Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CLEVELAND › CIRCLE HEALTH SERVICES

CIRCLE HEALTH SERVICES

NPI: 1386609857 · CLEVELAND, OH 44106 · Federally Qualified Health Center (FQHC) · NPI assigned 04/19/2006

$7.04M
Total Medicaid Paid
187,045
Total Claims
98,044
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAMBATESE, CHRISTINE (CFO)
NPI Enumeration Date04/19/2006

Related Entities

Other providers sharing the same authorized official: GAMBATESE, CHRISTINE

ProviderCityStateTotal Paid
THE CENTERS FOR FAMILIES AND CHILDREN CLEVELAND OH $22.97M
CIRCLE HEALTH SERVICES CLEVELAND OH $7.97M
CIRCLE HEALTH SERVICES CLEVELAND OH $5.95M
CIRCLE HEALTH SERVICES CLEVELAND OH $4.50M
CIRCLE HEALTH SERVICES PARMA OH $3.56M
THE CENTERS FOR FAMILIES AND CHILDREN CLEVELAND OH $449K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,798 $569K
2019 14,179 $535K
2020 35,056 $1.23M
2021 31,814 $1.19M
2022 30,733 $1.27M
2023 37,906 $1.44M
2024 20,559 $805K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 67,179 37,817 $4.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,753 14,961 $542K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,682 9,746 $533K
90837 Psychotherapy, 53 minutes with patient 8,426 2,091 $300K
90834 Psychotherapy, 45 minutes with patient 10,176 3,050 $247K
90832 Psychotherapy, 30 minutes with patient 7,472 2,743 $146K
90791 Psychiatric diagnostic evaluation 1,671 893 $74K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,921 2,018 $48K
D0150 Comprehensive oral evaluation - new or established patient 2,332 1,549 $36K
D1110 Prophylaxis - adult 1,404 925 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,615 1,062 $26K
D0330 Panoramic radiographic image 776 546 $26K
D0210 Intraoral - complete series of radiographic images 613 461 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,572 1,828 $20K
D7140 Extraction, erupted tooth or exposed root 406 196 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,297 1,214 $14K
T2003 Non-emergency transportation; encounter/trip 1,324 520 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 375 255 $12K
D0140 Limited oral evaluation - problem focused 593 424 $11K
36415 Collection of venous blood by venipuncture 7,527 4,457 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 262 117 $8K
83036 Hemoglobin; glycosylated (A1C) 2,565 1,442 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 348 181 $7K
0012A 437 261 $7K
0011A 441 264 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 829 416 $5K
D1120 Prophylaxis - child 525 290 $5K
D1206 Topical application of fluoride varnish 568 317 $4K
D0274 Bitewings - four radiographic images 660 407 $4K
D0120 Periodic oral evaluation - established patient 307 193 $4K
D0220 Intraoral - periapical first radiographic image 1,031 706 $3K
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 660 301 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 131 77 $2K
82947 2,009 1,078 $2K
G0467 Federally 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 362 299 $2K
D0230 Intraoral - periapical each additional radiographic image 1,026 335 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 319 267 $2K
11721 201 139 $2K
90674 137 74 $2K
H0005 Alcohol and/or drug services; group counseling by a clinician 449 65 $2K
99201 117 64 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 107 25 $1K
99385 52 36 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 28 15 $614.56
90686 165 78 $551.87
D1320 15 14 $412.72
90658 102 53 $353.78
81025 114 67 $349.42
36416 493 243 $348.63
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 100 13 $290.61
81003 278 154 $210.01
H0004 Behavioral health counseling and therapy, per 15 minutes 15 12 $174.56
93000 21 13 $171.30
90472 Immunization administration, each additional vaccine (list separately) 25 12 $86.45
D0270 131 111 $70.00
91301 891 510 $4.29
3078F 1,119 988 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 13 12 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 83 48 $0.00
3079F 114 106 $0.00
3074F 1,591 1,412 $0.00
D1330 69 54 $0.00
D0602 21 19 $0.00