Clinic
Boston's Community Medical Group, INC.
Boston's Community Medical Group, INC. was paid $118K by Medicaid between Jan 2018 and May 2024, across 44 billing codes. Its largest line is S9485, Crisis intervention mental health services, per diem — 41% of everything it billed.
33Billing provider infoBOSTON'S COMMUNITY MEDICAL GROUP, INC.
BOSTON, MA 02118
BOSTON, MA 02118
33aNPI1235174418assigned 06/19/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$118K
24GClaims14,570
24DCodes billed44
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Massachusetts
Rank by total paid#19 of 44
Median peer was paid$76K
This provider vs. median1.5×
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 | 1,366 | $9K | |
| 2019 | 497 | $2K | |
| 2020 | 886 | $6K | |
| 2021 | 4,210 | $15K | |
| 2022 | 4,612 | $19K | |
| 2023 | 1,764 | $18K | |
| 2024incomplete | 1,235 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9485 | Crisis intervention mental health services, per diem | 41% | 507 | 289 | $48K |
| 99348 | 17% | 561 | 491 | $20K | |
| 99349 | 17% | 1,852 | 1,601 | $20K | |
| 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 | 6.3% | 1,561 | 1,468 | $7K |
| 99443 | 3.4% | 188 | 160 | $4K | |
| 97535 | Self-care/home management training, each 15 minutes | 2.9% | 344 | 301 | $3K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.9% | 67 | 67 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 504 | 483 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 402 | 385 | $2K |
| 97165 | 1.0% | 573 | 559 | $1K | |
| 97542 | <1% | 249 | 221 | $913.04 | |
| 99350 | Prolong home eval add 15m | <1% | 309 | 268 | $903.24 |
32 more codes
| 99347 | <1% | 201 | $616.59 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,129 | $526.97 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 147 | $486.41 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 68 | $339.83 |
| 97162 | <1% | 1,800 | $317.44 | |
| 99456 | <1% | 282 | $238.92 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 265 | $208.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 146 | $89.78 |
| 90674 | <1% | 68 | $34.17 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | $30.00 |
| 90837 | Psychotherapy session, about an hour | <1% | 81 | $22.02 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 70 | $21.27 |
| 99397 | 0% | 1,068 | $0.00 | |
| 97161 | 0% | 420 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 14 | $0.00 |
| 97116 | 0% | 269 | $0.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 71 | $0.00 |
| 97167 | 0% | 34 | $0.00 | |
| 99497 | 0% | 34 | $0.00 | |
| 82948 | 0% | 152 | $0.00 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 58 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 16 | $0.00 |
| 99442 | 0% | 15 | $0.00 | |
| 97166 | 0% | 292 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 299 | $0.00 |
| 82962 | 0% | 261 | $0.00 | |
| 90694 | 0% | 39 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 55 | $0.00 |
| 94760 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 43 | $0.00 |
| 2010F | 0% | 13 | $0.00 | |
| 91301 | 0% | 15 | $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 officialSIMIKIC, BILJANA (ACTING MEDICAL DIRECTOR)