Clinic
Tri County Community Health Council INC
Tri County Community Health Council INC was paid $936K by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoTRI COUNTY COMMUNITY HEALTH COUNCIL INC
SALEMBURG, NC 28385
SALEMBURG, NC 28385
33aNPI1992728950assigned 07/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$936K
24GClaims70,595
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#86 of 324
Median peer was paid$279K
This provider vs. median3.4×
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.
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 | |
|---|---|---|---|
| 2018 | 1,134 | $92K | |
| 2019 | 1,219 | $84K | |
| 2020 | 938 | $72K | |
| 2021 | 5,434 | $106K | |
| 2022 | 15,093 | $136K | |
| 2023 | 18,795 | $147K | |
| 2024incomplete | 27,982 | $299K |
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 | 76% | 8,076 | 6,000 | $709K |
| 99199 | Unlisted special service, procedure or report | 23% | 37,967 | 20,296 | $214K |
| 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% | 149 | 127 | $4K |
| 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% | 428 | 373 | $3K |
| 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% | 111 | 94 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,878 | 1,379 | $2K |
| 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% | 174 | 103 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 59 | 49 | $346.49 |
| 82948 | <1% | 83 | 72 | $233.74 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 76 | 62 | $136.69 |
| 81003 | <1% | 66 | 58 | $125.83 | |
| 92551 | <1% | 12 | 12 | $54.89 |
17 more codes
| 81002 | <1% | 12 | $27.02 | |
| 3078F | <1% | 1,825 | $2.27 | |
| 3074F | <1% | 1,549 | $2.21 | |
| 1126F | <1% | 1,383 | $1.91 | |
| 1125F | <1% | 793 | $1.08 | |
| 3008F | <1% | 3,188 | $0.32 | |
| 3075F | <1% | 192 | $0.26 | |
| 3079F | <1% | 193 | $0.26 | |
| 3044F | <1% | 109 | $0.06 | |
| 1000F | <1% | 3,592 | $0.01 | |
| 1220F | 0% | 2,579 | $0.00 | |
| 2000F | 0% | 2,584 | $0.00 | |
| 1101F | 0% | 24 | $0.00 | |
| 2001F | 0% | 2,496 | $0.00 | |
| 90686 | 0% | 26 | $0.00 | |
| 3351F | 0% | 958 | $0.00 | |
| 99173 | 0% | 13 | $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)
| Provider | Location | Paid |
|---|---|---|
| Tri County Community Health Council INC | Dunn, NC | $2.29M |
| 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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.