Community Health Programs
Community Health Programs was paid $52K by Medicaid between Jan 2018 and Jan 2024, across 2 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
GREAT BARRINGTON, MA 01230
Next to other Community Health Clinic/Center 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 | 206 | $26K | |
| 2019 | 34 | $5K | |
| 2020 | 14 | $1K | |
| 2021 | 19 | $3K | |
| 2022 | 72 | $8K | |
| 2023 | 33 | $6K | |
| 2024incomplete | 15 | $3K |
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 | 97% | 330 | 263 | $50K |
| 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 | 3.3% | 63 | 54 | $2K |
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 |
|---|---|---|
| Lawndale Christian Health Center | Chicago, IL | $103.50M |
| Community Health Programs | Pittsfield, MA | $4.24M |
| Huntsville Isd | Huntsville, TX | $3.39M |
| Lawndale Christian Health Center | Chicago, IL | $952K |
| DR. KG Johnson and Associates, LLC | Washington, DC | $878K |
| Garden City Usd 457 | Garden City, KS | $812K |
| Community Health Programs | North Adams, MA | $653K |
| Henderson Family Eye Care, PLLC | Henderson, TN | $524K |
| Lawndale Christian Health Center | Chicago, IL | $307K |
| Lawndale Christian Health Center | Chicago, IL | $297K |
| Lawndale Christian Health Center | Chicago, IL | $216K |
| Community Health Programs | Lee, MA | $197K |
| Choices Recovery Services INC | Sioux Falls, SD | $118K |
| Ohio Eyecare Specialists, INC | Dayton, OH | $4K |
| Northern Orthopedics LTD | Brainerd, MN | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.