Clinic
Circle Health Services
Circle Health Services was paid $7.04M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoCIRCLE HEALTH SERVICES
CLEVELAND, OH 44106
CLEVELAND, OH 44106
33aNPI1386609857assigned 04/19/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.04M
24GClaims187,045
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#44 of 348
Median peer was paid$1.33M
This provider vs. median5.3×
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 | 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 | |
| 2024incomplete | 20,559 | $805K |
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 | 68% | 67,179 | 37,817 | $4.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 28,753 | 14,961 | $542K |
| 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 | 7.6% | 17,682 | 9,746 | $533K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.3% | 8,426 | 2,091 | $300K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.5% | 10,176 | 3,050 | $247K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 7,472 | 2,743 | $146K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.0% | 1,671 | 893 | $74K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,921 | 2,018 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,332 | 1,549 | $36K |
| D1110 | Prophylaxis - adult | <1% | 1,404 | 925 | $32K |
| 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% | 1,615 | 1,062 | $26K |
| D0330 | Panoramic radiographic image | <1% | 776 | 546 | $26K |
51 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 613 | $24K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,572 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 406 | $19K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,297 | $14K |
| T2003 | Non-emergency transportation, per trip | <1% | 1,324 | $13K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 375 | $12K |
| D0140 | Limited oral evaluation - problem focused | <1% | 593 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,527 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 262 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,565 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 348 | $7K |
| 0012A | <1% | 437 | $7K | |
| 0011A | <1% | 441 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 829 | $5K |
| D1120 | Dental cleaning, child | <1% | 525 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 568 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 660 | $4K |
| D0120 | Dental checkup, returning patient | <1% | 307 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,031 | $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 | <1% | 660 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 131 | $2K |
| 82947 | <1% | 2,009 | $2K | |
| G0467 | Community health center visit, returning patient | <1% | 362 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,026 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 319 | $2K |
| 11721 | <1% | 201 | $2K | |
| 90674 | <1% | 137 | $2K | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 449 | $2K |
| 99201 | <1% | 117 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 107 | $1K |
| 99385 | <1% | 52 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $614.56 |
| 90686 | <1% | 165 | $551.87 | |
| D1320 | <1% | 15 | $412.72 | |
| 90658 | <1% | 102 | $353.78 | |
| 81025 | <1% | 114 | $349.42 | |
| 36416 | <1% | 493 | $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 | <1% | 100 | $290.61 |
| 81003 | <1% | 278 | $210.01 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 15 | $174.56 |
| 93000 | <1% | 21 | $171.30 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 25 | $86.45 |
| D0270 | <1% | 131 | $70.00 | |
| 91301 | <1% | 891 | $4.29 | |
| 3078F | 0% | 1,119 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 13 | $0.00 |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 0% | 83 | $0.00 |
| 3079F | 0% | 114 | $0.00 | |
| 3074F | 0% | 1,591 | $0.00 | |
| D1330 | 0% | 69 | $0.00 | |
| D0602 | 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 officialGAMBATESE, CHRISTINE (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.