Clinic
Community Health Systems, INC.
Community Health Systems, INC. was paid $5.88M by Medicaid between Mar 2018 and Jan 2023, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH SYSTEMS, INC.
BLOOMINGTON, CA 92316
BLOOMINGTON, CA 92316
33aNPI1093226243assigned 10/16/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.88M
24GClaims72,769
24DCodes billed43
24AFirst – last monthMar 2018 – Jan 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#373 of 826
Median peer was paid$4.05M
This provider vs. median1.5×
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 | 10,254 | $1.37M | |
| 2019 | 6,664 | $762K | |
| 2020 | 13,208 | $973K | |
| 2021 | 18,393 | $1.29M | |
| 2022 | 24,230 | $1.48M | |
| 2023 | 20 | $0.00 |
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 | 99% | 40,018 | 27,747 | $5.83M |
| 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% | 11,549 | 9,074 | $30K |
| 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% | 4,380 | 3,652 | $3K |
| 0011A | <1% | 80 | 77 | $3K | |
| 0012A | <1% | 53 | 53 | $2K | |
| 0002A | <1% | 42 | 42 | $2K | |
| 0001A | <1% | 41 | 41 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 741 | 642 | $1K |
| 0004A | <1% | 42 | 36 | $1K | |
| 0031A | <1% | 46 | 38 | $800.00 | |
| 0124A | <1% | 12 | 12 | $440.00 | |
| 98942 | <1% | 3,781 | 1,628 | $45.98 |
31 more codes
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 649 | $12.54 |
| 98940 | <1% | 237 | $12.54 | |
| 99000 | <1% | 171 | $3.63 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 44 | $0.00 |
| 3074F | 0% | 1,951 | $0.00 | |
| 3079F | 0% | 912 | $0.00 | |
| 96156 | 0% | 55 | $0.00 | |
| 3075F | 0% | 586 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 925 | $0.00 |
| 90732 | 0% | 12 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 178 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 351 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 145 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 455 | $0.00 |
| 93000 | 0% | 26 | $0.00 | |
| 90686 | 0% | 127 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 38 | $0.00 |
| 91303 | 0% | 23 | $0.00 | |
| 82962 | 0% | 47 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| 3061F | 0% | 27 | $0.00 | |
| 1220F | 0% | 24 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 292 | $0.00 |
| 3078F | 0% | 2,023 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 2,137 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 120 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| 3077F | 0% | 336 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 30 | $0.00 |
| 81002 | 0% | 13 | $0.00 | |
| 1159F | 0% | 26 | $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 officialORTIZ, VANESSA (EXECUTIVE ASSISTANT)
| Provider | Location | Paid |
|---|---|---|
| Mckinley Counseling Center | Gallup, NM | $657K |
| Vanessa Y. Ortiz, LMFT, PLLC | West Hartford, CT | $101K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.