Clinic
Comprehensive Community Action, INC.
Comprehensive Community Action, INC. was paid $17.69M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoCOMPREHENSIVE COMMUNITY ACTION, INC.
CRANSTON, RI 02920
CRANSTON, RI 02920
33aNPI1366441719assigned 07/19/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$17.69M
24GClaims346,142
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Rhode Island
Rank by total paid#1 of 7
Median peer was paid$20K
This provider vs. median873×
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 | 36,132 | $1.88M | |
| 2019 | 54,017 | $2.69M | |
| 2020 | 34,772 | $1.67M | |
| 2021 | 46,299 | $2.24M | |
| 2022 | 53,239 | $2.66M | |
| 2023 | 61,424 | $3.33M | |
| 2024incomplete | 60,259 | $3.21M |
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 | 76% | 108,680 | 89,061 | $13.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 38,768 | 35,461 | $1.57M |
| 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 | 8.9% | 28,573 | 26,022 | $1.57M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 7,763 | 4,184 | $561K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,722 | 1,700 | $103K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,113 | 1,082 | $64K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 519 | 499 | $59K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,090 | 7,651 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,652 | 1,550 | $51K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,928 | 3,833 | $45K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 267 | 264 | $33K |
| 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% | 202 | 181 | $33K |
62 more codes
| 87428 | <1% | 664 | $29K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 559 | $29K |
| 90837 | Psychotherapy session, about an hour | <1% | 297 | $28K |
| 82962 | <1% | 2,295 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 164 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 753 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 153 | $7K |
| 99442 | <1% | 265 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 368 | $7K |
| 0002A | <1% | 129 | $4K | |
| 0001A | <1% | 142 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 316 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 26 | $2K |
| 0012A | <1% | 70 | $2K | |
| 85018 | <1% | 1,140 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 174 | $2K |
| G0008 | Administration of influenza virus vaccine | <1% | 45 | $1K |
| 0011A | <1% | 68 | $1K | |
| 81002 | <1% | 621 | $1K | |
| 0031A | <1% | 38 | $799.07 | |
| 81025 | <1% | 176 | $765.29 | |
| 0071A | <1% | 16 | $566.24 | |
| 90694 | <1% | 20 | $499.02 | |
| 0013A | <1% | 13 | $463.81 | |
| 0072A | <1% | 12 | $424.68 | |
| 90480 | <1% | 13 | $309.19 | |
| 99441 | <1% | 12 | $164.77 | |
| 90686 | <1% | 31 | $31.59 | |
| 90674 | <1% | 32 | $14.00 | |
| 90661 | <1% | 12 | $6.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 295 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 28,060 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 8,019 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 7,421 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 12,356 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 9,772 | $0.00 |
| D0431 | 0% | 511 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 45 | $0.00 |
| D4341 | 0% | 55 | $0.00 | |
| TPC0M | 0% | 13 | $0.00 | |
| D0270 | 0% | 67 | $0.00 | |
| D2950 | 0% | 109 | $0.00 | |
| D2140 | 0% | 13 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 3,525 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 8,277 | $0.00 |
| D4999 | 0% | 1,491 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 4,791 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 6,944 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 8,097 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 16,682 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 8,655 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 418 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 8,501 | $0.00 |
| D2331 | 0% | 455 | $0.00 | |
| D2335 | 0% | 14 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 254 | $0.00 |
| D1330 | 0% | 228 | $0.00 | |
| D9210 | 0% | 119 | $0.00 | |
| D2330 | 0% | 66 | $0.00 | |
| D9992 | 0% | 847 | $0.00 | |
| D1310 | 0% | 74 | $0.00 | |
| D9310 | 0% | 67 | $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 officialSANDS, JUSTINE (CFO)