Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Oak Orchard Community Health Center INC

Oak Orchard Community Health Center INC was paid $409K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 32% of everything it billed.

33Billing provider infoOAK ORCHARD COMMUNITY HEALTH CENTER INC
WARSAW, NY 14569
33aNPI1417393018assigned 05/22/2013
28Total paid$409K
24GClaims9,261
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Community Health Clinic/Center providers in New York

Rank by total paid#17 of 29
Median peer was paid$569K
This provider vs. median0.7×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,654$61K
20191,886$75K
20201,031$36K
2021436$15K
2022935$44K
20231,567$82K
2024incomplete1,752$96K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 32% 2,670 1,741 $131K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 1,346 889 $86K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 1,650 1,471 $56K
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 9.0% 589 413 $37K
D1120 Dental cleaning, childProphylaxis - child 6.0% 700 417 $25K
D0274 Bitewings - four radiographic images 3.3% 553 231 $13K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.7% 157 84 $11K
D0140 Limited oral evaluation - problem focused 2.3% 347 236 $9K
D0150 Comprehensive oral evaluation - new or established patient 2.2% 246 227 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.1% 181 101 $9K
D0330 Panoramic radiographic image 1.5% 185 85 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 120 38 $3K
8 more codes
99215 Doctor's office visit, returning patient (complex) <1% 64 $3K
D1208 Topical application of fluoride, excluding varnish <1% 176 $2K
D0220 Intraoral - periapical first radiographic image <1% 70 $2K
D0272 Bitewings - two radiographic images <1% 75 $1K
D1206 Topical application of fluoride varnish <1% 35 $1K
D0210 Intraoral - complete series of radiographic images <1% 25 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 $950.64
G0467 Community health center visit, returning patient <1% 60 $905.43

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 officialCARMESTRO, ELLEN (SPECIAL PROGRAM BILLING COORD)
Parent organizationOAK ORCHARD COMMUNITY HEALTH CENTER