Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › DORCHESTER CENTER › CODMAN SQUARE HEALTH CENTER

CODMAN SQUARE HEALTH CENTER

NPI: 1396808309 · DORCHESTER CENTER, MA 02124 · Community Health Clinic/Center · NPI assigned 12/19/2006

$44.67M
Total Medicaid Paid
996,443
Total Claims
921,633
Beneficiaries
235
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFISH, GUY (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date12/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 168,246 $6.91M
2019 162,033 $6.94M
2020 123,474 $6.68M
2021 168,663 $8.97M
2022 157,148 $8.23M
2023 121,414 $3.98M
2024 95,465 $2.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 201,872 181,184 $15.78M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 108,981 101,397 $9.21M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 41,006 35,565 $3.00M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,165 17,372 $1.47M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13,638 13,380 $1.12M
D9450 39,876 30,295 $670K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,674 8,095 $643K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11,689 11,655 $632K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,078 10,059 $615K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9,882 9,839 $529K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,789 4,525 $488K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 8,502 8,293 $474K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 6,946 5,873 $432K
97802 6,570 6,470 $381K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13,272 12,532 $323K
77067 Screening mammography, bilateral, including computer-aided detection 3,417 3,342 $321K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,117 12,382 $319K
D1110 Prophylaxis - adult 7,246 6,935 $301K
99173 13,508 13,455 $261K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5,166 5,037 $255K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11,951 10,445 $235K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 12,695 12,314 $235K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,798 3,064 $233K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,528 3,331 $229K
90658 12,065 11,833 $211K
D1120 Prophylaxis - child 4,169 4,105 $208K
97803 3,461 3,282 $201K
99215 Prolong outpt/office vis 2,238 2,174 $196K
D0274 Bitewings - four radiographic images 6,376 6,109 $196K
D0120 Periodic oral evaluation - established patient 8,713 8,359 $182K
D0140 Limited oral evaluation - problem focused 4,782 4,350 $178K
99050 10,302 9,883 $174K
D7140 Extraction, erupted tooth or exposed root 2,330 1,582 $170K
96110 Developmental screening, with scoring and documentation, per standardized instrument 14,832 14,654 $153K
D0150 Comprehensive oral evaluation - new or established patient 3,566 3,432 $141K
92340 Fitting of spectacles, except for aphakia; monofocal 4,816 4,365 $138K
D0210 Intraoral - complete series of radiographic images 2,597 2,459 $133K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 6,528 5,493 $132K
D1206 Topical application of fluoride varnish 5,119 4,993 $131K
92551 13,156 13,096 $123K
90715 5,371 5,237 $118K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,209 2,195 $115K
99381 1,153 1,112 $114K
83036 Hemoglobin; glycosylated (A1C) 15,765 15,292 $111K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,282 1,241 $110K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 884 859 $103K
99441 750 629 $96K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,891 17,204 $95K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,049 7,350 $94K
90651 2,427 2,365 $91K
D1351 Sealant - per tooth 2,305 604 $91K
90460 Immunization administration through 18 years of age via any route, first or only component 20,846 20,408 $89K
71046 Radiologic examination, chest; 2 views 1,973 1,900 $89K
86803 8,561 8,276 $88K
92015 Determination of refractive state 6,834 6,812 $86K
D0330 Panoramic radiographic image 1,389 1,346 $79K
86780 7,860 7,618 $79K
90670 3,054 3,005 $75K
90832 Psychotherapy, 30 minutes with patient 4,060 2,483 $73K
84443 Thyroid stimulating hormone (TSH) 5,489 5,314 $72K
92552 2,520 2,514 $66K
90649 824 808 $58K
D0220 Intraoral - periapical first radiographic image 3,925 3,665 $56K
77063 Screening digital breast tomosynthesis, bilateral 696 680 $53K
90674 2,298 2,262 $53K
99188 1,946 1,946 $50K
0012A 1,316 1,168 $50K
D4342 899 430 $50K
0011A 1,382 1,243 $48K
T1015 Clinic visit/encounter, all-inclusive 791 758 $48K
80061 Lipid panel 12,548 12,189 $46K
81025 8,147 7,614 $46K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,584 7,255 $45K
90746 1,784 1,750 $44K
0001A 983 973 $44K
90734 2,332 2,269 $43K
85027 7,442 7,276 $41K
0002A 867 864 $39K
90677 1,328 1,311 $39K
91322 350 345 $37K
90716 1,567 1,533 $36K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 532 476 $36K
0004A 771 769 $33K
0064A 735 724 $30K
80053 Comprehensive metabolic panel 5,650 5,409 $30K
D0272 Bitewings - two radiographic images 1,131 1,099 $29K
90834 Psychotherapy, 45 minutes with patient 916 555 $27K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 215 191 $26K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 431 417 $26K
90633 2,676 2,629 $26K
99385 400 392 $25K
80048 Basic metabolic panel (calcium, ionized) 6,491 6,228 $25K
90480 784 775 $24K
90656 1,652 1,603 $24K
82274 2,182 2,141 $23K
0124A 745 726 $22K
0071A 478 477 $22K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 26 26 $22K
86706 2,802 2,660 $21K
0072A 418 418 $19K
92133 874 868 $18K
87340 2,233 2,159 $18K
90621 658 647 $17K
99051 3,104 2,899 $16K
96127 1,651 1,638 $16K
92341 440 438 $16K
99442 643 588 $16K
0134A 543 523 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,338 1,257 $14K
90707 1,435 1,397 $14K
81003 7,559 7,199 $14K
82962 9,139 8,294 $14K
99443 245 238 $13K
86762 1,079 1,049 $12K
86580 1,565 1,487 $11K
98966 95 92 $11K
90680 1,139 1,132 $11K
D4341 171 96 $10K
D0230 Intraoral - periapical each additional radiographic image 1,055 568 $10K
82043 2,354 2,279 $10K
87210 2,565 2,346 $9K
82948 2,703 2,499 $9K
90750 194 191 $8K
90472 Immunization administration, each additional vaccine (list separately) 3,424 3,293 $8K
82570 2,133 2,067 $8K
87220 2,547 2,332 $8K
99384 114 111 $7K
90661 447 442 $7K
D2331 96 81 $7K
99490 Ccm add 20min 164 126 $7K
90657 494 493 $7K
90696 830 823 $6K
D0270 559 527 $6K
90694 493 475 $6K
99383 113 113 $6K
92250 343 328 $5K
90732 258 256 $5K
80050 General health panel 318 315 $5K
86592 1,372 1,339 $5K
0013A 113 113 $5K
99201 69 67 $5K
11981 12 12 $4K
92083 52 51 $4K
99487 Ccm add 20min 183 169 $4K
90710 1,068 1,051 $4K
81001 1,499 1,403 $4K
73630 81 80 $4K
73560 84 74 $4K
D0145 Oral evaluation for a patient under three years of age 145 142 $4K
84450 1,504 1,495 $4K
84460 1,483 1,475 $3K
D9110 100 86 $3K
90713 389 381 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 552 501 $3K
ATP14 267 251 $2K
98967 13 13 $2K
80069 401 394 $2K
91320 89 86 $2K
73610 53 51 $2K
97804 42 40 $2K
94664 325 319 $2K
99397 44 42 $2K
73130 29 26 $2K
D2330 35 24 $2K
90714 54 54 $2K
90653 75 74 $2K
0081A 43 43 $2K
D2150 Silver amalgam - two surfaces, primary or permanent 18 12 $2K
11721 116 113 $1K
D0180 47 45 $1K
99172 91 91 $1K
0154A 32 31 $1K
85610 345 253 $1K
90461 1,194 1,112 $1K
82950 257 257 $1K
96160 318 318 $1K
90648 1,469 1,454 $1K
90620 343 321 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 40 39 $997.90
90686 746 735 $960.16
73140 13 13 $953.28
82947 341 338 $904.29
90691 31 31 $776.72
ATP08 93 85 $660.66
0074A 36 36 $652.98
ATP03 133 110 $630.20
0082A 12 12 $550.56
0003A 12 12 $550.56
73030 13 13 $482.94
80076 93 91 $476.93
90744 1,990 1,945 $434.23
90698 1,991 1,965 $423.83
ATP17 39 38 $405.89
36415 Collection of venous blood by venipuncture 9,960 8,821 $394.57
90700 825 813 $393.66
84702 26 24 $374.40
ATP11 43 43 $373.51
11056 25 25 $345.89
91301 2,800 2,469 $313.88
G0008 Administration of influenza virus vaccine 165 157 $283.66
J3490 Unclassified drugs 15 15 $273.84
36416 3,462 2,974 $168.92
99386 13 13 $165.48
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 93 88 $156.47
84100 29 29 $101.89
94760 116 109 $37.95
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 50 45 $27.02
J0696 Injection, ceftriaxone sodium, per 250 mg 26 26 $19.56
83721 14 13 $9.47
D0602 584 574 $0.00
A9150 Non-prescription drugs 1,163 1,149 $0.00
90723 441 441 $0.00
D0603 546 537 $0.00
D1330 161 159 $0.00
91307 835 780 $0.00
D0601 174 173 $0.00
D1320 660 626 $0.00
91315 45 45 $0.00
91306 618 595 $0.00
D1310 141 140 $0.00
D9995 54 51 $0.00
91319 14 14 $0.00
90473 477 474 $0.00
G0444 Annual depression screening, 5 to 15 minutes 68 68 $0.00
91313 565 517 $0.00
91300 2,288 2,158 $0.00
91312 754 711 $0.00
90681 276 273 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 494 485 $0.00
90671 42 41 $0.00
91321 20 20 $0.00
91308 87 82 $0.00
87999 14 14 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 12 12 $0.00
91311 12 12 $0.00