Clinic
Walnut Street Community Health Center, INC.
Walnut Street Community Health Center, INC. was paid $19.32M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoWALNUT STREET COMMUNITY HEALTH CENTER, INC.
HAGERSTOWN, MD 21740
HAGERSTOWN, MD 21740
33aNPI1366425266assigned 11/23/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$19.32M
24GClaims166,397
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maryland
Rank by total paid#8 of 34
Median peer was paid$741K
This provider vs. median26×
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 | 7,947 | $372K | |
| 2019 | 9,849 | $637K | |
| 2020 | 32,041 | $2.79M | |
| 2021 | 30,268 | $3.63M | |
| 2022 | 26,438 | $3.98M | |
| 2023 | 29,566 | $4.29M | |
| 2024incomplete | 30,288 | $3.63M |
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 | 86% | 94,514 | 69,114 | $16.56M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 28,397 | 23,712 | $1.70M |
| 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 | 3.8% | 12,005 | 10,691 | $732K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,117 | 980 | $110K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 978 | 853 | $45K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 772 | 673 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 256 | 240 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 242 | 226 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 194 | 185 | $16K |
| 0012A | <1% | 369 | 344 | $12K | |
| 0011A | <1% | 385 | 305 | $11K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 787 | 442 | $11K |
55 more codes
| 3074F | <1% | 2,489 | $11K | |
| 99205 | Prolong outpt/office vis | <1% | 228 | $9K |
| 3078F | <1% | 1,481 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 126 | $5K |
| 99385 | <1% | 92 | $5K | |
| G0008 | Administration of influenza virus vaccine | <1% | 220 | $3K |
| 3079F | <1% | 724 | $3K | |
| 90686 | <1% | 1,246 | $2K | |
| 11721 | <1% | 208 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 61 | $1K |
| 99386 | <1% | 27 | $889.43 | |
| 90837 | Psychotherapy session, about an hour | <1% | 24 | $852.72 |
| 99173 | <1% | 1,064 | $673.40 | |
| G0467 | Community health center visit, returning patient | <1% | 8,404 | $561.40 |
| 0064A | <1% | 14 | $440.00 | |
| 0002A | <1% | 17 | $388.39 | |
| 11056 | <1% | 40 | $380.93 | |
| 0001A | <1% | 22 | $360.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 34 | $259.80 |
| 3077F | <1% | 92 | $190.00 | |
| 90694 | <1% | 18 | $106.59 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 383 | $97.46 |
| 3008F | <1% | 2,801 | $55.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,337 | $51.52 |
| 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% | 639 | $36.17 |
| 90662 | <1% | 13 | $33.99 | |
| 3075F | <1% | 32 | $20.00 | |
| 92551 | <1% | 785 | $19.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 90 | $15.03 |
| 2001F | 0% | 1,318 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 90647 | 0% | 45 | $0.00 | |
| 90651 | 0% | 124 | $0.00 | |
| 91301 | 0% | 773 | $0.00 | |
| T1050 | 0% | 310 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 24 | $0.00 |
| 90480 | 0% | 17 | $0.00 | |
| 90620 | 0% | 86 | $0.00 | |
| 90656 | 0% | 73 | $0.00 | |
| 0134A | 0% | 31 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 91306 | 0% | 14 | $0.00 | |
| 3080F | 0% | 17 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 319 | $0.00 |
| 91313 | 0% | 29 | $0.00 | |
| 81003 | 0% | 40 | $0.00 | |
| 90633 | 0% | 97 | $0.00 | |
| 90670 | 0% | 55 | $0.00 | |
| 91300 | 0% | 47 | $0.00 | |
| 90734 | 0% | 28 | $0.00 | |
| 87400 | 0% | 40 | $0.00 | |
| 92552 | 0% | 102 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| 90715 | 0% | 28 | $0.00 | |
| 91322 | 0% | 15 | $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 officialBECKER, DAVID (CFO)
| Provider | Location | Paid |
|---|---|---|
| Pathways Behavioral Services INC | Waverly, IA | $9.91M |
| Pathways Behavioral Services INC | Waterloo, IA | $4.53M |
| Walnut Street Community Health Center INC. | Hagerstown, MD | $96K |
| Becker, Becker & Silvius, LLC | Revere, MA | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.