Clinic
High Country Community Health
High Country Community Health was paid $3.13M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoHIGH COUNTRY COMMUNITY HEALTH
MORGANTON, NC 28655
MORGANTON, NC 28655
33aNPI1780127431assigned 11/29/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.13M
24GClaims69,207
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#26 of 324
Median peer was paid$279K
This provider vs. median11×
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 | 3,624 | $224K | |
| 2019 | 6,159 | $367K | |
| 2020 | 5,196 | $445K | |
| 2021 | 5,298 | $419K | |
| 2022 | 8,504 | $369K | |
| 2023 | 11,341 | $455K | |
| 2024incomplete | 29,085 | $855K |
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 | 91% | 18,963 | 13,769 | $2.87M |
| 99199 | Unlisted special service, procedure or report | 5.4% | 30,958 | 13,570 | $169K |
| 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 | 2.6% | 6,123 | 4,225 | $82K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,217 | 1,121 | $8K |
| 80305 | <1% | 353 | 277 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 319 | 261 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 83 | 76 | $842.35 |
| 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 | <1% | 1,702 | 1,316 | $753.88 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 19 | 12 | $648.88 |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 | <1% | 20 | 20 | $574.17 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,979 | 1,490 | $275.09 |
| 99490 | Ccm add 20min | <1% | 115 | 101 | $196.45 |
17 more codes
| 96127 | <1% | 179 | $184.67 | |
| 81003 | <1% | 48 | $97.74 | |
| 90674 | <1% | 24 | $77.56 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,760 | $75.43 |
| 3074F | <1% | 1,246 | $1.84 | |
| 3078F | <1% | 934 | $1.37 | |
| 3079F | <1% | 963 | $1.18 | |
| 3075F | <1% | 413 | $0.45 | |
| 3077F | <1% | 336 | $0.35 | |
| 3080F | <1% | 214 | $0.24 | |
| 3044F | <1% | 37 | $0.05 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 67 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 17 | $0.00 |
| 91301 | 0% | 18 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 47 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 34 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $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 officialSALTHOUSE, ALICE (CEO)
Parent organizationHIGH COUNTRY COMMUNITY HEALTH
| Provider | Location | Paid |
|---|---|---|
| High Country Community Health | Elkin, NC | $6.61M |
| High Country Community Health | Boone, NC | $2.86M |
| High Country Community Health | Newland, NC | $2.11M |
| High Country Community Health | Connelly Springs, NC | $1.42M |
| High Country Community Health | Boone, NC | $988K |
| High Country Community Health | Boone, NC | $70K |
| High Country Community Health | Newland, NC | $33K |
| High Country Community Health | Morganton, NC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.