Clinic
Community Health Association
Community Health Association was paid $4.38M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH ASSOCIATION
RIPLEY, WV 25271
RIPLEY, WV 25271
33aNPI1871606517assigned 08/16/2006
33bProvider typeRural Health Clinic/Center
28Total paid$4.38M
24GClaims60,206
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#5 of 49
Median peer was paid$956K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2018 | 9,233 | $397K | |
| 2019 | 4,062 | $193K | |
| 2020 | 7,935 | $359K | |
| 2021 | 10,978 | $356K | |
| 2022 | 10,960 | $721K | |
| 2023 | 9,585 | $1.31M | |
| 2024incomplete | 7,453 | $1.05M |
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 | 95% | 30,376 | 24,518 | $4.14M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 8,845 | 7,680 | $132K |
| 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 | 1.1% | 9,540 | 8,221 | $48K |
| 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% | 612 | 581 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 856 | 771 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 408 | 348 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,089 | 2,916 | $8K |
| 90686 | <1% | 830 | 791 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 531 | 506 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 66 | 62 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | 66 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 95 | 90 | $2K |
31 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,139 | $2K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 28 | $716.89 |
| 90670 | <1% | 379 | $80.66 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 622 | $60.07 |
| 96127 | <1% | 482 | $39.14 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 515 | $8.32 |
| 90656 | 0% | 107 | $0.00 | |
| 99441 | 0% | 56 | $0.00 | |
| 98967 | 0% | 75 | $0.00 | |
| 90698 | 0% | 124 | $0.00 | |
| 99383 | 0% | 26 | $0.00 | |
| 90474 | 0% | 12 | $0.00 | |
| 90680 | 0% | 24 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 44 | $0.00 |
| 90744 | 0% | 42 | $0.00 | |
| 99443 | 0% | 19 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 209 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 463 | $0.00 |
| 11721 | 0% | 88 | $0.00 | |
| 98966 | 0% | 64 | $0.00 | |
| 90715 | 0% | 89 | $0.00 | |
| 99442 | 0% | 62 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 27 | $0.00 |
| 90671 | 0% | 40 | $0.00 | |
| 90633 | 0% | 25 | $0.00 | |
| 98968 | 0% | 23 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 41 | $0.00 |
| 99188 | 0% | 12 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 20 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $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 officialMCCOY, STEPHANIE (PRESIDENT/CEO)
Parent organizationCOMMUNITY HEALTH ASSOCIATION
| Provider | Location | Paid |
|---|---|---|
| Community Health Association | Ripley, WV | $15.27M |
| Community Health Association | Ripley, WV | $1.04M |
| Community Health Association | Ripley, WV | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.