Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › BROCKTON › BROCKTON NEIGHBORHOOD HEALTH CENTER

BROCKTON NEIGHBORHOOD HEALTH CENTER

NPI: 1225085319 · BROCKTON, MA 02301 · Federally Qualified Health Center (FQHC) · NPI assigned 05/27/2006

$91.34M
Total Medicaid Paid
1,672,811
Total Claims
1,313,112
Beneficiaries
271
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBENSON, MELVIN (CFO)
NPI Enumeration Date05/27/2006

Related Entities

Other providers sharing the same authorized official: BENSON, MELVIN

ProviderCityStateTotal Paid
BROCKTON NEIGHBORHOOD HEALTH CENTER BROCKTON MA $7.52M
BROCKTON NEIGHBORHOOD HEALTH CENTER BROCKTON MA $1.32M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 271,300 $13.43M
2019 270,263 $14.40M
2020 181,547 $11.99M
2021 236,485 $14.37M
2022 250,307 $20.43M
2023 252,159 $10.01M
2024 210,750 $6.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 378,687 283,974 $56.58M
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 1,901 1,900 $4.02M
D9450 116,640 62,176 $2.70M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17,573 16,509 $2.43M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,485 12,463 $1.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,160 42,955 $1.46M
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 39,504 29,640 $1.28M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,963 8,946 $1.27M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 7,324 7,232 $1.15M
T1040 Medicaid certified community behavioral health clinic services, per diem 7,737 5,165 $1.01M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,691 6,672 $972K
59510 374 373 $880K
90460 Immunization administration through 18 years of age via any route, first or only component 41,258 37,293 $568K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11,908 11,880 $538K
96110 Developmental screening, with scoring and documentation, per standardized instrument 48,285 41,645 $464K
90739 3,259 3,238 $440K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,490 12,353 $399K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 988 982 $391K
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 9,037 5,533 $385K
D0140 Limited oral evaluation - problem focused 17,947 9,699 $383K
D9110 16,431 8,450 $380K
99050 7,709 7,457 $358K
D7140 Extraction, erupted tooth or exposed root 8,244 2,791 $327K
D0220 Intraoral - periapical first radiographic image 36,125 19,611 $309K
0001A 6,766 6,726 $273K
81025 39,767 36,562 $270K
0002A 6,081 6,061 $257K
90834 Psychotherapy, 45 minutes with patient 7,453 5,107 $253K
D1110 Prophylaxis - adult 15,804 10,524 $252K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 8,370 7,835 $246K
59025 Fetal non-stress test 12,850 4,223 $244K
99173 15,703 15,450 $243K
90715 10,546 10,511 $238K
90651 6,525 6,491 $237K
92340 Fitting of spectacles, except for aphakia; monofocal 8,745 8,340 $230K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 269 268 $228K
90461 20,747 20,351 $228K
90677 3,170 3,164 $226K
D2391 Resin-based composite - one surface, posterior, primary or permanent 14,568 6,643 $223K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 36,140 35,192 $215K
90746 3,216 3,182 $206K
D0210 Intraoral - complete series of radiographic images 11,759 8,068 $203K
D0230 Intraoral - periapical each additional radiographic image 29,358 10,290 $202K
D5212 1,625 915 $174K
99460 2,619 2,562 $165K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,131 7,217 $163K
90750 1,242 1,237 $162K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 8,370 4,922 $160K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3,601 3,306 $158K
90686 24,256 24,200 $157K
99462 4,679 2,697 $157K
92015 Determination of refractive state 13,959 13,931 $157K
D5211 1,592 867 $150K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,946 1,920 $146K
90670 10,732 10,703 $145K
90832 Psychotherapy, 30 minutes with patient 7,360 5,491 $144K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,209 1,185 $139K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,342 2,712 $138K
92341 4,089 4,079 $137K
D0120 Periodic oral evaluation - established patient 17,214 12,406 $133K
82947 42,394 35,859 $118K
83036 Hemoglobin; glycosylated (A1C) 17,214 16,811 $116K
D0274 Bitewings - four radiographic images 9,308 6,993 $112K
D0150 Comprehensive oral evaluation - new or established patient 10,444 6,921 $109K
97802 2,325 2,312 $106K
D2740 Crown - porcelain/ceramic 971 469 $102K
92551 10,857 10,808 $101K
D4341 5,136 1,872 $95K
81002 36,183 28,961 $93K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,322 1,320 $89K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,328 3,279 $88K
0012A 2,281 2,275 $85K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,583 1,556 $80K
59514 75 75 $74K
80306 6,131 3,568 $70K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,458 5,389 $69K
0011A 2,388 2,379 $67K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,349 3,349 $66K
D1206 Topical application of fluoride varnish 3,293 2,525 $65K
J0561 Injection, penicillin g benzathine, 100,000 units 220 162 $64K
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,668 3,625 $64K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,838 1,820 $63K
D1120 Prophylaxis - child 1,437 1,260 $63K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 763 358 $63K
D2331 2,880 1,656 $58K
D0330 Panoramic radiographic image 1,564 868 $57K
99385 341 339 $56K
D2330 3,150 1,462 $56K
11981 491 488 $54K
80305 6,505 4,292 $53K
90662 1,594 1,585 $52K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 2,660 1,712 $51K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 7,986 7,348 $50K
99188 1,792 1,790 $47K
90472 Immunization administration, each additional vaccine (list separately) 7,518 7,276 $46K
D2150 Silver amalgam - two surfaces, primary or permanent 2,348 1,442 $45K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,503 927 $42K
90707 2,182 2,169 $42K
99383 461 461 $41K
96127 5,673 5,455 $37K
90688 3,493 3,445 $37K
D0180 3,427 2,408 $35K
81003 16,005 12,726 $31K
99222 Initial hospital care, per day, moderate complexity 324 321 $31K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,853 1,655 $30K
99238 Hospital discharge day management, 30 minutes or less 579 570 $30K
99382 322 322 $29K
90716 1,936 1,922 $29K
D2954 1,049 585 $28K
99384 342 342 $28K
93000 1,859 1,839 $28K
D2335 969 520 $27K
0071A 587 585 $27K
90474 4,854 4,840 $26K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 822 812 $25K
0053A 569 569 $25K
0124A 567 564 $25K
D2332 943 557 $25K
36416 41,221 33,041 $24K
0064A 652 651 $24K
D2140 1,708 904 $24K
D0145 Oral evaluation for a patient under three years of age 1,473 859 $23K
91320 178 177 $22K
90480 508 507 $22K
90658 2,031 2,028 $22K
85610 6,694 3,231 $22K
0051A 402 401 $18K
0052A 393 391 $18K
99397 338 336 $18K
0031A 371 371 $17K
0072A 365 364 $17K
90756 648 648 $16K
97803 552 544 $15K
92133 889 514 $14K
D2751 Crown - porcelain fused to predominantly base metal 115 75 $11K
0134A 261 261 $11K
58300 175 170 $10K
D7230 163 114 $10K
D3310 339 154 $9K
86580 1,466 1,441 $9K
0004A 233 233 $9K
90732 98 97 $9K
90837 Psychotherapy, 53 minutes with patient 162 109 $8K
11982 62 62 $8K
0111A 165 164 $8K
99381 39 39 $7K
D4342 608 248 $7K
97804 230 196 $7K
83014 963 954 $7K
D2160 425 275 $7K
91322 59 59 $7K
90632 142 141 $7K
D1351 Sealant - per tooth 181 54 $6K
90620 2,120 2,113 $6K
D3320 57 42 $6K
D5110 40 14 $6K
90887 96 87 $5K
0003A 106 105 $5K
0013A 125 125 $5K
90847 Family psychotherapy with the patient present, 50 minutes 47 45 $4K
90791 Psychiatric diagnostic evaluation 124 121 $4K
D0272 Bitewings - two radiographic images 178 153 $4K
0164A 67 67 $3K
98966 295 284 $3K
0154A 64 64 $3K
87634 81 81 $3K
90734 2,539 2,535 $3K
0112A 61 61 $3K
92002 51 51 $3K
D2394 49 37 $2K
98967 109 100 $2K
99215 Prolong outpt/office vis 31 30 $2K
90473 105 105 $2K
99402 26 24 $1K
0081A 30 30 $1K
36415 Collection of venous blood by venipuncture 3,535 3,427 $1K
D7311 26 15 $1K
0173A 28 28 $1K
57454 29 29 $1K
D4346 61 52 $1K
90656 36 33 $993.97
90713 1,582 1,577 $928.62
87807 76 75 $856.49
99221 12 12 $852.00
99000 8,954 8,362 $812.57
58301 13 13 $707.91
91301 3,137 3,037 $665.19
G0008 Administration of influenza virus vaccine 987 978 $416.97
91300 8,293 7,430 $400.00
99442 18 18 $353.77
99051 1,076 1,031 $342.72
D0270 195 67 $302.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,887 1,860 $299.18
90785 891 746 $292.54
99401 12 12 $291.36
99441 25 14 $272.25
92083 22 12 $230.08
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,048 966 $209.40
90710 5,624 5,616 $138.48
87210 25 25 $110.00
D1330 1,817 1,044 $56.00
90619 1,654 1,649 $30.00
90674 499 498 $29.23
J1885 Injection, ketorolac tromethamine, per 15 mg 1,415 1,351 $17.20
J1815 Injection, insulin, per 5 units 126 105 $7.90
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 930 832 $1.56
J3535 Drug administered through a metered dose inhaler 23 22 $0.10
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 48 47 $0.01
91305 1,519 1,482 $0.01
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 419 417 $0.00
90633 8,564 8,554 $0.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 505 503 $0.00
90681 5,976 5,961 $0.00
99177 2,871 2,844 $0.00
0502F 2,974 2,094 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 728 727 $0.00
90648 3,169 3,159 $0.00
90651X 36 36 $0.00
91313 210 210 $0.00
90685 1,082 1,079 $0.00
90700 932 932 $0.00
99072 154 139 $0.00
91311 261 256 $0.00
91312 512 511 $0.00
D5411 22 12 $0.00
X5410 78 52 $0.00
D5610 71 25 $0.00
J2315 Injection, naltrexone, depot form, 1 mg 12 12 $0.00
90655 51 51 $0.00
A4550 Surgical trays 28 28 $0.00
D2940 44 12 $0.00
91308 90 90 $0.00
96160 28 28 $0.00
2700B 21 16 $0.00
2700A 15 15 $0.00
90698 4,039 4,037 $0.00
90744 3,166 3,160 $0.00
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 573 570 $0.00
92558 2,791 2,765 $0.00
90697 4,650 4,635 $0.00
90696 2,164 2,161 $0.00
D0603 269 256 $0.00
91306 492 492 $0.00
5000E 338 177 $0.00
5000B 287 178 $0.00
91303 297 297 $0.00
91307 983 965 $0.00
0503F 307 300 $0.00
D0601 70 55 $0.00
G0009 Administration of pneumococcal vaccine 57 57 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 497 495 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 149 139 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 203 198 $0.00
5000F 275 154 $0.00
90723 2,377 2,370 $0.00
5000D 199 118 $0.00
90792 Psychiatric diagnostic evaluation with medical services 28 28 $0.00
D0171 51 12 $0.00
D9999 Unspecified adjunctive procedure, by report 866 387 $0.00
D4355 176 64 $0.00
0501F 47 47 $0.00
D1310 164 141 $0.00
99459 67 67 $0.00
96112 16 12 $0.00
91317 29 29 $0.00
96380 147 145 $0.00
J0456 Injection, azithromycin, 500 mg 37 36 $0.00
91316 44 44 $0.00
90381 82 82 $0.00
91315 35 35 $0.00
0500F 16 16 $0.00