Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY HEALTH CENTERS OF BURLINGTON INC

NPI: 1083832851 · BURLINGTON, VT 05401 · Federally Qualified Health Center (FQHC) · NPI assigned 04/24/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SIMMONS, DAVID controls 20+ related entities in our dataset. Read more

$39.68M
Total Medicaid Paid
509,498
Total Claims
424,734
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMONS, DAVID (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date04/24/2007

Related Entities

Other providers sharing the same authorized official: SIMMONS, DAVID

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 60,146 $5.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 222,690 181,856 $38.65M
G0467 Federally 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 33,067 25,874 $510K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 97,238 85,080 $349K
36415 Collection of venous blood by venipuncture 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 4,132 2,192 $47K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 95,631 82,852 $27K
99350 Prolong home eval add 15m 1,271 1,094 $8K
90834 Psychotherapy, 45 minutes with patient 5,024 2,486 $6K
99349 185 149 $3K
99215 Prolong outpt/office vis 1,171 954 $887.43
90832 Psychotherapy, 30 minutes with patient 1,285 1,015 $355.60
90792 Psychiatric diagnostic evaluation with medical services 1,256 1,100 $185.18
36416 1,422 1,273 $143.49
90837 Psychotherapy, 53 minutes with patient 3,019 1,180 $25.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,542 1,356 $0.00
90472 Immunization administration, each additional vaccine (list separately) 225 186 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 6,575 5,490 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 820 796 $0.00
91312 15 15 $0.00
0054A 33 32 $0.00
0124A 97 97 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 140 130 $0.00
99307 268 246 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 59 53 $0.00
90791 Psychiatric diagnostic evaluation 239 210 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $0.00
0003A 23 23 $0.00
99348 19 16 $0.00
90461 58 57 $0.00
91322 12 12 $0.00
90648 13 13 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 12 12 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 28 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,828 4,496 $0.00
94760 514 379 $0.00
97802 1,060 882 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 539 441 $0.00
99308 Subsequent nursing facility care, per day, straightforward 650 527 $0.00
99406 43 28 $0.00
90480 373 361 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 72 65 $0.00
G0008 Administration of influenza virus vaccine 190 189 $0.00
96156 79 73 $0.00
90686 27 27 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 101 61 $0.00
99205 Prolong outpt/office vis 19 17 $0.00
90688 12 12 $0.00
96150 16 12 $0.00