Clinic
Community Health Net
Community Health Net was paid $738K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH NET
ERIE, PA 16501
ERIE, PA 16501
33aNPI1447574785assigned 03/16/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$738K
24GClaims18,359
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#128 of 240
Median peer was paid$909K
This provider vs. median0.8×
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 | 265 | $26K | |
| 2019 | 250 | $26K | |
| 2020 | 2,008 | $82K | |
| 2021 | 10,895 | $385K | |
| 2022 | 58 | $6K | |
| 2023 | 127 | $16K | |
| 2024incomplete | 4,756 | $196K |
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 | 100% | 6,059 | 5,678 | $738K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,777 | 1,763 | $20.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 595 | 591 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 682 | 680 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 649 | 645 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 423 | 326 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 367 | 364 | $0.00 |
| D0603 | 0% | 371 | 365 | $0.00 | |
| D0602 | 0% | 137 | 134 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 388 | 274 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 445 | 75 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 53 | 48 | $0.00 |
11 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 34 | $0.00 |
| D9110 | 0% | 390 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 1,403 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 911 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 1,086 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 875 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 161 | $0.00 |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 13 | $0.00 |
| D1999 | 0% | 855 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 655 | $0.00 |
| D2332 | 0% | 30 | $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 officialULMER, CRAIG (CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Health Net | Erie, PA | $7.19M |
| Community Health Net | Erie, PA | $871K |
| Community Health Net | Erie, PA | $445K |
| Community Health Net | Girard, PA | $17K |
| Community Health Net | Harborcreek, PA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.