Clinic
Brockton Neighborhood Health Center
Brockton Neighborhood Health Center was paid $91.34M by Medicaid between Jan 2018 and Dec 2024, across 271 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
33Billing provider infoBROCKTON NEIGHBORHOOD HEALTH CENTER
BROCKTON, MA 02301
BROCKTON, MA 02301
33aNPI1225085319assigned 05/27/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$91.34M
24GClaims1,672,811
24DCodes billed271
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#2 of 56
Median peer was paid$1.51M
This provider vs. median61×
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 | 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 | |
| 2024incomplete | 210,750 | $6.71M |
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 | 62% | 378,687 | 283,974 | $56.58M |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 4.4% | 1,901 | 1,900 | $4.02M |
| D9450 | 3.0% | 116,640 | 62,176 | $2.70M | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 17,573 | 16,509 | $2.43M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 12,485 | 12,463 | $1.68M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 51,160 | 42,955 | $1.46M |
| 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 | 1.4% | 39,504 | 29,640 | $1.28M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 8,963 | 8,946 | $1.27M |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 7,324 | 7,232 | $1.15M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.1% | 7,737 | 5,165 | $1.01M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 6,691 | 6,672 | $972K |
| 59510 | <1% | 374 | 373 | $880K |
259 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 41,258 | $568K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 11,908 | $538K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 48,285 | $464K |
| 90739 | <1% | 3,259 | $440K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13,490 | $399K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 988 | $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 | <1% | 9,037 | $385K |
| D0140 | Limited oral evaluation - problem focused | <1% | 17,947 | $383K |
| D9110 | <1% | 16,431 | $380K | |
| 99050 | <1% | 7,709 | $358K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 8,244 | $327K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 36,125 | $309K |
| 0001A | <1% | 6,766 | $273K | |
| 81025 | <1% | 39,767 | $270K | |
| 0002A | <1% | 6,081 | $257K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 7,453 | $253K |
| D1110 | Prophylaxis - adult | <1% | 15,804 | $252K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 8,370 | $246K |
| 59025 | Fetal non-stress test | <1% | 12,850 | $244K |
| 99173 | <1% | 15,703 | $243K | |
| 90715 | <1% | 10,546 | $238K | |
| 90651 | <1% | 6,525 | $237K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 8,745 | $230K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 269 | $228K |
| 90461 | <1% | 20,747 | $228K | |
| 90677 | <1% | 3,170 | $226K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 14,568 | $223K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 36,140 | $215K |
| 90746 | <1% | 3,216 | $206K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 11,759 | $203K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 29,358 | $202K |
| D5212 | <1% | 1,625 | $174K | |
| 99460 | <1% | 2,619 | $165K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,131 | $163K |
| 90750 | <1% | 1,242 | $162K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 8,370 | $160K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 3,601 | $158K |
| 90686 | <1% | 24,256 | $157K | |
| 99462 | <1% | 4,679 | $157K | |
| 92015 | Determination of refractive state | <1% | 13,959 | $157K |
| D5211 | <1% | 1,592 | $150K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,946 | $146K |
| 90670 | <1% | 10,732 | $145K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 7,360 | $144K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 1,209 | $139K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,342 | $138K |
| 92341 | <1% | 4,089 | $137K | |
| D0120 | Dental checkup, returning patient | <1% | 17,214 | $133K |
| 82947 | <1% | 42,394 | $118K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 17,214 | $116K |
| D0274 | Bitewings - four radiographic images | <1% | 9,308 | $112K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 10,444 | $109K |
| 97802 | <1% | 2,325 | $106K | |
| D2740 | Crown - porcelain/ceramic | <1% | 971 | $102K |
| 92551 | <1% | 10,857 | $101K | |
| D4341 | <1% | 5,136 | $95K | |
| 81002 | <1% | 36,183 | $93K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,322 | $89K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,328 | $88K |
| 0012A | <1% | 2,281 | $85K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,583 | $80K |
| 59514 | <1% | 75 | $74K | |
| 80306 | <1% | 6,131 | $70K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,458 | $69K |
| 0011A | <1% | 2,388 | $67K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,349 | $66K |
| D1206 | Topical application of fluoride varnish | <1% | 3,293 | $65K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 220 | $64K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 3,668 | $64K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,838 | $63K |
| D1120 | Dental cleaning, child | <1% | 1,437 | $63K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 763 | $63K |
| D2331 | <1% | 2,880 | $58K | |
| D0330 | Panoramic radiographic image | <1% | 1,564 | $57K |
| 99385 | <1% | 341 | $56K | |
| D2330 | <1% | 3,150 | $56K | |
| 11981 | <1% | 491 | $54K | |
| 80305 | <1% | 6,505 | $53K | |
| 90662 | <1% | 1,594 | $52K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 2,660 | $51K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 7,986 | $50K |
| 99188 | <1% | 1,792 | $47K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,518 | $46K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 2,348 | $45K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,503 | $42K |
| 90707 | <1% | 2,182 | $42K | |
| 99383 | <1% | 461 | $41K | |
| 96127 | <1% | 5,673 | $37K | |
| 90688 | <1% | 3,493 | $37K | |
| D0180 | <1% | 3,427 | $35K | |
| 81003 | <1% | 16,005 | $31K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 324 | $31K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,853 | $30K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 579 | $30K |
| 99382 | <1% | 322 | $29K | |
| 90716 | <1% | 1,936 | $29K | |
| D2954 | <1% | 1,049 | $28K | |
| 99384 | <1% | 342 | $28K | |
| 93000 | <1% | 1,859 | $28K | |
| D2335 | <1% | 969 | $27K | |
| 0071A | <1% | 587 | $27K | |
| 90474 | <1% | 4,854 | $26K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 822 | $25K |
| 0053A | <1% | 569 | $25K | |
| 0124A | <1% | 567 | $25K | |
| D2332 | <1% | 943 | $25K | |
| 36416 | <1% | 41,221 | $24K | |
| 0064A | <1% | 652 | $24K | |
| D2140 | <1% | 1,708 | $24K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,473 | $23K |
| 91320 | <1% | 178 | $22K | |
| 90480 | <1% | 508 | $22K | |
| 90658 | <1% | 2,031 | $22K | |
| 85610 | <1% | 6,694 | $22K | |
| 0051A | <1% | 402 | $18K | |
| 0052A | <1% | 393 | $18K | |
| 99397 | <1% | 338 | $18K | |
| 0031A | <1% | 371 | $17K | |
| 0072A | <1% | 365 | $17K | |
| 90756 | <1% | 648 | $16K | |
| 97803 | <1% | 552 | $15K | |
| 92133 | <1% | 889 | $14K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 115 | $11K |
| 0134A | <1% | 261 | $11K | |
| 58300 | <1% | 175 | $10K | |
| D7230 | <1% | 163 | $10K | |
| D3310 | <1% | 339 | $9K | |
| 86580 | <1% | 1,466 | $9K | |
| 0004A | <1% | 233 | $9K | |
| 90732 | <1% | 98 | $9K | |
| 90837 | Psychotherapy session, about an hour | <1% | 162 | $8K |
| 11982 | <1% | 62 | $8K | |
| 0111A | <1% | 165 | $8K | |
| 99381 | <1% | 39 | $7K | |
| D4342 | <1% | 608 | $7K | |
| 97804 | <1% | 230 | $7K | |
| 83014 | <1% | 963 | $7K | |
| D2160 | <1% | 425 | $7K | |
| 91322 | <1% | 59 | $7K | |
| 90632 | <1% | 142 | $7K | |
| D1351 | Sealant - per tooth | <1% | 181 | $6K |
| 90620 | <1% | 2,120 | $6K | |
| D3320 | <1% | 57 | $6K | |
| D5110 | <1% | 40 | $6K | |
| 90887 | <1% | 96 | $5K | |
| 0003A | <1% | 106 | $5K | |
| 0013A | <1% | 125 | $5K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 47 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 124 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 178 | $4K |
| 0164A | <1% | 67 | $3K | |
| 98966 | <1% | 295 | $3K | |
| 0154A | <1% | 64 | $3K | |
| 87634 | <1% | 81 | $3K | |
| 90734 | <1% | 2,539 | $3K | |
| 0112A | <1% | 61 | $3K | |
| 92002 | <1% | 51 | $3K | |
| D2394 | <1% | 49 | $2K | |
| 98967 | <1% | 109 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 31 | $2K |
| 90473 | <1% | 105 | $2K | |
| 99402 | <1% | 26 | $1K | |
| 0081A | <1% | 30 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,535 | $1K |
| D7311 | <1% | 26 | $1K | |
| 0173A | <1% | 28 | $1K | |
| 57454 | <1% | 29 | $1K | |
| D4346 | <1% | 61 | $1K | |
| 90656 | <1% | 36 | $993.97 | |
| 90713 | <1% | 1,582 | $928.62 | |
| 87807 | <1% | 76 | $856.49 | |
| 99221 | <1% | 12 | $852.00 | |
| 99000 | <1% | 8,954 | $812.57 | |
| 58301 | <1% | 13 | $707.91 | |
| 91301 | <1% | 3,137 | $665.19 | |
| G0008 | Administration of influenza virus vaccine | <1% | 987 | $416.97 |
| 91300 | <1% | 8,293 | $400.00 | |
| 99442 | <1% | 18 | $353.77 | |
| 99051 | <1% | 1,076 | $342.72 | |
| D0270 | <1% | 195 | $302.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,887 | $299.18 |
| 90785 | <1% | 891 | $292.54 | |
| 99401 | <1% | 12 | $291.36 | |
| 99441 | <1% | 25 | $272.25 | |
| 92083 | <1% | 22 | $230.08 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,048 | $209.40 |
| 90710 | <1% | 5,624 | $138.48 | |
| 87210 | <1% | 25 | $110.00 | |
| D1330 | <1% | 1,817 | $56.00 | |
| 90619 | <1% | 1,654 | $30.00 | |
| 90674 | <1% | 499 | $29.23 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,415 | $17.20 |
| J1815 | Injection, insulin, per 5 units | <1% | 126 | $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 | <1% | 930 | $1.56 |
| J3535 | Drug administered through a metered dose inhaler | <1% | 23 | $0.10 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 48 | $0.01 |
| 91305 | <1% | 1,519 | $0.01 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | 0% | 419 | $0.00 |
| 90633 | 0% | 8,564 | $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 | 0% | 505 | $0.00 |
| 90681 | 0% | 5,976 | $0.00 | |
| 99177 | 0% | 2,871 | $0.00 | |
| 0502F | 0% | 2,974 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 728 | $0.00 |
| 90648 | 0% | 3,169 | $0.00 | |
| 90651X | 0% | 36 | $0.00 | |
| 91313 | 0% | 210 | $0.00 | |
| 90685 | 0% | 1,082 | $0.00 | |
| 90700 | 0% | 932 | $0.00 | |
| 99072 | 0% | 154 | $0.00 | |
| 91311 | 0% | 261 | $0.00 | |
| 91312 | 0% | 512 | $0.00 | |
| D5411 | 0% | 22 | $0.00 | |
| X5410 | 0% | 78 | $0.00 | |
| D5610 | 0% | 71 | $0.00 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | 0% | 12 | $0.00 |
| 90655 | 0% | 51 | $0.00 | |
| A4550 | Surgical trays | 0% | 28 | $0.00 |
| D2940 | 0% | 44 | $0.00 | |
| 91308 | 0% | 90 | $0.00 | |
| 96160 | 0% | 28 | $0.00 | |
| 2700B | 0% | 21 | $0.00 | |
| 2700A | 0% | 15 | $0.00 | |
| 90698 | 0% | 4,039 | $0.00 | |
| 90744 | 0% | 3,166 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 573 | $0.00 |
| 92558 | 0% | 2,791 | $0.00 | |
| 90697 | 0% | 4,650 | $0.00 | |
| 90696 | 0% | 2,164 | $0.00 | |
| D0603 | 0% | 269 | $0.00 | |
| 91306 | 0% | 492 | $0.00 | |
| 5000E | 0% | 338 | $0.00 | |
| 5000B | 0% | 287 | $0.00 | |
| 91303 | 0% | 297 | $0.00 | |
| 91307 | 0% | 983 | $0.00 | |
| 0503F | 0% | 307 | $0.00 | |
| D0601 | 0% | 70 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 57 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 497 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 149 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 203 | $0.00 |
| 5000F | 0% | 275 | $0.00 | |
| 90723 | 0% | 2,377 | $0.00 | |
| 5000D | 0% | 199 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 28 | $0.00 |
| D0171 | 0% | 51 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 866 | $0.00 |
| D4355 | 0% | 176 | $0.00 | |
| 0501F | 0% | 47 | $0.00 | |
| D1310 | 0% | 164 | $0.00 | |
| 99459 | 0% | 67 | $0.00 | |
| 96112 | 0% | 16 | $0.00 | |
| 91317 | 0% | 29 | $0.00 | |
| 96380 | 0% | 147 | $0.00 | |
| J0456 | Injection, azithromycin, 500 mg | 0% | 37 | $0.00 |
| 91316 | 0% | 44 | $0.00 | |
| 90381 | 0% | 82 | $0.00 | |
| 91315 | 0% | 35 | $0.00 | |
| 0500F | 0% | 16 | $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 officialBENSON, MELVIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Brockton Neighborhood Health Center | Brockton, MA | $7.52M |
| Brockton Neighborhood Health Center | Brockton, MA | $1.32M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.