Clinic
Community Health Centers of Burlington INC
Community Health Centers of Burlington INC was paid $39.68M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTERS OF BURLINGTON INC
BURLINGTON, VT 05401
BURLINGTON, VT 05401
33aNPI1083832851assigned 04/24/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$39.68M
24GClaims509,498
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Vermont
Rank by total paid#1 of 33
Median peer was paid$1.23M
This provider vs. median32×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SIMMONS, DAVID controls 20+ related entities in our dataset. Read more
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 | 84,002 | $5.84M | |
| 2019 | 79,968 | $5.70M | |
| 2020 | 67,062 | $4.98M | |
| 2021 | 73,495 | $5.83M | |
| 2022 | 74,172 | $5.59M | |
| 2023 | 70,653 | $6.00M | |
| 2024incomplete | 60,146 | $5.74M |
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 | 97% | 222,690 | 181,856 | $38.65M |
| 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 | 1.3% | 33,067 | 25,874 | $510K |
| 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% | 97,238 | 85,080 | $349K |
| 36415 | Collection of venous blood by venipuncture | <1% | 23,391 | 21,275 | $79K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 4,132 | 2,192 | $47K |
| 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% | 95,631 | 82,852 | $27K |
| 99350 | Prolong home eval add 15m | <1% | 1,271 | 1,094 | $8K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 5,024 | 2,486 | $6K |
| 99349 | <1% | 185 | 149 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,171 | 954 | $887.43 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,285 | 1,015 | $355.60 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,256 | 1,100 | $185.18 |
36 more codes
| 36416 | <1% | 1,422 | $143.49 | |
| 90837 | Psychotherapy session, about an hour | <1% | 3,019 | $25.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,542 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 225 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 6,575 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 820 | $0.00 |
| 91312 | 0% | 15 | $0.00 | |
| 0054A | 0% | 33 | $0.00 | |
| 0124A | 0% | 97 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 140 | $0.00 |
| 99307 | 0% | 268 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 59 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 239 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 0003A | 0% | 23 | $0.00 | |
| 99348 | 0% | 19 | $0.00 | |
| 90461 | 0% | 58 | $0.00 | |
| 91322 | 0% | 12 | $0.00 | |
| 90648 | 0% | 13 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 12 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 31 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 4,828 | $0.00 |
| 94760 | 0% | 514 | $0.00 | |
| 97802 | 0% | 1,060 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 539 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 650 | $0.00 |
| 99406 | 0% | 43 | $0.00 | |
| 90480 | 0% | 373 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 72 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 190 | $0.00 |
| 96156 | 0% | 79 | $0.00 | |
| 90686 | 0% | 27 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 101 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 19 | $0.00 |
| 90688 | 0% | 12 | $0.00 | |
| 96150 | 0% | 16 | $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 officialSIMMONS, DAVID (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Wal-Mart Stores East, L.P | Lewisburg, PA | $1.28M |
| Wal-Mart Stores East, LP | Warren, OH | $952K |
| Wal-Mart Stores East, LP | Lancaster, OH | $446K |
| Wal-Mart Stores East, L.P. | Franklin, OH | $301K |
| Wal-Mart Stores East, LP | Arbutus, MD | $287K |
| Wal-Mart Stores East, LP | Duncansville, PA | $227K |
| Wal-Mart Stores East, LP | Glen Burnie, MD | $214K |
| Wal-Mart Stores East, L.P. | Milford, OH | $169K |
| Wal-Mart Stores East, LP | Uniontown, PA | $162K |
| Wal-Mart Stores Texas, LP | Garland, TX | $159K |
| Wal-Mart Stores East, LP | Streetsboro, OH | $135K |
| Wal-Mart Stores East, LP | Dearborn, MI | $106K |
| Wal-Mart Stores East, L.P. | Warren, PA | $78K |
| Wal-Mart Stores East, L.P. | Tamaqua, PA | $58K |
| Wal-Mart Stores East, L.P. | Elizabethville, PA | $39K |
| Wal-Mart Stores INC. | Freeport, IL | $31K |
| Wal-Mart Stores East, LP | Monona, WI | $20K |
| Wal-Mart Stores, INC | Crystal Lake, IL | $20K |
| Wal-Mart Stores East, LP | Bernalillo, NM | $16K |
| Wal-Mart Stores East, L.P. | Maryville, TN | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.