Appalachian District Health Department
Appalachian District Health Department is a federally qualified health center (FQHC) in North Carolina and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Jefferson, Sparta, and Warrensville. In 2025 it served 5,435 patients, down 2.9% from 5,596 in 2024. 25.5% of its patients were uninsured, compared with 29.5% across North Carolina health centers and 17.2% nationally.
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5,435Patients served, 2025
25.5%of patients uninsured
28.4%of patients on Medicaid/CHIP
$1,689Total accrued cost per patient
$487Cost per visit
Appalachian District Health Department compared with North Carolina and the nation, 2025
| Measure | Appalachian District Health Department | North Carolina health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 22.1% | 21.5% | 28.6% |
| Adults 65 and older | 13.4% | 16.9% | 12.8% |
| At or below 200% of the federal poverty guideline | 92.8% | 90.1% | 90.0% |
| Insurance status | |||
| Uninsured | 25.5% | 29.5% | 17.2% |
| Medicaid / CHIP | 28.4% | 30.6% | 47.9% |
| Medicare | 15.3% | 16.1% | 11.6% |
| Private insurance | 30.6% | 23.8% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $1,689 | $1,446 | $1,672 |
| Cost per visit | $487 | $440 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 56.4% | 55.1% | 57.0% |
| Colorectal cancer screening | 26.4% | 49.9% | 44.9% |
| Breast cancer screening | 57.8% | 59.4% | 56.0% |
| Controlling high blood pressure | 50.0% | 70.9% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 23.4% | 23.1% | 26.3% |
| Depression screening and follow-up | 88.1% | 71.7% | 75.3% |
| Early entry into prenatal care | 79.4% | 73.2% | 73.4% |
| Tobacco screening and cessation | 81.7% | 85.5% | 84.8% |
| Statin therapy for cardiovascular disease | 73.5% | 80.6% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 4,835 |
| Dental | 2,668 |
| Mental health | 194 |
| Total clinic visits | 18,834 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 5,435 | $1,689 | 25.5% | 28.4% |
| 2024 | 5,596 | $1,310 | 32.1% | 39.8% |
| 2023 | 6,193 | $1,086 | 47.6% | 26.4% |
| 2022 | 6,023 | $951 | 45.2% | 31.8% |
| 2021 | 4,350 | $1,283 | 65.1% | 19.0% |
| 2020 | 3,675 | – | 53.6% | 21.4% |
| 2019 | 4,616 | $850 | 40.4% | 39.4% |
| 2018 | 4,264 | $734 | 41.9% | 36.7% |
| 2017 | 3,851 | – | 43.7% | 36.0% |
| 2016 | 2,505 | – | 35.5% | 36.8% |
Explore Appalachian District Health Department in the dashboard. It opens with this health center already
selected, so you can chart its ten-year trends against state, national and peer-group benchmarks, and see its service
area on a map and its payer, age, diagnosis and service-line mix.
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