Clinic
Community and Rural Health Services
Community and Rural Health Services was paid $4.42M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoCOMMUNITY AND RURAL HEALTH SERVICES
FREMONT, OH 43420
FREMONT, OH 43420
33aNPI1780683573assigned 07/14/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.42M
24GClaims164,263
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#78 of 348
Median peer was paid$1.33M
This provider vs. median3.3×
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 | 15,642 | $361K | |
| 2019 | 23,081 | $650K | |
| 2020 | 22,334 | $573K | |
| 2021 | 24,207 | $613K | |
| 2022 | 22,780 | $651K | |
| 2023 | 35,432 | $753K | |
| 2024incomplete | 20,787 | $819K |
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 | 26% | 38,081 | 31,260 | $1.15M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 10% | 10,284 | 6,411 | $453K |
| 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 | 8.9% | 8,498 | 7,519 | $392K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.7% | 13,336 | 11,275 | $254K |
| D1110 | Prophylaxis - adult | 5.5% | 6,302 | 5,376 | $241K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.2% | 10,391 | 8,699 | $231K |
| D1206 | Topical application of fluoride varnish | 5.2% | 13,473 | 11,249 | $230K |
| D0330 | Panoramic radiographic image | 3.8% | 3,368 | 2,802 | $167K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 5,306 | 4,399 | $166K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 6,962 | 5,792 | $138K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 1,638 | 803 | $118K |
| D0274 | Bitewings - four radiographic images | 2.1% | 5,173 | 4,230 | $92K |
72 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 1,277 | $86K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.9% | 1,332 | $85K |
| G0467 | Community health center visit, returning patient | 1.9% | 5,888 | $84K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 3,718 | $71K |
| 99442 | 1.6% | 3,388 | $69K | |
| 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 | 1.5% | 2,584 | $67K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 2,957 | $66K |
| 90791 | Psychiatric diagnostic evaluation | 1.3% | 743 | $56K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 461 | $26K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,768 | $25K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 314 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 402 | $22K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 645 | $22K |
| D0272 | Bitewings - two radiographic images | <1% | 1,781 | $20K |
| D1351 | Sealant - per tooth | <1% | 423 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 211 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 123 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 143 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 137 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 68 | $3K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 130 | $3K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 129 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 129 | $2K |
| 99406 | <1% | 303 | $2K | |
| 92587 | <1% | 95 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 65 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 357 | $1K |
| 99441 | <1% | 129 | $1K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 16 | $907.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 123 | $898.08 |
| 99385 | <1% | 12 | $895.20 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 13 | $849.02 |
| 90674 | <1% | 52 | $816.00 | |
| D2140 | <1% | 19 | $798.00 | |
| D9995 | <1% | 141 | $656.88 | |
| 99422 | <1% | 29 | $649.66 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 46 | $632.02 |
| 81002 | <1% | 280 | $488.15 | |
| 81025 | <1% | 79 | $468.96 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $414.91 |
| D0270 | <1% | 89 | $382.00 | |
| 96127 | <1% | 100 | $369.72 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 69 | $330.48 |
| 90715 | <1% | 73 | $313.39 | |
| 90686 | <1% | 167 | $222.88 | |
| 90734 | <1% | 115 | $10.19 | |
| 90670 | <1% | 146 | $0.31 | |
| 90707 | <1% | 66 | $0.22 | |
| 90716 | <1% | 56 | $0.19 | |
| 90700 | <1% | 54 | $0.18 | |
| 90651 | <1% | 92 | $0.15 | |
| 90633 | <1% | 55 | $0.13 | |
| 90698 | <1% | 34 | $0.09 | |
| 90744 | <1% | 12 | $0.05 | |
| 90713 | <1% | 13 | $0.05 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,105 | $0.00 |
| 3074F | 0% | 336 | $0.00 | |
| D0602 | 0% | 186 | $0.00 | |
| 3079F | 0% | 179 | $0.00 | |
| 1036F | 0% | 57 | $0.00 | |
| D0603 | 0% | 264 | $0.00 | |
| 3075F | 0% | 17 | $0.00 | |
| 1000F | 0% | 12 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 15 | $0.00 |
| 90694 | 0% | 14 | $0.00 | |
| 99173 | 0% | 513 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 3,634 | $0.00 |
| 96160 | 0% | 41 | $0.00 | |
| 3077F | 0% | 63 | $0.00 | |
| 3078F | 0% | 265 | $0.00 | |
| 4004F | 0% | 53 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 12 | $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 officialGARZA, JESSICA (DIRECTOR OF HUMAN RESOURCE)
| Provider | Location | Paid |
|---|---|---|
| Jessica Garza | Rio Grande City, TX | $2.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.