021 | 29,327 | $763K | |
| 2022 | 49,058 | $1.09M | |
| 2023 | 62,752 | $1.21M | |
| 2024incomplete | 16,446 | $584K |
Box 24 · Service lines
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 | 64% | 54,688 | 31,974 | $2.96M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.8% | 11,228 | 2,963 | $361K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 12,696 | 6,114 | $215K |
| 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 | 4.5% | 8,162 | 4,030 | $207K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 12,121 | 2,954 | $100K |
| D1110 | Prophylaxis - adult | 2.0% | 6,687 | 4,259 | $91K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 3,690 | 1,265 | $80K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.2% | 7,686 | 4,783 | $58K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 6,568 | 4,087 | $57K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 2,937 | 975 | $52K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 2,237 | 1,095 | $49K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.0% | 5,300 | 3,332 | $47K |
83 more codes
| D1208 | Topical application of fluoride, excluding varnish | <1% | 7,087 | $44K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,672 | $32K |
| D0274 | Bitewings - four radiographic images | <1% | 4,031 | $30K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,465 | $23K |
| D0330 | Panoramic radiographic image | <1% | 1,444 | $22K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,310 | $20K |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 18 | $15K |
| D1351 | Sealant - per tooth | <1% | 1,487 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,268 | $11K |
| D0272 | Bitewings - two radiographic images | <1% | 2,781 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,351 | $8K |
| 90734 | <1% | 1,023 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 824 | $7K |
| 90651 | <1% | 266 | $7K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 168 | $6K |
| 90686 | <1% | 1,194 | $6K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 169 | $6K |
| 0002A | <1% | 228 | $6K | |
| G0467 | Community health center visit, returning patient | <1% | 230 | $6K |
| Q3014 | Telehealth originating site facility fee | <1% | 980 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 477 | $6K |
| 0001A | <1% | 201 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 674 | $5K |
| 99406 | <1% | 1,201 | $5K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 186 | $5K |
| 90710 | <1% | 172 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,660 | $4K |
| 0004A | <1% | 152 | $3K | |
| 90715 | <1% | 727 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 160 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 163 | $3K |
| 90633 | <1% | 285 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 114 | $2K |
| 0072A | <1% | 87 | $2K | |
| 0071A | <1% | 102 | $2K | |
| 90688 | <1% | 507 | $2K | |
| 90480 | <1% | 70 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 74 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 142 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,038 | $1K |
| 90620 | <1% | 28 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 101 | $1K |
| 90746 | <1% | 32 | $968.32 | |
| 0124A | <1% | 68 | $950.90 | |
| 90632 | <1% | 35 | $741.79 | |
| 0031A | <1% | 13 | $525.38 | |
| 0011A | <1% | 32 | $463.33 | |
| 87430 | <1% | 61 | $318.18 | |
| 90696 | <1% | 61 | $298.76 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 76 | $277.02 |
| 90670 | <1% | 151 | $209.01 | |
| 91320 | <1% | 30 | $131.21 | |
| 81025 | <1% | 27 | $98.18 | |
| 90700 | <1% | 58 | $90.00 | |
| D0270 | <1% | 75 | $84.00 | |
| 90656 | <1% | 29 | $68.13 | |
| 90648 | <1% | 192 | $65.46 | |
| 90723 | <1% | 55 | $10.01 | |
| 91300 | <1% | 817 | $4.70 | |
| 91307 | <1% | 194 | $0.91 | |
| 91312 | <1% | 79 | $0.30 | |
| 91301 | <1% | 32 | $0.27 | |
| 91303 | <1% | 13 | $0.12 | |
| 3008F | <1% | 15,340 | $0.01 | |
| 90461 | 0% | 509 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 583 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 39 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 152 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 28 | $0.00 |
| S9470 | Nutritional counseling, dietitian visit | 0% | 27 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 707 | $0.00 |
| 3074F | 0% | 1,089 | $0.00 | |
| 99000 | 0% | 404 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 327 | $0.00 |
| D0603 | 0% | 126 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 20 | $0.00 |
| 1036F | 0% | 17 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 313 | $0.00 |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 199 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 57 | $0.00 |
| D0602 | 0% | 91 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 24 | $0.00 |
| 3075F | 0% | 21 | $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 officialGREEN, ZACHARY (HEALTH COMMISSIONER)
Parent organizationKNOX COUNTY HEALTH DEPARTMENT