Clinic
Hamilton Health Center, INC.
Hamilton Health Center, INC. was paid $37.44M by Medicaid between Jan 2018 and Dec 2024, across 113 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoHAMILTON HEALTH CENTER, INC.
HARRISBURG, PA 17104
HARRISBURG, PA 17104
33aNPI1053658864assigned 01/14/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$37.44M
24GClaims450,843
24DCodes billed113
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#5 of 240
Median peer was paid$909K
This provider vs. median41×
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 | 17,121 | $1.65M | |
| 2019 | 9,637 | $1.10M | |
| 2020 | 42,015 | $3.28M | |
| 2021 | 104,609 | $8.53M | |
| 2022 | 93,739 | $7.99M | |
| 2023 | 94,976 | $7.53M | |
| 2024incomplete | 88,746 | $7.35M |
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 | 95% | 202,980 | 177,684 | $35.56M |
| G9012 | Other specified case management service not elsewhere classified | 4.8% | 7,984 | 6,689 | $1.81M |
| 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% | 57,467 | 52,308 | $24K |
| 3078F | <1% | 3,858 | 3,596 | $5K | |
| 3079F | <1% | 2,329 | 2,245 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16,935 | 15,055 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,999 | 4,855 | $4K |
| 3074F | <1% | 3,033 | 2,869 | $4K | |
| 3077F | <1% | 2,007 | 1,900 | $4K | |
| 3075F | <1% | 1,420 | 1,371 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,185 | 6,043 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,390 | 2,229 | $2K |
101 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,102 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 17,590 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 811 | $1K |
| 96160 | <1% | 575 | $840.18 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,866 | $823.48 |
| 92551 | <1% | 5,597 | $810.36 | |
| 3080F | <1% | 511 | $666.17 | |
| D1120 | Dental cleaning, child | <1% | 1,495 | $570.00 |
| 11721 | <1% | 1,000 | $560.00 | |
| 99173 | <1% | 5,139 | $527.18 | |
| D0120 | Dental checkup, returning patient | <1% | 898 | $460.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 877 | $411.39 |
| D0140 | Limited oral evaluation - problem focused | <1% | 927 | $400.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,214 | $398.06 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,076 | $360.00 |
| D1206 | Topical application of fluoride varnish | <1% | 1,954 | $360.00 |
| T1001 | Nursing assessment / evaluation | <1% | 326 | $350.00 |
| 92250 | <1% | 850 | $272.95 | |
| 82465 | <1% | 355 | $253.86 | |
| 3044F | <1% | 148 | $250.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 910 | $224.00 |
| 81002 | <1% | 3,723 | $209.06 | |
| 85018 | <1% | 1,978 | $200.82 | |
| 99429 | <1% | 320 | $200.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 299 | $200.00 |
| 90686 | <1% | 8,999 | $142.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 323 | $135.62 |
| 96127 | <1% | 2,043 | $124.79 | |
| D1110 | Prophylaxis - adult | <1% | 481 | $108.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,576 | $81.02 |
| 90723 | <1% | 3,074 | $80.00 | |
| 90647 | <1% | 3,121 | $70.00 | |
| 92015 | Determination of refractive state | <1% | 3,807 | $63.00 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 80 | $42.82 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,706 | $42.00 |
| 90633 | <1% | 2,900 | $42.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 509 | $32.30 |
| 90696 | <1% | 993 | $30.00 | |
| 90710 | <1% | 1,407 | $30.00 | |
| 90715 | <1% | 2,586 | $30.00 | |
| 90674 | <1% | 251 | $27.11 | |
| 96156 | <1% | 15 | $25.20 | |
| 90716 | <1% | 769 | $22.00 | |
| 90732 | <1% | 254 | $20.00 | |
| 3046F | <1% | 13 | $20.00 | |
| 90672 | <1% | 614 | $20.00 | |
| 90734 | <1% | 1,079 | $20.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,062 | $18.06 |
| 81025 | <1% | 704 | $12.00 | |
| 90651 | <1% | 2,303 | $10.00 | |
| 90700 | <1% | 745 | $10.00 | |
| 90707 | <1% | 702 | $10.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $6.30 |
| D1310 | <1% | 1,135 | $5.00 | |
| 36416 | 0% | 6,417 | $0.00 | |
| 82962 | 0% | 1,536 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 547 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 171 | $0.00 |
| 90680 | 0% | 2,395 | $0.00 | |
| 90620 | 0% | 905 | $0.00 | |
| 4000F | 0% | 535 | $0.00 | |
| 96161 | 0% | 1,792 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 288 | $0.00 |
| D1330 | 0% | 1,922 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,717 | $0.00 |
| 90619 | 0% | 751 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 73 | $0.00 |
| D0601 | 0% | 88 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 171 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 17 | $0.00 |
| 90677 | 0% | 982 | $0.00 | |
| 90660 | 0% | 169 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 166 | $0.00 |
| 99381 | 0% | 12 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 44 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 29 | $0.00 |
| 90656 | 0% | 848 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 58 | $0.00 |
| D0603 | 0% | 14 | $0.00 | |
| D0602 | 0% | 22 | $0.00 | |
| 90744 | 0% | 12 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 14 | $0.00 |
| 99051 | 0% | 1,312 | $0.00 | |
| 90670 | 0% | 3,654 | $0.00 | |
| 83655 | 0% | 359 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 875 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 225 | $0.00 |
| 81003 | 0% | 329 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 548 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 951 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 13 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 38 | $0.00 |
| 92133 | 0% | 13 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 117 | $0.00 |
| 90461 | 0% | 154 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 48 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 28 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 27 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 12 | $0.00 |
| 80061 | Lipid panel | 0% | 13 | $0.00 |
| 90662 | 0% | 27 | $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 officialHENSON, DANITA (SIR DIR OF OPERATIONS)
Parent organizationHAMILTON HEALTH CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| Hamilton Health Center, INC | Harrisburg, PA | $483K |
| Hamilton Health Center-Dental | Harrisburg, PA | $378K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.