Clinic
Southwest Virginia Community Health Systems INC
Southwest Virginia Community Health Systems INC was paid $1.50M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoSOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC
SALTVILLE, VA 24370
SALTVILLE, VA 24370
33aNPI1952434383assigned 03/14/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.50M
24GClaims53,328
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Virginia
Rank by total paid#28 of 145
Median peer was paid$338K
This provider vs. median4.4×
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 | 8,754 | $247K | |
| 2019 | 10,862 | $289K | |
| 2020 | 6,289 | $155K | |
| 2021 | 8,256 | $201K | |
| 2022 | 7,013 | $225K | |
| 2023 | 6,379 | $182K | |
| 2024incomplete | 5,775 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 47% | 13,971 | 11,203 | $699K |
| 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 | 21% | 4,735 | 4,392 | $320K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.2% | 2,212 | 1,480 | $123K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.5% | 2,908 | 2,640 | $98K |
| 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 | 3.1% | 4,246 | 3,320 | $46K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 530 | 351 | $41K |
| G9012 | Other specified case management service not elsewhere classified | 2.7% | 188 | 178 | $41K |
| 80305 | 1.8% | 2,639 | 1,465 | $28K | |
| 3074F | 1.1% | 2,123 | 1,926 | $16K | |
| 3078F | <1% | 1,778 | 1,612 | $13K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 215 | 186 | $11K |
| 3079F | <1% | 1,107 | 1,012 | $8K |
34 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 614 | $8K |
| 99000 | <1% | 5,026 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 931 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,983 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 58 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 94 | $3K |
| 90756 | <1% | 232 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 231 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 245 | $2K |
| 0012A | <1% | 70 | $2K | |
| 99443 | <1% | 56 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 588 | $2K |
| 3075F | <1% | 231 | $2K | |
| 0002A | <1% | 50 | $1K | |
| 90686 | <1% | 141 | $1K | |
| 3077F | <1% | 146 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 113 | $893.84 |
| 90658 | <1% | 76 | $846.20 | |
| 81002 | <1% | 362 | $768.80 | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 95 | $768.50 |
| 3080F | <1% | 84 | $750.04 | |
| 92015 | Determination of refractive state | <1% | 57 | $654.93 |
| 99072 | <1% | 1,043 | $591.04 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 20 | $456.00 |
| 0011A | <1% | 24 | $372.97 | |
| 0001A | <1% | 35 | $357.44 | |
| G0008 | Administration of influenza virus vaccine | <1% | 237 | $198.10 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $163.64 |
| 36416 | <1% | 560 | $96.42 | |
| 87430 | <1% | 12 | $83.16 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 16 | $64.00 |
| 86403 | <1% | 109 | $34.28 | |
| 87081 | <1% | 36 | $7.66 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 88 | $6.72 |
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 officialHAYNES, JOSEPH (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Southwest Virginia Community Health Systems Incorporated | Saltville, VA | $3.18M |
| Southwest Virginia Community Health Systems INC | Bristol, VA | $1.11M |
| Southwest Virginia Community Health Systems Incorporated | Saltville, VA | $871K |
| Southwest Virginia Community Health Systems INC. | Meadowview, VA | $665K |
| Southwest Virginia Community Health Systems INC | Tazewell, VA | $633K |
| Southwest Virginia Community Health Systems INC | Saltville, VA | $74K |
| Southwest Virginia Community Health Systems INC | Marion, VA | $22K |
| Southwest Virginia Community Health Systems INC. | Chilhowie, VA | $12K |
| Southwest Virginia Community Health Systems INC | Bristol, VA | $5K |
| Southwest Virginia Community Health Systems Incorporated | Saltville, VA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.