Clinic
Edward M. Kennedy Community Health Center, INC
Edward M. Kennedy Community Health Center, INC was paid $3.09M by Medicaid between May 2023 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 33% of everything it billed.
33Billing provider infoEDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
WORCESTER, MA 01605
WORCESTER, MA 01605
33aNPI1316324650assigned 05/06/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.09M
24GClaims62,692
24DCodes billed53
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#21 of 56
Median peer was paid$1.51M
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2023 | 8,330 | $258K | |
| 2024incomplete | 54,362 | $2.83M |
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 | 33% | 4,691 | 4,444 | $1.01M |
| D9450 | 30% | 20,102 | 11,976 | $930K | |
| D1110 | Prophylaxis - adult | 3.8% | 4,767 | 3,794 | $117K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 2,118 | 1,780 | $71K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 1,029 | 562 | $67K |
| D2740 | Crown - porcelain/ceramic | 2.0% | 303 | 208 | $62K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.0% | 1,792 | 1,238 | $61K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.9% | 4,589 | 3,752 | $60K |
| D0210 | Intraoral - complete series of radiographic images | 1.7% | 1,903 | 1,483 | $54K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.7% | 1,097 | 991 | $53K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.7% | 366 | 241 | $51K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 1,899 | 1,260 | $48K |
41 more codes
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 1.5% | 241 | $47K |
| D0274 | Bitewings - four radiographic images | 1.2% | 1,949 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 1,600 | $36K |
| D1351 | Sealant - per tooth | 1.2% | 941 | $36K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 790 | $28K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,975 | $26K |
| G0467 | Community health center visit, returning patient | <1% | 601 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 837 | $22K |
| 99050 | <1% | 392 | $20K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 269 | $18K |
| D0180 | <1% | 1,411 | $18K | |
| D4341 | <1% | 311 | $17K | |
| D3320 | <1% | 70 | $16K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 427 | $15K |
| D1206 | Topical application of fluoride varnish | <1% | 556 | $15K |
| 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% | 380 | $14K |
| D4342 | <1% | 311 | $12K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 212 | $11K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 411 | $10K |
| D2331 | <1% | 272 | $10K | |
| D9110 | <1% | 270 | $9K | |
| D2330 | <1% | 266 | $8K | |
| D0272 | Bitewings - two radiographic images | <1% | 312 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 530 | $8K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 52 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 418 | $6K |
| 92015 | Determination of refractive state | <1% | 496 | $6K |
| D2332 | <1% | 63 | $3K | |
| D2954 | <1% | 75 | $3K | |
| D5211 | <1% | 12 | $3K | |
| 92341 | <1% | 78 | $3K | |
| D5212 | <1% | 20 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 229 | $2K |
| D0270 | <1% | 459 | $2K | |
| D2335 | <1% | 55 | $2K | |
| 81003 | <1% | 171 | $338.58 | |
| 81025 | <1% | 29 | $220.11 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 500 | $0.00 |
| 94760 | 0% | 21 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 12 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 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 officialKERRIGAN, STEPHEN (CEO/PRESIDENT)
Parent organizationEDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| Edward M. Kennedy Community Health Center, INC | Worcester, MA | $55.25M |
| Edward M. Kennedy Community Health Center, INC | Milford, MA | $636K |
| Edward M. Kennedy Community Health Center, INC | Framingham, MA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.