Physician
Community Health Programs, INC.
Community Health Programs, INC. was paid $24.97M by Medicaid between Jan 2018 and Dec 2024, across 126 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH PROGRAMS, INC.
GREAT BARRINGTON, MA 01230
GREAT BARRINGTON, MA 01230
33aNPI1013953009assigned 06/20/2006
33bProvider typeGeneral Practice Physician
28Total paid$24.97M
24GClaims332,946
24DCodes billed126
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Massachusetts
Rank by total paid#1 of 33
Median peer was paid$76K
This provider vs. median329×
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 | 43,119 | $3.21M | |
| 2019 | 48,526 | $3.84M | |
| 2020 | 39,243 | $3.06M | |
| 2021 | 48,219 | $3.55M | |
| 2022 | 54,406 | $5.72M | |
| 2023 | 60,546 | $3.86M | |
| 2024incomplete | 38,887 | $1.74M |
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 | 75% | 139,715 | 123,716 | $18.64M |
| D9450 | 6.1% | 33,662 | 21,079 | $1.51M | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 2.9% | 3,383 | 2,691 | $714K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 16,823 | 14,023 | $419K |
| D1110 | Prophylaxis - adult | 1.1% | 8,296 | 5,503 | $264K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 1,663 | 1,093 | $230K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,387 | 1,385 | $217K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,346 | 1,344 | $198K |
| 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% | 6,695 | 5,647 | $196K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 3,655 | 2,035 | $183K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 4,010 | 2,769 | $176K |
| D0140 | Limited oral evaluation - problem focused | <1% | 6,266 | 4,120 | $154K |
114 more codes
| D0120 | Dental checkup, returning patient | <1% | 9,654 | $147K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,313 | $128K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12,253 | $124K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,348 | $114K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 813 | $111K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,559 | $109K |
| D1120 | Dental cleaning, child | <1% | 2,296 | $107K |
| D2740 | Crown - porcelain/ceramic | <1% | 172 | $102K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 607 | $98K |
| D0274 | Bitewings - four radiographic images | <1% | 4,018 | $97K |
| 90461 | <1% | 3,100 | $81K | |
| 97803 | <1% | 1,187 | $71K | |
| 96127 | <1% | 7,793 | $71K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,450 | $59K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,752 | $52K |
| 99381 | <1% | 234 | $50K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,324 | $48K |
| G0512 | Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month | <1% | 378 | $46K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 668 | $42K |
| D2330 | <1% | 735 | $36K | |
| D2331 | <1% | 585 | $34K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,989 | $28K |
| D0330 | Panoramic radiographic image | <1% | 537 | $28K |
| 91320 | <1% | 267 | $27K | |
| D2332 | <1% | 262 | $26K | |
| 90756 | <1% | 957 | $20K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,278 | $17K |
| 97802 | <1% | 135 | $17K | |
| D5110 | <1% | 27 | $17K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 233 | $13K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 95 | $12K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 596 | $12K |
| D0272 | Bitewings - two radiographic images | <1% | 336 | $10K |
| D9110 | <1% | 292 | $9K | |
| 90480 | <1% | 256 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,077 | $7K |
| D7250 | <1% | 51 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 659 | $7K |
| 90686 | <1% | 615 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 67 | $6K |
| 99177 | <1% | 906 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,891 | $4K |
| 90674 | <1% | 175 | $4K | |
| 0012A | <1% | 81 | $4K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 41 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 47 | $3K |
| 99050 | <1% | 58 | $3K | |
| D0180 | <1% | 109 | $2K | |
| 0011A | <1% | 146 | $2K | |
| D1351 | Sealant - per tooth | <1% | 54 | $2K |
| 0124A | <1% | 102 | $2K | |
| 87634 | <1% | 33 | $2K | |
| 99188 | <1% | 75 | $2K | |
| D2335 | <1% | 15 | $2K | |
| 0054A | <1% | 46 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,423 | $2K |
| 92551 | <1% | 187 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 67 | $2K |
| 90656 | <1% | 92 | $1K | |
| 0001A | <1% | 47 | $1K | |
| 90694 | <1% | 57 | $1K | |
| 0071A | <1% | 32 | $1K | |
| 83655 | <1% | 91 | $939.84 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 92 | $905.78 |
| 90661 | <1% | 66 | $810.70 | |
| 0002A | <1% | 16 | $733.93 | |
| 0013A | <1% | 16 | $728.05 | |
| 0134A | <1% | 51 | $705.95 | |
| 92587 | <1% | 40 | $686.10 | |
| 85018 | <1% | 291 | $681.22 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 76 | $568.46 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 49 | $567.60 |
| 0082A | <1% | 12 | $550.44 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 69 | $518.84 |
| 0031A | <1% | 14 | $504.57 | |
| G0466 | Community health center visit, new patient | <1% | 13 | $487.63 |
| 99051 | <1% | 61 | $463.68 | |
| 0064A | <1% | 27 | $391.02 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 314 | $362.57 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 18 | $355.59 |
| 99406 | <1% | 80 | $335.21 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 58 | $279.00 |
| 87807 | <1% | 13 | $118.10 | |
| 94760 | <1% | 119 | $65.31 | |
| 96161 | <1% | 30 | $62.06 | |
| 81003 | <1% | 43 | $57.12 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 132 | $11.53 |
| 98966 | <1% | 14 | $9.80 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 14 | $1.60 |
| 36416 | 0% | 863 | $0.00 | |
| 99000 | 0% | 1,878 | $0.00 | |
| 91301 | 0% | 429 | $0.00 | |
| D1330 | 0% | 839 | $0.00 | |
| 91307 | 0% | 181 | $0.00 | |
| 91303 | 0% | 56 | $0.00 | |
| D1310 | 0% | 73 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 117 | $0.00 |
| 91305 | 0% | 57 | $0.00 | |
| 90697 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 90680 | 0% | 13 | $0.00 | |
| 91306 | 0% | 19 | $0.00 | |
| 99072 | 0% | 18,067 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 41 | $0.00 |
| 91300 | 0% | 308 | $0.00 | |
| 99173 | 0% | 33 | $0.00 | |
| 91312 | 0% | 320 | $0.00 | |
| 91313 | 0% | 71 | $0.00 | |
| 91308 | 0% | 60 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 94150 | 0% | 43 | $0.00 | |
| 90670 | 0% | 26 | $0.00 | |
| 90658 | 0% | 15 | $0.00 | |
| 11135 | 0% | 28 | $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 officialPALACIOS, HARRY (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Community Health Programs, INC | Adams, MA | $154K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.