North Shore Community Health, INC
North Shore Community Health, INC was paid $32.25M by Medicaid between Jan 2018 and Dec 2024, across 134 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
SALEM, MA 01970
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 74,313 | $3.57M | |
| 2019 | 77,837 | $4.17M | |
| 2020 | 59,974 | $5.32M | |
| 2021 | 65,120 | $5.64M | |
| 2022 | 65,636 | $7.81M | |
| 2023 | 58,637 | $3.32M | |
| 2024incomplete | 56,544 | $2.41M |
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 | 69% | 147,705 | 94,640 | $22.33M |
| D9450 | 6.3% | 75,557 | 44,078 | $2.03M | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 3.9% | 9,216 | 3,945 | $1.25M |
| 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 | 1.6% | 3,473 | 2,468 | $504K |
| D1110 | Prophylaxis - adult | 1.5% | 22,266 | 15,570 | $480K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 5,571 | 3,038 | $472K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 2,872 | 2,859 | $465K |
| 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 | 1.4% | 11,267 | 9,625 | $455K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 8,958 | 5,314 | $366K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 6,390 | 2,326 | $279K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 9,860 | 7,115 | $272K |
| D9110 | <1% | 11,713 | 6,049 | $253K |
122 more codes
| 99050 | <1% | 3,031 | $156K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 6,667 | $152K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 907 | $137K |
| D0120 | Dental checkup, returning patient | <1% | 12,076 | $126K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 6,836 | $111K |
| D0274 | Bitewings - four radiographic images | <1% | 6,828 | $109K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12,917 | $109K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 3,709 | $101K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 581 | $87K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 569 | $82K |
| 90651 | <1% | 1,182 | $81K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 4,957 | $81K |
| 90882 | <1% | 1,901 | $78K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,372 | $74K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 926 | $71K |
| 90837 | Psychotherapy session, about an hour | <1% | 634 | $69K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 7,249 | $68K |
| D2330 | <1% | 2,355 | $68K | |
| D2335 | <1% | 1,150 | $66K | |
| D2331 | <1% | 1,844 | $62K | |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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% | 325 | $57K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,359 | $56K |
| 90715 | <1% | 2,088 | $54K | |
| D1120 | Dental cleaning, child | <1% | 1,025 | $51K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 1,681 | $50K |
| D0180 | <1% | 3,571 | $49K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,360 | $49K |
| 90686 | <1% | 3,750 | $45K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,680 | $42K |
| 99442 | <1% | 1,309 | $38K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,892 | $38K |
| 90677 | <1% | 145 | $38K | |
| D5212 | <1% | 178 | $37K | |
| 90682 | <1% | 620 | $36K | |
| D2740 | Crown - porcelain/ceramic | <1% | 125 | $35K |
| 90887 | <1% | 943 | $35K | |
| 90746 | <1% | 504 | $34K | |
| 91322 | <1% | 197 | $28K | |
| D4341 | <1% | 1,199 | $27K | |
| D4342 | <1% | 710 | $26K | |
| D2332 | <1% | 543 | $22K | |
| D0330 | Panoramic radiographic image | <1% | 493 | $22K |
| D2140 | <1% | 932 | $22K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 930 | $22K |
| D5211 | <1% | 96 | $21K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,126 | $21K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 621 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,709 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 187 | $15K |
| 81025 | <1% | 1,963 | $13K | |
| 90480 | <1% | 256 | $12K | |
| D3320 | <1% | 43 | $11K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,833 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,349 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 752 | $10K |
| 0124A | <1% | 208 | $9K | |
| 90636 | <1% | 67 | $8K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 150 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 726 | $7K |
| 93000 | <1% | 484 | $6K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 14 | $6K |
| 90632 | <1% | 87 | $6K | |
| D2160 | <1% | 213 | $6K | |
| 99443 | <1% | 136 | $6K | |
| 90688 | <1% | 317 | $4K | |
| 99173 | <1% | 193 | $4K | |
| 90673 | <1% | 48 | $4K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 168 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 26 | $4K |
| 0011A | <1% | 89 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 363 | $3K |
| 81000 | <1% | 1,082 | $3K | |
| 91320 | <1% | 23 | $3K | |
| 99385 | <1% | 12 | $3K | |
| D2954 | <1% | 38 | $3K | |
| 90670 | <1% | 38 | $3K | |
| 0012A | <1% | 52 | $2K | |
| 90662 | <1% | 85 | $2K | |
| 90716 | <1% | 58 | $2K | |
| 99384 | <1% | 14 | $2K | |
| 90658 | <1% | 247 | $2K | |
| 0064A | <1% | 45 | $2K | |
| 81003 | <1% | 954 | $2K | |
| D7311 | <1% | 43 | $2K | |
| 90732 | <1% | 14 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 90707 | <1% | 41 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 104 | $1K |
| 90461 | <1% | 443 | $1K | |
| 99441 | <1% | 49 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $900.46 |
| 98967 | <1% | 54 | $874.43 | |
| 86580 | <1% | 132 | $797.28 | |
| 96127 | <1% | 75 | $739.44 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 17 | $510.31 |
| 90734 | <1% | 347 | $502.17 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | $494.62 |
| 90649 | <1% | 71 | $275.18 | |
| 82948 | <1% | 94 | $257.18 | |
| 81002 | <1% | 56 | $171.92 | |
| 92551 | <1% | 15 | $140.70 | |
| 83037 | <1% | 16 | $136.96 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 204 | $90.00 |
| 91301 | 0% | 2,452 | $0.00 | |
| D9995 | 0% | 155 | $0.00 | |
| 91306 | 0% | 887 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 520 | $0.00 |
| P4300 | 0% | 975 | $0.00 | |
| D3310 | 0% | 33 | $0.00 | |
| 91305 | 0% | 104 | $0.00 | |
| 99406 | 0% | 35 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 188 | $0.00 |
| 91315 | 0% | 38 | $0.00 | |
| 91303 | 0% | 176 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 88 | $0.00 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 73 | $0.00 |
| 99000 | 0% | 12 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 24 | $0.00 |
| 90633 | 0% | 223 | $0.00 | |
| 91312 | 0% | 250 | $0.00 | |
| D9996 | 0% | 31 | $0.00 | |
| 90750 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Community Health Centers, INC | Winter Garden, FL | $485K |
| Community Health Centers, INC. | Apopka, FL | $447K |
| Community Health Centers, INC. | Orlando, FL | $441K |
| Community Health Centers, INC | Tavares, FL | $364K |
| Community Health Centers, INC | Orlando, FL | $362K |
| Community Health Centers, INC | Orlando, FL | $303K |
| Community Health Centers, INC | Groveland, FL | $295K |
| Community Health Centers, INC | Orlando, FL | $251K |
| Community Health Centers, INC | Leesburg, FL | $237K |
| Community Health Centers, INC | Orlando, FL | $56K |
| Community Health Centers, INC | Apopka, FL | $47K |
| Community Health Centers, INC | Apopka, FL | $27K |
| Community Health Centers, INC | Groveland, FL | $23K |
| Community Health Centers, INC | Clermont, FL | $2K |
| Community Health Centers, INC | Orlando, FL | $0.00 |
| Community Health Centers, INC | Leesburg, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.