Clinic
Tri County Community Health Council INC.
Tri County Community Health Council INC. was paid $768K by Medicaid between Mar 2022 and Dec 2024, across 42 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 infoTRI COUNTY COMMUNITY HEALTH COUNCIL INC.
DUNN, NC 28334
DUNN, NC 28334
33aNPI1952061517assigned 12/23/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$768K
24GClaims52,499
24DCodes billed42
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#98 of 324
Median peer was paid$279K
This provider vs. median2.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ELLISON, WILLIAM controls 17+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 6,472 | $156K | |
| 2023 | 23,406 | $231K | |
| 2024incomplete | 22,621 | $381K |
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% | 6,768 | 4,412 | $657K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 613 | 315 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 491 | 275 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 209 | 111 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 1,580 | 859 | $11K |
| 87428 | 1.3% | 290 | 181 | $10K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 541 | 281 | $7K |
| 99199 | Unlisted special service, procedure or report | <1% | 1,523 | 1,456 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 483 | 349 | $4K |
| 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% | 276 | 220 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,461 | 974 | $2K |
| 90686 | <1% | 831 | 398 | $461.70 |
30 more codes
| 92551 | <1% | 240 | $423.35 | |
| 90656 | <1% | 73 | $275.62 | |
| 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% | 20 | $247.00 |
| 92552 | <1% | 38 | $232.60 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 23 | $189.41 |
| 99173 | <1% | 334 | $165.32 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $161.52 |
| 90619 | <1% | 84 | $160.02 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $88.81 |
| 81003 | <1% | 49 | $78.09 | |
| 90655 | <1% | 79 | $46.11 | |
| 3074F | <1% | 3,523 | $3.68 | |
| 3078F | <1% | 3,496 | $3.65 | |
| 1160F | <1% | 2,699 | $3.02 | |
| 1159F | <1% | 2,686 | $3.00 | |
| 1126F | <1% | 533 | $0.71 | |
| 1125F | <1% | 327 | $0.42 | |
| 3008F | <1% | 5,042 | $0.17 | |
| 3079F | <1% | 39 | $0.04 | |
| 90670 | 0% | 31 | $0.00 | |
| 2028F | 0% | 17 | $0.00 | |
| 3210F | 0% | 85 | $0.00 | |
| 91300 | 0% | 53 | $0.00 | |
| 2001F | 0% | 5,075 | $0.00 | |
| 1220F | 0% | 2,861 | $0.00 | |
| 2000F | 0% | 4,766 | $0.00 | |
| 1000F | 0% | 4,545 | $0.00 | |
| 3351F | 0% | 555 | $0.00 | |
| 90620 | 0% | 54 | $0.00 | |
| 90651 | 0% | 69 | $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 officialELLISON, WILLIAM (REVENUE CYCLE MANAGER)
Parent organizationTRI COUNTY COMMUNITY HEALTH COUNCIL INC
| Provider | Location | Paid |
|---|---|---|
| Tri County Community Health Council INC | Dunn, NC | $2.29M |
| Tri County Community Health Council INC | Salemburg, NC | $936K |
| Tri County Community Health Council INC. | Dunn, NC | $820K |
| Tri County Community Health Council INC | Bolivia, NC | $816K |
| Tri County Community Health Council INC | Benson, NC | $787K |
| Tri County Community Health Council INC | Shallotte, NC | $509K |
| Tri County Community Health Council INC | Clinton, NC | $484K |
| Tri County Community Health Council INC | Tar Heel, NC | $324K |
| Tri County Community Health Council INC | Smithfield, NC | $264K |
| Tri County Community Health Council INC | Willard, NC | $255K |
| Tri County Community Health Council INC | Harrells, NC | $249K |
| Tri County Community Health Council INC | Dunn, NC | $224K |
| Tri County Community Health Council INC | Ocean Isle Beach, NC | $168K |
| Tri County Community Health Council INC | Dunn, NC | $89K |
| Tri County Community Health Council INC | Willard, NC | $26K |
| Tri County Community Health Council INC | Four Oaks, NC | $25K |
| Tri County Community Health Council INC | Dublin, NC | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.