Medicaid Provider Spending

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

ROANE COUNTY FAMILY HEALTH CARE, INC.

NPI: 1861494528 · SPENCER, WV 25276 · Federally Qualified Health Center (FQHC) · NPI assigned 08/12/2005

$6.44M
Total Medicaid Paid
139,980
Total Claims
110,776
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialARNOLD, STACEY (BILLING SUPERVISOR)
Parent OrganizationROANE COUNTY FAMILY HEALTH CARE, INC.
NPI Enumeration Date08/12/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,666 $935K
2019 11,916 $541K
2020 28,988 $1.24M
2021 22,181 $947K
2022 21,909 $987K
2023 19,412 $956K
2024 16,908 $829K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 62,760 46,423 $5.89M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,010 23,189 $241K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,427 8,678 $73K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,904 3,639 $41K
90674 958 905 $28K
81002 1,993 1,789 $26K
90837 Psychotherapy, 53 minutes with patient 3,046 1,789 $15K
80305 2,567 1,476 $15K
83036 Hemoglobin; glycosylated (A1C) 1,634 1,579 $11K
J1050 Injection, medroxyprogesterone acetate, 1 mg 753 671 $8K
92551 976 931 $8K
90834 Psychotherapy, 45 minutes with patient 377 206 $7K
90853 Group psychotherapy (other than of a multiple-family group) 2,369 987 $7K
90832 Psychotherapy, 30 minutes with patient 426 201 $6K
99173 1,129 1,078 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 304 281 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 639 601 $5K
90670 264 254 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 773 726 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 409 299 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 395 364 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 386 342 $3K
90632 71 70 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 209 195 $3K
90791 Psychiatric diagnostic evaluation 186 105 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 83 80 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 224 211 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 271 265 $2K
3045F 43 41 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 294 275 $2K
3044F 150 143 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 280 224 $1K
82947 232 209 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 372 279 $1K
90633 93 89 $583.95
20610 13 12 $443.62
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 138 128 $237.08
99309 Subsequent nursing facility care, per day, low to moderate complexity 766 689 $122.62
87428 2,361 2,209 $83.55
3046F 54 52 $0.00
99307 623 565 $0.00
3725F 188 184 $0.00
92552 35 31 $0.00
90715 62 57 $0.00
90648 28 25 $0.00
90734 72 67 $0.00
3077F 13 13 $0.00
3078F 41 41 $0.00
90686 610 576 $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 6,756 5,528 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,163 1,086 $0.00
85018 184 171 $0.00
90651 44 43 $0.00
3075F 17 17 $0.00
90680 39 38 $0.00
90723 29 29 $0.00
87807 21 21 $0.00
99441 19 17 $0.00
3351F 53 42 $0.00
3074F 13 13 $0.00
90656 58 58 $0.00
99308 Subsequent nursing facility care, per day, straightforward 573 470 $-103.58