Clinic
Community Health Net
Community Health Net was paid $7.19M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH NET
ERIE, PA 16501
ERIE, PA 16501
33aNPI1245209170assigned 03/14/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.19M
24GClaims91,418
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#37 of 240
Median peer was paid$909K
This provider vs. median7.9×
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 | 2,227 | $158K | |
| 2019 | 2,830 | $240K | |
| 2020 | 4,723 | $313K | |
| 2021 | 22,581 | $1.63M | |
| 2022 | 19,292 | $1.55M | |
| 2023 | 21,575 | $1.79M | |
| 2024incomplete | 18,190 | $1.51M |
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 | 99% | 47,541 | 42,180 | $7.15M |
| 0012A | <1% | 472 | 456 | $16K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 891 | 847 | $11K |
| 0011A | <1% | 493 | 470 | $10K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 81 | 81 | $2K |
| 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% | 11,118 | 10,445 | $2K |
| 0064A | <1% | 173 | 167 | $2K | |
| 3078F | <1% | 102 | 99 | $775.00 | |
| 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% | 10,960 | 10,434 | $628.16 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 34 | 34 | $585.40 |
| 3074F | <1% | 137 | 136 | $475.00 | |
| 3044F | <1% | 139 | 137 | $475.00 |
46 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,509 | $376.94 |
| 3077F | <1% | 160 | $325.00 | |
| 3079F | <1% | 167 | $325.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 362 | $120.63 |
| 90461 | <1% | 1,244 | $69.42 | |
| 90686 | <1% | 969 | $45.30 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,204 | $44.84 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 333 | $30.35 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,165 | $14.70 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 590 | $14.05 |
| G0467 | Community health center visit, returning patient | <1% | 675 | $9.07 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 698 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 952 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 815 | $0.00 |
| D1999 | 0% | 326 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 558 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 113 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 56 | $0.00 |
| 90734 | 0% | 82 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 17 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 190 | $0.00 |
| 90670 | 0% | 13 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 330 | $0.00 |
| 81002 | 0% | 63 | $0.00 | |
| 99173 | 0% | 435 | $0.00 | |
| 90715 | 0% | 87 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 30 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 26 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 15 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 33 | $0.00 |
| 92551 | 0% | 689 | $0.00 | |
| 90656 | 0% | 59 | $0.00 | |
| 3080F | 0% | 62 | $0.00 | |
| 90647 | 0% | 56 | $0.00 | |
| 85018 | 0% | 51 | $0.00 | |
| 91306 | 0% | 127 | $0.00 | |
| 90651 | 0% | 72 | $0.00 | |
| 91301 | 0% | 442 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 170 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 14 | $0.00 |
| 3075F | 0% | 29 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 201 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 50 | $0.00 |
| 90723 | 0% | 12 | $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 officialULMER, CRAIG (CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Health Net | Erie, PA | $871K |
| Community Health Net | Erie, PA | $738K |
| Community Health Net | Erie, PA | $445K |
| Community Health Net | Girard, PA | $17K |
| Community Health Net | Harborcreek, PA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.