Clinic
Community Health Connections, INC.
Community Health Connections, INC. was paid $9.05M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CONNECTIONS, INC.
GARDNER, MA 01440
GARDNER, MA 01440
33aNPI1285630533assigned 06/22/2005
33bProvider typeCommunity Health Clinic/Center
28Total paid$9.05M
24GClaims169,081
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#16 of 36
Median peer was paid$3.62M
This provider vs. median2.5×
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 | 12,450 | $660K | |
| 2019 | 19,960 | $1.56M | |
| 2020 | 22,107 | $1.30M | |
| 2021 | 38,777 | $1.71M | |
| 2022 | 33,158 | $2.24M | |
| 2023 | 26,129 | $1.16M | |
| 2024incomplete | 16,500 | $416K |
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 | 60% | 37,142 | 29,823 | $5.47M |
| D9450 | 11% | 18,228 | 13,746 | $1.02M | |
| 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 | 4.4% | 11,975 | 9,815 | $397K |
| 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 | 3.1% | 4,151 | 3,567 | $284K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.2% | 4,928 | 3,864 | $202K |
| D1110 | Prophylaxis - adult | 2.0% | 4,477 | 3,844 | $186K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 2,150 | 877 | $123K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 724 | 724 | $117K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 1,599 | 1,177 | $103K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 3,046 | 2,528 | $96K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 4,777 | 4,185 | $87K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,548 | 1,028 | $78K |
94 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 471 | $73K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,258 | $72K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 14,172 | $63K |
| D0274 | Bitewings - four radiographic images | <1% | 1,804 | $55K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 445 | $50K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,335 | $44K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,380 | $41K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,749 | $35K |
| D2331 | <1% | 405 | $31K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 235 | $30K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 364 | $27K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 133 | $23K |
| D1206 | Topical application of fluoride varnish | <1% | 825 | $22K |
| D1120 | Dental cleaning, child | <1% | 387 | $20K |
| D0330 | Panoramic radiographic image | <1% | 315 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 90 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 509 | $16K |
| 90686 | <1% | 1,735 | $16K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 664 | $15K |
| 90677 | <1% | 55 | $15K | |
| D2330 | <1% | 256 | $13K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 149 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,316 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,103 | $12K |
| 90715 | <1% | 479 | $12K | |
| D2332 | <1% | 133 | $12K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,034 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,569 | $11K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 10,366 | $11K |
| D4342 | <1% | 158 | $10K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 203 | $8K |
| D0180 | <1% | 222 | $7K | |
| 90688 | <1% | 592 | $7K | |
| D2335 | <1% | 47 | $7K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 56 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 633 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 139 | $5K |
| 90750 | <1% | 30 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,508 | $5K |
| 96127 | <1% | 493 | $4K | |
| D0270 | <1% | 312 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 299 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 241 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 620 | $3K |
| 99050 | <1% | 70 | $3K | |
| D9110 | <1% | 92 | $2K | |
| 99173 | <1% | 282 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 45 | $2K |
| 81002 | <1% | 775 | $2K | |
| 97802 | <1% | 51 | $2K | |
| 0064A | <1% | 35 | $2K | |
| D1354 | <1% | 240 | $1K | |
| 90461 | <1% | 165 | $895.44 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 27 | $880.20 |
| 99188 | <1% | 33 | $832.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 29 | $710.00 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 118 | $690.96 |
| 99442 | <1% | 88 | $603.49 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 261 | $422.94 |
| 90651 | <1% | 40 | $420.92 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 60 | $320.34 |
| 82962 | <1% | 3,011 | $218.66 | |
| 93000 | <1% | 15 | $184.20 | |
| 90670 | <1% | 55 | $160.00 | |
| 99401 | <1% | 127 | $145.68 | |
| 87275 | <1% | 13 | $120.34 | |
| 99408 | <1% | 43 | $110.96 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $81.86 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,280 | $40.00 |
| 36416 | <1% | 397 | $2.00 | |
| 99000 | <1% | 902 | $0.20 | |
| H0049 | Alcohol and/or drug screening | 0% | 485 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 774 | $0.00 |
| 1000F | 0% | 1,004 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 292 | $0.00 |
| 91301 | 0% | 439 | $0.00 | |
| 99406 | 0% | 191 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 83 | $0.00 |
| 90723 | 0% | 12 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 38 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 53 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 255 | $0.00 |
| 99051 | 0% | 319 | $0.00 | |
| 91300 | 0% | 136 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,956 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 54 | $0.00 |
| 90633 | 0% | 26 | $0.00 | |
| 90648 | 0% | 55 | $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% | 50 | $0.00 |
| 99001 | 0% | 399 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 90 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 12 | $0.00 |
| D2951 | 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 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. | Leominster, MA | $8.90M |
| Community Health Connections, INC. | Fitchburg, MA | $3.56M |
| Community Health Connections, INC. | Leominster, MA | $1.56M |
| 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.