Physician
Community Health Systems, INC.
Community Health Systems, INC. was paid $17.18M by Medicaid between Jan 2018 and Dec 2024, across 103 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH SYSTEMS, INC.
RIVERSIDE, CA 92507
RIVERSIDE, CA 92507
33aNPI1205102068assigned 03/27/2012
33bProvider typeFamily Medicine Physician
28Total paid$17.18M
24GClaims218,303
24DCodes billed103
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#28 of 2,511
Median peer was paid$13K
This provider vs. median1,337×
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 | 23,540 | $3.22M | |
| 2019 | 17,504 | $2.07M | |
| 2020 | 31,310 | $1.90M | |
| 2021 | 42,326 | $2.35M | |
| 2022 | 35,443 | $2.36M | |
| 2023 | 36,549 | $2.81M | |
| 2024incomplete | 31,631 | $2.45M |
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 | 73% | 76,747 | 56,086 | $12.60M |
| 00003 | Internal/system code - not a standard HCPCS code | 25% | 20,178 | 13,210 | $4.31M |
| 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% | 26,286 | 18,947 | $100K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,715 | 7,642 | $36K |
| 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% | 9,782 | 7,736 | $36K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 855 | 830 | $33K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,936 | 2,648 | $26K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 576 | 563 | $10K |
| 0012A | <1% | 130 | 125 | $5K | |
| 0011A | <1% | 163 | 127 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 348 | 304 | $5K |
| 0001A | <1% | 92 | 91 | $3K |
91 more codes
| 0002A | <1% | 83 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 62 | $3K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 3,079 | $761.64 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $675.90 |
| 0054A | <1% | 13 | $480.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 87 | $475.31 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 191 | $339.78 |
| 0031A | <1% | 27 | $280.00 | |
| 92551 | <1% | 2,785 | $240.60 | |
| 99000 | <1% | 3,261 | $179.68 | |
| 81025 | <1% | 246 | $155.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 165 | $84.02 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 17 | $30.86 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 17 | $30.76 |
| 81002 | <1% | 503 | $27.95 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 12 | $20.06 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 448 | $16.99 |
| 86592 | <1% | 14 | $3.80 | |
| 85018 | <1% | 1,495 | $2.05 | |
| 3074F | 0% | 5,824 | $0.00 | |
| 90651 | 0% | 389 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 4,674 | $0.00 |
| 3075F | 0% | 1,807 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,910 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 765 | $0.00 |
| 96156 | 0% | 3,296 | $0.00 | |
| 99383 | 0% | 30 | $0.00 | |
| 3079F | 0% | 2,880 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 2,899 | $0.00 |
| 82746 | 0% | 12 | $0.00 | |
| 90686 | 0% | 2,082 | $0.00 | |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 0% | 64 | $0.00 |
| 3080F | 0% | 691 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 1,105 | $0.00 |
| 99384 | 0% | 42 | $0.00 | |
| 3008F | 0% | 377 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,347 | $0.00 |
| 2001F | 0% | 138 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| 90647 | 0% | 68 | $0.00 | |
| 3044F | 0% | 171 | $0.00 | |
| 88738 | 0% | 120 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 21 | $0.00 |
| 90620 | 0% | 119 | $0.00 | |
| 90656 | 0% | 179 | $0.00 | |
| 3061F | 0% | 64 | $0.00 | |
| 36416 | 0% | 165 | $0.00 | |
| 1220F | 0% | 131 | $0.00 | |
| 99385 | 0% | 41 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 84479 | 0% | 14 | $0.00 | |
| 82607 | 0% | 17 | $0.00 | |
| 91303 | 0% | 21 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 30 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 20 | $0.00 |
| 84436 | 0% | 14 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 21 | $0.00 |
| 90723 | 0% | 12 | $0.00 | |
| 98942 | 0% | 2,059 | $0.00 | |
| 3077F | 0% | 1,714 | $0.00 | |
| 90648 | 0% | 114 | $0.00 | |
| 90633 | 0% | 234 | $0.00 | |
| 3078F | 0% | 5,773 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 736 | $0.00 |
| 90461 | 0% | 1,251 | $0.00 | |
| 99173 | 0% | 2,899 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 3,549 | $0.00 |
| 96160 | 0% | 897 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 961 | $0.00 |
| 90715 | 0% | 154 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 872 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 87 | $0.00 |
| 90670 | 0% | 236 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,117 | $0.00 |
| 1159F | 0% | 110 | $0.00 | |
| 90863 | 0% | 34 | $0.00 | |
| 90734 | 0% | 293 | $0.00 | |
| 83655 | 0% | 270 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 116 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 264 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 267 | $0.00 |
| 90713 | 0% | 16 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 23 | $0.00 |
| 90700 | 0% | 31 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 166 | $0.00 |
| 90710 | 0% | 20 | $0.00 | |
| 90707 | 0% | 23 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 17 | $0.00 |
| 80061 | Lipid panel | 0% | 28 | $0.00 |
| 3046F | 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 officialHOLEMAN, LORI (CEO)
Parent organizationCOMMUNITY HEALTH SYSTEMS, INC.
| Provider | Location | Paid |
|---|---|---|
| Community Health Systems, INC. | Riverside, CA | $51.26M |
| Community Health Systems, INC. | Bloomington, CA | $9.48M |
| Moreno Valley Family Health Center | Moreno Valley, CA | $8.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.