Clinic
Tug River Health Association, INC
Tug River Health Association, INC was paid $2.44M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoTUG RIVER HEALTH ASSOCIATION, INC
NORTHFORK, WV 24868
NORTHFORK, WV 24868
33aNPI1831273945assigned 10/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.44M
24GClaims44,369
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#47 of 205
Median peer was paid$521K
This provider vs. median4.7×
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 | 6,806 | $349K | |
| 2019 | 4,299 | $211K | |
| 2020 | 9,155 | $491K | |
| 2021 | 8,008 | $456K | |
| 2022 | 7,960 | $462K | |
| 2023 | 4,869 | $283K | |
| 2024incomplete | 3,272 | $185K |
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 | 86% | 17,347 | 13,055 | $2.09M |
| 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 | 4.4% | 6,680 | 5,557 | $107K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 5,699 | 5,013 | $67K |
| 80305 | 1.8% | 3,801 | 2,286 | $43K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.5% | 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 | 1.1% | 402 | 341 | $27K |
| 81025 | <1% | 1,152 | 726 | $17K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,054 | 1,895 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 971 | 889 | $9K |
| 81003 | <1% | 940 | 883 | $7K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,409 | 1,034 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,212 | 1,079 | $4K |
14 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 79 | $2K |
| 90686 | <1% | 69 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 39 | $1K |
| 90674 | <1% | 33 | $942.34 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 60 | $497.80 |
| 87428 | <1% | 15 | $375.95 | |
| 96127 | <1% | 222 | $334.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 53 | $170.06 |
| 81002 | <1% | 60 | $144.09 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $78.64 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 18 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 641 | $0.00 |
| 99173 | 0% | 18 | $0.00 | |
| 99442 | 0% | 48 | $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 officialHARRIS, KIM (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Tug River Health Association, INC | Gary, WV | $2.16M |
| Tug River Health Association, INC | Welch, WV | $264K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.