Clinic
Monroe County Health Center Board of Trustees
Monroe County Health Center Board of Trustees was paid $9.58M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoMONROE COUNTY HEALTH CENTER BOARD OF TRUSTEES
UNION, WV 24983
UNION, WV 24983
33aNPI1992734487assigned 06/30/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.58M
24GClaims174,397
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#12 of 205
Median peer was paid$521K
This provider vs. median18×
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 | 17,926 | $909K | |
| 2019 | 15,568 | $599K | |
| 2020 | 22,977 | $857K | |
| 2021 | 24,772 | $1.08M | |
| 2022 | 38,682 | $2.09M | |
| 2023 | 33,371 | $2.34M | |
| 2024incomplete | 21,101 | $1.71M |
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 | 91% | 64,609 | 47,886 | $8.71M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 38,077 | 30,770 | $422K |
| 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 | 1.3% | 9,334 | 8,292 | $129K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,078 | 6,759 | $60K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,584 | 2,371 | $44K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,772 | 4,204 | $43K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 5,784 | 4,887 | $38K |
| 99000 | <1% | 9,067 | 7,736 | $38K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 4,085 | 3,445 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,334 | 2,030 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,522 | 3,221 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,488 | 1,346 | $9K |
39 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 719 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 174 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,057 | $5K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 681 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 192 | $4K |
| 0002A | <1% | 163 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 773 | $4K |
| 0001A | <1% | 185 | $4K | |
| 81003 | <1% | 1,090 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,184 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 204 | $3K |
| 92081 | <1% | 554 | $1K | |
| 0071A | <1% | 56 | $1K | |
| 0003A | <1% | 33 | $1K | |
| 92551 | <1% | 827 | $946.10 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 156 | $916.12 |
| 0072A | <1% | 34 | $862.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 373 | $732.59 |
| 0004A | <1% | 29 | $706.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | $561.24 |
| 0054A | <1% | 13 | $532.00 | |
| 90686 | <1% | 15 | $492.32 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $492.32 |
| G0467 | Community health center visit, returning patient | <1% | 4,654 | $449.98 |
| 0124A | <1% | 14 | $417.00 | |
| 87807 | <1% | 101 | $310.58 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 349 | $129.88 |
| 99177 | 0% | 538 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 317 | $0.00 |
| 99188 | 0% | 23 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 123 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 229 | $0.00 |
| 91300 | 0% | 547 | $0.00 | |
| 91312 | 0% | 14 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $0.00 |
| 91307 | 0% | 110 | $0.00 | |
| 91305 | 0% | 13 | $0.00 | |
| 99441 | 0% | 23 | $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 officialPARKER, SHANNON (CEO)