Clinic
Community Health Connections, INC.
Community Health Connections, INC. was paid $1.56M by Medicaid between Nov 2019 and Dec 2024, across 76 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CONNECTIONS, INC.
LEOMINSTER, MA 01453
LEOMINSTER, MA 01453
33aNPI1205566106assigned 06/14/2022
33bProvider typeCommunity Health Clinic/Center
28Total paid$1.56M
24GClaims45,464
24DCodes billed76
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#22 of 36
Median peer was paid$3.62M
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 16 | $1K | |
| 2020 | 196 | $17K | |
| 2021 | 106 | $10K | |
| 2022 | 5,187 | $418K | |
| 2023 | 20,028 | $714K | |
| 2024incomplete | 19,931 | $400K |
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 | 75% | 13,535 | 11,781 | $1.17M |
| 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 | 5.0% | 2,119 | 1,719 | $77K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 2.8% | 1,181 | 807 | $44K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.4% | 768 | 744 | $38K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 1,357 | 975 | $28K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 140 | 140 | $19K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,338 | 1,195 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,298 | 1,172 | $17K |
| 90677 | <1% | 112 | 96 | $11K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 388 | 345 | $11K |
| 90686 | <1% | 1,040 | 1,030 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 254 | 249 | $9K |
64 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 128 | $9K |
| 96127 | <1% | 897 | $8K | |
| 99050 | <1% | 411 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 141 | $7K |
| 92015 | Determination of refractive state | <1% | 619 | $7K |
| 90715 | <1% | 458 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 997 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 149 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 120 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 602 | $6K |
| 81025 | <1% | 770 | $6K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 86 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 372 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 535 | $4K |
| 99173 | <1% | 555 | $3K | |
| 81002 | <1% | 1,141 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 141 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,147 | $3K |
| 99188 | <1% | 82 | $2K | |
| 92551 | <1% | 219 | $2K | |
| 90750 | <1% | 18 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 127 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 146 | $2K |
| 99384 | <1% | 20 | $1K | |
| 97802 | <1% | 12 | $1K | |
| 87807 | <1% | 72 | $739.20 | |
| 99383 | <1% | 16 | $666.00 | |
| 99401 | <1% | 78 | $339.92 | |
| 81003 | <1% | 174 | $324.72 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 232 | $185.43 |
| 85018 | <1% | 72 | $150.48 | |
| 99408 | <1% | 59 | $139.74 | |
| 83655 | <1% | 12 | $117.48 | |
| D9450 | <1% | 87 | $110.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 924 | $80.20 |
| 82962 | <1% | 534 | $29.95 | |
| 85014 | <1% | 13 | $27.17 | |
| 96160 | <1% | 162 | $14.98 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 62 | $0.00 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 320 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 671 | $0.00 |
| 36416 | 0% | 348 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 455 | $0.00 |
| 94760 | 0% | 799 | $0.00 | |
| 1000F | 0% | 921 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 452 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 395 | $0.00 |
| 99000 | 0% | 762 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 12 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 83 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 390 | $0.00 |
| 90651 | 0% | 29 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 13 | $0.00 |
| 90716 | 0% | 12 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,356 | $0.00 |
| 90461 | 0% | 429 | $0.00 | |
| V2020 | Frames, purchases | 0% | 483 | $0.00 |
| 99051 | 0% | 384 | $0.00 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 0% | 18 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 14 | $0.00 |
| 90734 | 0% | 30 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 119 | $0.00 |
| 90633 | 0% | 31 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 18 | $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 officialDEMALIA, JOHN (PRESIDENT AND CEO)
Parent organizationCOMMUNITY HEALTH CONNECTIONS, INC.
| Provider | Location | Paid |
|---|---|---|
| Community Health Connections, INC. | Fitchburg, MA | $31.73M |
| Community Health Connections, INC. | Gardner, MA | $9.05M |
| Community Health Connections, INC. | Leominster, MA | $8.90M |
| Community Health Connections, INC. | Fitchburg, MA | $3.56M |
| Community Health Connections, INC. | Gardner, MA | $1.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.