Clinic
Community Action Committee of Pike County
Community Action Committee of Pike County was paid $7.34M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoCOMMUNITY ACTION COMMITTEE OF PIKE COUNTY
WAVERLY, OH 45690
WAVERLY, OH 45690
33aNPI1891887790assigned 09/28/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.34M
24GClaims334,214
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#39 of 348
Median peer was paid$1.33M
This provider vs. median5.5×
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 | 51,218 | $1.34M | |
| 2019 | 53,444 | $1.15M | |
| 2020 | 38,666 | $908K | |
| 2021 | 43,849 | $1.05M | |
| 2022 | 39,041 | $1.03M | |
| 2023 | 74,355 | $1.25M | |
| 2024incomplete | 33,641 | $598K |
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 | 59% | 64,713 | 50,227 | $4.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 75,494 | 40,808 | $1.54M |
| 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 | 10.0% | 24,935 | 14,988 | $731K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 8,320 | 5,103 | $129K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,014 | 3,316 | $70K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,796 | 739 | $64K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,793 | 1,092 | $55K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,648 | 983 | $54K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,113 | 928 | $52K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 3,250 | 2,780 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,305 | 762 | $39K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,326 | 796 | $35K |
78 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,687 | $32K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 582 | $27K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 708 | $26K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 478 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,301 | $9K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,423 | $8K |
| 36416 | <1% | 4,995 | $6K | |
| 81025 | <1% | 1,697 | $5K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 946 | $5K |
| 81002 | <1% | 4,309 | $5K | |
| 80305 | <1% | 1,416 | $4K | |
| 82962 | <1% | 3,460 | $4K | |
| 98926 | <1% | 398 | $4K | |
| 99406 | <1% | 825 | $4K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 563 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 132 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 38 | $2K |
| 99460 | <1% | 30 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 225 | $1K |
| 92552 | <1% | 216 | $1K | |
| 90686 | <1% | 1,981 | $1K | |
| 90756 | <1% | 582 | $1K | |
| H1000 | Prenatal care, at-risk assessment | <1% | 177 | $984.34 |
| 99441 | <1% | 162 | $908.88 | |
| 99383 | <1% | 21 | $766.91 | |
| 87400 | <1% | 138 | $754.66 | |
| 99173 | <1% | 528 | $566.64 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 85 | $563.86 |
| D0140 | Limited oral evaluation - problem focused | <1% | 16 | $379.36 |
| 97803 | <1% | 487 | $251.58 | |
| 85018 | <1% | 187 | $177.32 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 51 | $155.18 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 27 | $141.75 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 21 | $110.25 |
| 90661 | <1% | 53 | $73.70 | |
| 90863 | <1% | 1,867 | $31.99 | |
| 3077F | <1% | 4,430 | $0.27 | |
| 3074F | <1% | 22,425 | $0.27 | |
| 3078F | <1% | 19,619 | $0.26 | |
| 3079F | <1% | 13,073 | $0.25 | |
| 3080F | <1% | 1,816 | $0.13 | |
| 3075F | <1% | 7,636 | $0.13 | |
| 90677 | <1% | 12 | $0.03 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 670 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 200 | $0.00 |
| 90670 | 0% | 1,430 | $0.00 | |
| 4004F | 0% | 5,554 | $0.00 | |
| 1160F | 0% | 1,986 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 25 | $0.00 |
| 90710 | 0% | 476 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,699 | $0.00 |
| 90734 | 0% | 663 | $0.00 | |
| 1159F | 0% | 1,988 | $0.00 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | 0% | 534 | $0.00 |
| 90715 | 0% | 252 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 235 | $0.00 |
| 90633 | 0% | 448 | $0.00 | |
| 90649 | 0% | 137 | $0.00 | |
| 98960 | 0% | 397 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 16 | $0.00 |
| 90685 | 0% | 95 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 194 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 38 | $0.00 |
| 90698 | 0% | 1,313 | $0.00 | |
| 1036F | 0% | 4,559 | $0.00 | |
| 1111F | 0% | 11,287 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 538 | $0.00 |
| 90651 | 0% | 374 | $0.00 | |
| 90688 | 0% | 45 | $0.00 | |
| 90680 | 0% | 256 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 316 | $0.00 |
| 90744 | 0% | 409 | $0.00 | |
| 90696 | 0% | 127 | $0.00 | |
| 0001F | 0% | 2,128 | $0.00 | |
| 90650 | 0% | 123 | $0.00 | |
| 87110 | 0% | 116 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 22 | $0.00 |
| 90634 | 0% | 34 | $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 officialPITTS, KEITH (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Action Committee of Pike County | Jackson, OH | $3.69M |
| Community Action Committee of Pike County | Portsmouth, OH | $2.91M |
| Community Action Committee of Pike County | Piketon, OH | $2.59M |
| Community Action Committee of Pike County | West Portsmouth, OH | $1.90M |
| Community Action Committee of Pike County | Manchester, OH | $1.39M |
| Community Action Committee of Pike County | Waverly, OH | $1.25M |
| Community Action Committee of Pike County | Piketon, OH | $143K |
| Community Action Committee of Pike County | Piketon, OH | $3K |
| Community Action Committee of Pike County | Waverly, OH | $236.80 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.