Clinic
Community Action Committee of Pike County
Community Action Committee of Pike County was paid $2.91M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoCOMMUNITY ACTION COMMITTEE OF PIKE COUNTY
PORTSMOUTH, OH 45662
PORTSMOUTH, OH 45662
33aNPI1790116218assigned 12/09/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.91M
24GClaims116,564
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#116 of 348
Median peer was paid$1.33M
This provider vs. median2.2×
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 | 19,546 | $508K | |
| 2019 | 20,860 | $476K | |
| 2020 | 12,845 | $236K | |
| 2021 | 15,007 | $392K | |
| 2022 | 21,425 | $580K | |
| 2023 | 15,796 | $398K | |
| 2024incomplete | 11,085 | $324K |
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 | 71% | 28,413 | 20,228 | $2.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 8,319 | 4,529 | $168K |
| 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 | 4.2% | 4,090 | 2,424 | $122K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.1% | 4,886 | 1,560 | $120K |
| D0330 | Panoramic radiographic image | 3.1% | 4,764 | 3,636 | $89K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 3,762 | 1,997 | $64K |
| D1110 | Prophylaxis - adult | 1.8% | 4,625 | 3,450 | $51K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 5,116 | 3,845 | $45K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.3% | 1,764 | 1,104 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,031 | 2,363 | $28K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 2,981 | 2,202 | $18K |
| D1206 | Topical application of fluoride varnish | <1% | 3,017 | 2,111 | $18K |
47 more codes
| D1120 | Dental cleaning, child | <1% | 2,230 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 807 | $15K |
| D0274 | Bitewings - four radiographic images | <1% | 1,956 | $13K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,891 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 594 | $6K |
| G0467 | Community health center visit, returning patient | <1% | 296 | $5K |
| 99442 | <1% | 384 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 139 | $4K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 47 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 153 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 177 | $2K |
| 81002 | <1% | 1,561 | $2K | |
| D2332 | <1% | 62 | $2K | |
| 99406 | <1% | 266 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 20 | $662.18 |
| 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% | 84 | $601.41 |
| D1351 | Sealant - per tooth | <1% | 76 | $600.60 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 184 | $584.59 |
| D1354 | <1% | 35 | $433.30 | |
| D0272 | Bitewings - two radiographic images | <1% | 275 | $425.43 |
| D2330 | <1% | 23 | $376.39 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 51 | $208.42 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | $160.27 |
| H1000 | Prenatal care, at-risk assessment | <1% | 27 | $146.53 |
| 36416 | <1% | 99 | $111.99 | |
| 85018 | <1% | 103 | $91.83 | |
| 3074F | <1% | 4,565 | $0.07 | |
| 3079F | <1% | 2,169 | $0.06 | |
| 3078F | <1% | 3,749 | $0.06 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,946 | $0.00 |
| 3080F | 0% | 1,107 | $0.00 | |
| 3075F | 0% | 787 | $0.00 | |
| 1036F | 0% | 2,249 | $0.00 | |
| 1000F | 0% | 1,596 | $0.00 | |
| 0001F | 0% | 5,389 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 25 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 268 | $0.00 |
| D0603 | 0% | 111 | $0.00 | |
| 1111F | 0% | 29 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 25 | $0.00 |
| D1999 | 0% | 922 | $0.00 | |
| 3077F | 0% | 1,218 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,781 | $0.00 |
| 1159F | 0% | 121 | $0.00 | |
| 4004F | 0% | 37 | $0.00 | |
| 1160F | 0% | 121 | $0.00 | |
| 81025 | 0% | 16 | $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 officialPITTS, KEITH (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Action Committee of Pike County | Waverly, OH | $7.34M |
| Community Action Committee of Pike County | Jackson, OH | $3.69M |
| Community Action Committee of Pike County | Piketon, OH | $2.59M |
| Community Action Committee of Pike County | West Portsmouth, OH | $1.90M |
| Community Action Committee of Pike County | Manchester, OH | $1.39M |
| Community Action Committee of Pike County | Waverly, OH | $1.25M |
| Community Action Committee of Pike County | Piketon, OH | $143K |
| Community Action Committee of Pike County | Piketon, OH | $3K |
| Community Action Committee of Pike County | Waverly, OH | $236.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.