Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TUG RIVER HEALTH ASSOCIATION, INC

NPI: 1831273945 · NORTHFORK, WV 24868 · Federally Qualified Health Center (FQHC) · NPI assigned 10/25/2006

$2.44M
Total Medicaid Paid
44,369
Total Claims
34,811
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, KIM (CREDENTIALING COORDINATOR)
NPI Enumeration Date10/25/2006

Related Entities

Other providers sharing the same authorized official: HARRIS, KIM

ProviderCityStateTotal Paid
TUG RIVER HEALTH ASSOCIATION, INC GARY WV $2.16M
TUG RIVER HEALTH ASSOCIATION, INC WELCH WV $264K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,806 $349K
2019 4,299 $211K
2020 9,155 $491K
2021 8,008 $456K
2022 7,960 $462K
2023 4,869 $283K
2024 3,272 $185K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 17,347 13,055 $2.09M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,680 5,557 $107K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,699 5,013 $67K
80305 3,801 2,286 $43K
90853 Group psychotherapy (other than of a multiple-family group) 1,330 834 $38K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 402 341 $27K
81025 1,152 726 $17K
36415 Collection of venous blood by venipuncture 2,054 1,895 $10K
83036 Hemoglobin; glycosylated (A1C) 971 889 $9K
81003 940 883 $7K
90832 Psychotherapy, 30 minutes with patient 1,409 1,034 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,212 1,079 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 79 75 $2K
90686 69 68 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 39 38 $1K
90674 33 31 $942.34
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 60 53 $497.80
87428 15 15 $375.95
96127 222 182 $334.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 53 49 $170.06
81002 60 58 $144.09
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 13 $78.64
90834 Psychotherapy, 45 minutes with patient 18 18 $0.00
G0467 Federally 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 641 560 $0.00
99173 18 16 $0.00
99442 48 43 $0.00