NPI: 1992171060 · BOLIVIA, NC 28422 · Federally Qualified Health Center (FQHC) · NPI assigned 08/12/2015
Authorized official ELLISON, WILLIAM controls 17+ related entities in our dataset. Read more
| Authorized Official | ELLISON, WILLIAM (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 08/12/2015 |
Other providers sharing the same authorized official: ELLISON, WILLIAM
| Provider | City | State | Total 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 | BENSON | NC | $787K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC. | DUNN | NC | $768K |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 351 | $34K |
| 2019 | 600 | $50K |
| 2020 | 866 | $93K |
| 2021 | 2,276 | $96K |
| 2022 | 5,078 | $76K |
| 2023 | 13,458 | $192K |
| 2024 | 18,650 | $275K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 6,837 | 5,056 | $704K |
| 99199 | Unlisted special service, procedure or report | 19,159 | 8,542 | $97K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 574 | 428 | $7K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 191 | 138 | $3K |
| 90837 | Psychotherapy, 53 minutes with patient | 88 | 60 | $1K |
| 36415 | Collection of venous blood by venipuncture | 640 | 498 | $942.64 |
| 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 | 79 | 58 | $431.50 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14 | 12 | $419.43 |
| 90832 | Psychotherapy, 30 minutes with patient | 44 | 30 | $277.55 |
| 90834 | Psychotherapy, 45 minutes with patient | 34 | 29 | $220.11 |
| 90686 | 14 | 12 | $79.31 | |
| 3008F | 2,546 | 1,885 | $12.96 | |
| 1159F | 767 | 608 | $0.46 | |
| 1160F | 765 | 607 | $0.46 | |
| 3074F | 539 | 430 | $0.32 | |
| 1126F | 415 | 331 | $0.24 | |
| 3078F | 473 | 378 | $0.23 | |
| 1125F | 180 | 148 | $0.12 | |
| 3079F | 164 | 125 | $0.09 | |
| 3075F | 14 | 12 | $0.01 | |
| 2001F | 2,277 | 1,688 | $0.00 | |
| 2000F | 939 | 729 | $0.00 | |
| 1220F | 2,065 | 1,539 | $0.00 | |
| 1000F | 2,183 | 1,628 | $0.00 | |
| 3351F | 278 | 202 | $0.00 |