Southern Tier Community Health Center Network, INC.

Southern Tier Community Health Center Network, INC. was paid $7.37M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoSOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.
OLEAN, NY 14760

33aNPI1184654477assigned 07/03/2006

33bProvider typeFamily Medicine Physician

28Total paid$7.37M

24GClaims135,228

24DCodes billed66

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#18 of 2,605

Median peer was paid$10K

This provider vs. median730×

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	15,958	$691K
2019	19,336	$929K
2020	18,004	$890K
2021	20,119	$1.08M
2022	21,035	$1.24M
2023	23,040	$1.44M
2024incomplete	17,736	$1.09M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	72%	91,827	50,663	$5.30M
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	13%	14,089	7,965	$946K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	4.1%	1,209	873	$305K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.2%	1,300	760	$91K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	998	583	$69K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	923	574	$66K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	3,412	3,388	$62K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	756	421	$54K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	695	443	$53K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	503	406	$49K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	401	400	$48K
D1110	Prophylaxis - adult	<1%	662	606	$33K

54 more codes

D0150	Comprehensive oral evaluation - new or established patient	<1%	829	$28K
96127		<1%	4,285	$28K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	485	$26K
90686		<1%	1,986	$24K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	2,092	$21K
D0120	Dental checkup, returning patient	<1%	541	$20K
99493		<1%	243	$19K
90832	Psychotherapy session, about 30 minutes	<1%	349	$16K
76830	Ultrasound, transvaginal	<1%	184	$15K
90834	Psychotherapy session, about 45 minutes	<1%	235	$14K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	160	$12K
99442		<1%	191	$9K
G0467	Community health center visit, returning patient	<1%	407	$6K
99441		<1%	123	$5K
D0330	Panoramic radiographic image	<1%	165	$5K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	54	$4K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	81	$4K
D0140	Limited oral evaluation - problem focused	<1%	118	$4K
36415	Collection of venous blood by venipuncture	<1%	1,882	$3K
D0274	Bitewings - four radiographic images	<1%	105	$2K
90472	Immunization administration, each additional vaccine (list separately)	<1%	141	$2K
90791	Psychiatric diagnostic evaluation	<1%	26	$2K
D1120	Dental cleaning, child	<1%	48	$2K
0012A		<1%	71	$2K
D7140	Extraction, erupted tooth or exposed root	<1%	29	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	142	$2K
90837	Psychotherapy session, about an hour	<1%	28	$1K
D0220	Intraoral - periapical first radiographic image	<1%	140	$1K
99204	Doctor's office visit, new patient (more involved)	<1%	13	$1K
0011A		<1%	73	$1K
90715		<1%	50	$1K
81002		<1%	1,390	$1K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	16	$1K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	14	$1K
D0210	Intraoral - complete series of radiographic images	<1%	17	$810.56
99024		<1%	13	$754.27
99406		<1%	54	$598.25
81025		<1%	147	$314.46
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	42	$149.55
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	18	$147.84
86580		<1%	13	$18.50
90671		0%	30	$0.00
90734		0%	27	$0.00
99080		0%	199	$0.00
90633		0%	579	$0.00
90648		0%	12	$0.00
90670		0%	221	$0.00
90710		0%	12	$0.00
91301		0%	139	$0.00
90698		0%	114	$0.00
D0603		0%	23	$0.00
90680		0%	29	$0.00
D1330		0%	39	$0.00
90744		0%	29	$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 officialLAWTON, BRETT (CEO)