Clinic
New River Health Association, INC.
New River Health Association, INC. was paid $1.89M by Medicaid between Jan 2019 and Dec 2024, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoNEW RIVER HEALTH ASSOCIATION, INC.
SOPHIA, WV 25921
SOPHIA, WV 25921
33aNPI1851836225assigned 12/21/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.89M
24GClaims26,804
24DCodes billed13
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#55 of 205
Median peer was paid$521K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2019 | 2,461 | $105K | |
| 2020 | 3,785 | $222K | |
| 2021 | 4,030 | $256K | |
| 2022 | 5,812 | $436K | |
| 2023 | 5,758 | $449K | |
| 2024incomplete | 4,958 | $418K |
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 | 98% | 13,315 | 9,617 | $1.85M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 5,671 | 4,331 | $19K |
| 36415 | Collection of venous blood by venipuncture | <1% | 977 | 925 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 178 | 158 | $5K |
| 90686 | <1% | 164 | 145 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 287 | 190 | $648.20 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 35 | 25 | $486.15 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,046 | 4,313 | $71.70 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 36 | 26 | $0.00 |
| 81003 | 0% | 21 | 17 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 39 | 25 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 13 | 13 | $0.00 |
1 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 22 | $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 officialSCHULTZ, JOHN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| New River Health Association, INC. | Scarbro, WV | $8.27M |
| Hopkins School District | Hopkins, MN | $6.69M |
| New River Health Association, INC. | Oak Hill, WV | $1.48M |
| New River Health Association, INC. | Summersville, WV | $1.31M |
| New River Health Association, INC. | Coal City, WV | $1.15M |
| New River Health Association, INC. | Coal City, WV | $355K |
| New River Health Association, INC. | Coal City, WV | $230K |
| Family First Healthcare PLLC | Weirton, WV | $33K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.