Clinic
South Cove Community Health Center
South Cove Community Health Center was paid $2.45M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is G0467, community health center visit, returning patient — 80% of everything it billed.
33Billing provider infoSOUTH COVE COMMUNITY HEALTH CENTER
BOSTON, MA 02111
BOSTON, MA 02111
33aNPI1033320072assigned 05/24/2007
28Total paid$2.45M
24GClaims128,643
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Massachusetts
Rank by total paid#33 of 72
Median peer was paid$1.85M
This provider vs. median1.3×
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 | 1,058 | $36K | |
| 2019 | 13,921 | $302K | |
| 2020 | 15,084 | $253K | |
| 2021 | 19,166 | $330K | |
| 2022 | 22,279 | $441K | |
| 2023 | 28,778 | $552K | |
| 2024incomplete | 28,357 | $538K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 80% | 54,685 | 41,385 | $1.97M |
| 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 | 15% | 7,625 | 7,623 | $361K |
| D1110 | Prophylaxis - adult | 1.3% | 688 | 678 | $32K |
| 90677 | 1.0% | 320 | 320 | $25K | |
| G0008 | Administration of influenza virus vaccine | <1% | 3,827 | 3,821 | $17K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 660 | 650 | $13K |
| 90674 | <1% | 1,951 | 1,946 | $11K | |
| 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% | 14,815 | 13,063 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 125 | 120 | $4K |
| 90653 | <1% | 242 | 242 | $3K | |
| G0009 | Administration of pneumococcal vaccine | <1% | 349 | 349 | $3K |
| 90694 | <1% | 234 | 234 | $2K |
13 more codes
| 90688 | <1% | 516 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 173 | $2K |
| 90661 | <1% | 231 | $1K | |
| 90756 | <1% | 201 | $890.85 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 61 | $840.00 |
| 90732 | <1% | 25 | $800.82 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $765.00 |
| 90686 | <1% | 160 | $534.81 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 759 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 5,872 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 34,351 | $0.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 679 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 81 | $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 officialWELCH, EUGENE (EXECUTIVE DIRECTOR)
Parent organizationSOUTH COVE COMMUNITY HEALTH CENTER
| Provider | Location | Paid |
|---|---|---|
| South Cove Community Health Center, INC. | Boston, MA | $20.59M |
| South Cove Community Health Center, INC. | Quincy, MA | $314K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.