Clinic
Choptank Community Health System INC
Choptank Community Health System INC was paid $27.21M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoCHOPTANK COMMUNITY HEALTH SYSTEM INC
DENTON, MD 21629
DENTON, MD 21629
33aNPI1356388599assigned 05/31/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$27.21M
24GClaims277,544
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maryland
Rank by total paid#5 of 34
Median peer was paid$741K
This provider vs. median37×
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 | 4,632 | $40K | |
| 2019 | 5,509 | $146K | |
| 2020 | 41,649 | $3.08M | |
| 2021 | 53,577 | $4.26M | |
| 2022 | 55,787 | $5.52M | |
| 2023 | 66,776 | $7.33M | |
| 2024incomplete | 49,614 | $6.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 97,172 | 78,989 | $15.53M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 16% | 42,131 | 32,320 | $4.31M |
| 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 | 11% | 19,756 | 17,059 | $3.07M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 6,193 | 5,460 | $992K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 3,894 | 3,585 | $684K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 3,345 | 2,919 | $570K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 2,911 | 2,649 | $515K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 2,013 | 1,860 | $351K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,448 | 1,300 | $256K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,264 | 1,158 | $193K |
| W7010 | <1% | 15,265 | 13,259 | $121K | |
| 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% | 3,874 | 3,554 | $117K |
64 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 453 | $83K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,480 | $70K |
| 97803 | <1% | 694 | $66K | |
| 87428 | <1% | 3,221 | $49K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 5,429 | $27K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,635 | $25K |
| 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% | 649 | $21K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 121 | $18K |
| 0011A | <1% | 620 | $18K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,235 | $15K |
| 0012A | <1% | 403 | $12K | |
| 99490 | Ccm add 20min | <1% | 1,992 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,442 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,087 | $8K |
| 99000 | <1% | 11,359 | $7K | |
| 99173 | <1% | 3,881 | $6K | |
| 97802 | <1% | 44 | $5K | |
| 0002A | <1% | 138 | $4K | |
| 90686 | <1% | 1,093 | $4K | |
| 99401 | <1% | 49 | $4K | |
| 0001A | <1% | 141 | $3K | |
| 92551 | <1% | 1,773 | $3K | |
| 0071A | <1% | 65 | $3K | |
| 99386 | <1% | 12 | $2K | |
| 91320 | <1% | 18 | $2K | |
| 99442 | <1% | 239 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,255 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 104 | $2K |
| 0072A | <1% | 37 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,103 | $1K |
| 90682 | <1% | 173 | $1K | |
| 90480 | <1% | 18 | $680.00 | |
| 90656 | <1% | 344 | $636.63 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 157 | $552.64 |
| 90670 | <1% | 174 | $349.20 | |
| 90698 | <1% | 122 | $302.64 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 92 | $233.82 |
| 90474 | <1% | 306 | $186.22 | |
| 92558 | <1% | 2,791 | $183.59 | |
| 90681 | <1% | 58 | $139.68 | |
| 90685 | <1% | 39 | $69.84 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 768 | $61.29 |
| 3074F | <1% | 442 | $60.00 | |
| 81000 | <1% | 1,528 | $56.60 | |
| 90633 | <1% | 66 | $46.56 | |
| 90723 | <1% | 15 | $46.56 | |
| 90647 | <1% | 15 | $46.56 | |
| 80305 | <1% | 79 | $30.06 | |
| 90715 | <1% | 15 | $23.28 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 18 | $20.93 |
| 81025 | <1% | 243 | $13.68 | |
| 91300 | <1% | 84 | $0.45 | |
| 87420 | 0% | 269 | $0.00 | |
| 92552 | 0% | 131 | $0.00 | |
| 3078F | 0% | 355 | $0.00 | |
| T0115 | 0% | 33 | $0.00 | |
| 90473 | 0% | 153 | $0.00 | |
| 81002 | 0% | 82 | $0.00 | |
| 99188 | 0% | 39 | $0.00 | |
| INVCD | 0% | 358 | $0.00 | |
| 3079F | 0% | 60 | $0.00 | |
| 94760 | 0% | 415 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 21 | $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 officialRICH, SARA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Choptank Community Health System, INC. | Denton, MD | $18.48M |
| Choptank Community Health System INC | Denton, MD | $1.06M |
| Choptank Community Health System INC | Easton, MD | $254K |
| Choptank Community Health System INC | Denton, MD | $41K |
| Choptank Community Health System, INC. | Denton, MD | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.