Clinic
Western North Carolina Community Health Services INC.
Western North Carolina Community Health Services INC. was paid $6.25M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoWESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC.
ASHEVILLE, NC 28801
ASHEVILLE, NC 28801
33aNPI1780801050assigned 04/19/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.25M
24GClaims325,339
24DCodes billed63
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#12 of 324
Median peer was paid$279K
This provider vs. median22×
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 | 5,133 | $577K | |
| 2019 | 4,302 | $492K | |
| 2020 | 5,231 | $492K | |
| 2021 | 22,230 | $528K | |
| 2022 | 55,280 | $674K | |
| 2023 | 100,426 | $1.23M | |
| 2024incomplete | 132,737 | $2.26M |
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 | 68% | 36,003 | 29,320 | $4.28M |
| 99199 | Unlisted special service, procedure or report | 29% | 207,163 | 91,363 | $1.80M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 296 | 280 | $45K |
| 87428 | <1% | 482 | 435 | $28K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,214 | 6,763 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 82 | 80 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 332 | 260 | $12K |
| 0011A | <1% | 165 | 163 | $8K | |
| 0012A | <1% | 147 | 138 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 501 | 423 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 287 | 246 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 324 | 252 | $4K |
51 more codes
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 52 | $3K |
| 81025 | <1% | 369 | $3K | |
| 99385 | <1% | 27 | $2K | |
| 81000 | <1% | 496 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 150 | $1K |
| 0001A | <1% | 19 | $1K | |
| 0002A | <1% | 18 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $1K |
| 90474 | <1% | 97 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 44 | $600.18 |
| 99401 | <1% | 15 | $526.26 | |
| 59025 | Fetal non-stress test | <1% | 45 | $488.80 |
| 87420 | <1% | 30 | $437.10 | |
| 90677 | <1% | 230 | $268.63 | |
| 90697 | <1% | 88 | $150.74 | |
| 96161 | <1% | 41 | $134.64 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 23 | $102.24 |
| 96160 | <1% | 57 | $67.32 | |
| 90686 | <1% | 251 | $19.58 | |
| 4274F | 0% | 1,885 | $0.00 | |
| 1160F | 0% | 5,156 | $0.00 | |
| 4004F | 0% | 1,891 | $0.00 | |
| 4040F | 0% | 515 | $0.00 | |
| 3078F | 0% | 3,478 | $0.00 | |
| 1159F | 0% | 5,157 | $0.00 | |
| 3085F | 0% | 1,170 | $0.00 | |
| 3077F | 0% | 35 | $0.00 | |
| 90633 | 0% | 25 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 99408 | 0% | 13 | $0.00 | |
| 91300 | 0% | 37 | $0.00 | |
| 3351F | 0% | 4,486 | $0.00 | |
| 1036F | 0% | 5,769 | $0.00 | |
| 2010F | 0% | 8,847 | $0.00 | |
| 2001F | 0% | 8,333 | $0.00 | |
| 3008F | 0% | 8,329 | $0.00 | |
| 3074F | 0% | 4,343 | $0.00 | |
| 1034F | 0% | 1,052 | $0.00 | |
| 0513F | 0% | 435 | $0.00 | |
| 2000F | 0% | 6,609 | $0.00 | |
| 3079F | 0% | 598 | $0.00 | |
| 4037F | 0% | 202 | $0.00 | |
| 1126F | 0% | 204 | $0.00 | |
| 91301 | 0% | 334 | $0.00 | |
| 90680 | 0% | 155 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| 4010F | 0% | 18 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 90674 | 0% | 54 | $0.00 | |
| 90656 | 0% | 73 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 30 | $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 officialGOMEZ, CARLOS (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Western North Carolina Community Health Services, INC. | Asheville, NC | $270K |
| Trauma Treatment & Counseling LLC | St George, UT | $269K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.