Clinic
Community Action Committee of Pike County
Community Action Committee of Pike County was paid $1.25M by Medicaid between Oct 2021 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 48% of everything it billed.
33Billing provider infoCOMMUNITY ACTION COMMITTEE OF PIKE COUNTY
WAVERLY, OH 45690
WAVERLY, OH 45690
33aNPI1821661372assigned 07/22/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.25M
24GClaims77,864
24DCodes billed35
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#182 of 348
Median peer was paid$1.33M
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 1,407 | $8K | |
| 2022 | 15,942 | $187K | |
| 2023 | 39,974 | $658K | |
| 2024incomplete | 20,541 | $393K |
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 | 48% | 9,793 | 6,993 | $597K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 8,341 | 3,955 | $179K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 12% | 7,565 | 3,526 | $153K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.1% | 2,692 | 1,241 | $101K |
| 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 | 3.8% | 1,628 | 957 | $47K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.8% | 2,007 | 581 | $35K |
| 80305 | 2.5% | 7,411 | 3,421 | $32K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.3% | 3,364 | 2,007 | $29K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.7% | 731 | 391 | $21K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 439 | 240 | $16K |
| 81025 | <1% | 3,618 | 1,690 | $11K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 273 | 148 | $9K |
23 more codes
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 7,207 | $8K |
| 99406 | <1% | 6,443 | $7K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 67 | $448.80 |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 20 | $194.82 |
| 36415 | Collection of venous blood by venipuncture | <1% | 57 | $97.47 |
| H0006 | Alcohol and/or drug services; case management | <1% | 40 | $86.34 |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 3,005 | $0.02 |
| 99408 | 0% | 5,621 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 79 | $0.00 |
| 3078F | 0% | 859 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 805 | $0.00 |
| 1160F | 0% | 651 | $0.00 | |
| 1159F | 0% | 652 | $0.00 | |
| 3079F | 0% | 335 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 265 | $0.00 |
| 0001F | 0% | 1,241 | $0.00 | |
| 1036F | 0% | 886 | $0.00 | |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 0% | 94 | $0.00 |
| 3074F | 0% | 1,047 | $0.00 | |
| 1000F | 0% | 400 | $0.00 | |
| 87517 | 0% | 122 | $0.00 | |
| 3075F | 0% | 26 | $0.00 | |
| 1111F | 0% | 80 | $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 | Portsmouth, OH | $2.91M |
| 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 | 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.