Clinic
Community Health Care, INC.
Community Health Care, INC. was paid $3.81M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CARE, INC.
VINELAND, NJ 08360
VINELAND, NJ 08360
33aNPI1316307432assigned 03/02/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.81M
24GClaims53,032
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New Jersey
Rank by total paid#16 of 98
Median peer was paid$758K
This provider vs. median5.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official EDWARDS, JAMES controls 16+ related entities in our dataset. Read more
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 | 10,036 | $679K | |
| 2019 | 10,202 | $712K | |
| 2020 | 8,737 | $648K | |
| 2021 | 6,868 | $586K | |
| 2022 | 6,041 | $282K | |
| 2023 | 5,856 | $472K | |
| 2024incomplete | 5,292 | $431K |
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 | 87% | 18,519 | 15,701 | $3.33M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 3,281 | 2,236 | $471K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 567 | 472 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 430 | 430 | $804.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 605 | 572 | $800.00 |
| D1110 | Prophylaxis - adult | <1% | 159 | 159 | $747.50 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 300 | 300 | $535.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 759 | 741 | $459.75 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 67 | 67 | $406.25 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 84 | 84 | $320.00 |
| 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% | 5,889 | 4,617 | $236.60 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 594 | 339 | $176.25 |
34 more codes
| D0330 | Panoramic radiographic image | <1% | 344 | $141.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,988 | $62.77 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 4,346 | $41.73 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 5,133 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,646 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 738 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 1,570 | $0.00 |
| 90670 | 0% | 226 | $0.00 | |
| 99173 | 0% | 301 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 96 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 478 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 54 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 38 | $0.00 |
| 11721 | 0% | 116 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 13 | $0.00 |
| 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 | 0% | 34 | $0.00 |
| 90687 | 0% | 14 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90744 | 0% | 55 | $0.00 | |
| 99381 | 0% | 314 | $0.00 | |
| 90686 | 0% | 114 | $0.00 | |
| 92551 | 0% | 472 | $0.00 | |
| 90656 | 0% | 33 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 991 | $0.00 |
| 82962 | 0% | 192 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 162 | $0.00 |
| 90688 | 0% | 61 | $0.00 | |
| 90647 | 0% | 12 | $0.00 | |
| 90677 | 0% | 46 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| 90680 | 0% | 80 | $0.00 | |
| D4355 | 0% | 12 | $0.00 | |
| 90698 | 0% | 46 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 29 | $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 officialEDWARDS, JAMES (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Community Health Care, INC. | Bridgeton, NJ | $16.47M |
| Brick Board of Education | Brick, NJ | $12.20M |
| Retirement at Century Pines INC. | Ozark, MO | $3.75M |
| Community Health Care, INC. | Millville, NJ | $3.41M |
| Community Health Care, INC. | Glassboro, NJ | $1.77M |
| Community Health Care, INC. | Bridgeton, NJ | $1.31M |
| Community Health Care, INC. | Wildwood, NJ | $1.22M |
| Community Health Care, INC. | Vineland, NJ | $838K |
| Community Health Care, INC. | Cape May Court House, NJ | $714K |
| Community Health Care, INC. | Bridgeton, NJ | $666K |
| Community Health Care, INC. | Vineland, NJ | $634K |
| Community Health Care, INC. | Glassboro, NJ | $457K |
| Community Health Care, INC. | Vineland, NJ | $310K |
| Community Health Care, INC. | Woodbury, NJ | $86K |
| Eye Medical & Surgical Assoc INC. | Parma, OH | $64K |
| Community Health Care, INC. | Bridgeton, NJ | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.