Physician
Community Health Center of Franklin County Incorporated
Community Health Center of Franklin County Incorporated was paid $9.42M by Medicaid between Jan 2018 and Dec 2024, across 97 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 49% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INCORPORATED
GREENFIELD, MA 01301
GREENFIELD, MA 01301
33aNPI1457300329assigned 05/09/2006
33bProvider typeFamily Medicine Physician
28Total paid$9.42M
24GClaims176,503
24DCodes billed97
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#5 of 744
Median peer was paid$10K
This provider vs. median900×
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 | 31,962 | $1.27M | |
| 2019 | 31,372 | $1.28M | |
| 2020 | 23,333 | $1.24M | |
| 2021 | 28,364 | $1.65M | |
| 2022 | 23,183 | $2.11M | |
| 2023 | 19,111 | $1.07M | |
| 2024incomplete | 19,178 | $819K |
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 | 49% | 34,067 | 27,496 | $4.58M |
| D9450 | 13% | 36,912 | 21,530 | $1.26M | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 7.8% | 8,478 | 1,980 | $732K |
| 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 | 5.0% | 10,819 | 8,667 | $468K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 4.2% | 2,833 | 1,445 | $392K |
| D1110 | Prophylaxis - adult | 2.8% | 8,172 | 5,540 | $265K |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 7,354 | 4,437 | $170K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 3,554 | 1,494 | $116K |
| D0210 | Intraoral - complete series of radiographic images | 1.2% | 2,796 | 1,775 | $113K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.1% | 2,478 | 1,339 | $104K |
| D0274 | Bitewings - four radiographic images | 1.1% | 4,127 | 3,025 | $102K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.0% | 6,668 | 4,597 | $95K |
85 more codes
| D0330 | Panoramic radiographic image | 1.0% | 2,734 | $95K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 660 | $91K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 693 | $85K |
| D9110 | <1% | 2,655 | $68K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,792 | $63K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 298 | $45K |
| D1120 | Dental cleaning, child | <1% | 865 | $43K |
| D1206 | Topical application of fluoride varnish | <1% | 1,813 | $43K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 975 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,745 | $38K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 923 | $37K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 721 | $29K |
| D2331 | <1% | 618 | $29K | |
| 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% | 152 | $27K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 289 | $26K |
| D2330 | <1% | 700 | $24K | |
| D1351 | Sealant - per tooth | <1% | 390 | $14K |
| 0011A | <1% | 425 | $14K | |
| 91322 | <1% | 93 | $14K | |
| 0012A | <1% | 239 | $12K | |
| 80305 | <1% | 1,341 | $12K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,277 | $12K |
| D4342 | <1% | 232 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 4,376 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,630 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 942 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 122 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,308 | $10K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 195 | $10K |
| 99173 | <1% | 848 | $9K | |
| 90686 | <1% | 911 | $9K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 97 | $8K |
| D0180 | <1% | 281 | $8K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,795 | $7K |
| 92551 | <1% | 649 | $6K | |
| 90480 | <1% | 123 | $6K | |
| 96127 | <1% | 1,066 | $5K | |
| D2394 | <1% | 79 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 399 | $4K |
| 90677 | <1% | 42 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 222 | $3K |
| 90715 | <1% | 131 | $3K | |
| D2335 | <1% | 36 | $2K | |
| 0124A | <1% | 60 | $2K | |
| D2332 | <1% | 40 | $2K | |
| 99188 | <1% | 64 | $2K | |
| 0002A | <1% | 41 | $2K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 273 | $1K |
| 90461 | <1% | 270 | $1K | |
| 0031A | <1% | 32 | $1K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 14 | $1K |
| 0071A | <1% | 24 | $917.40 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 21 | $905.94 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 45 | $878.46 |
| 0001A | <1% | 27 | $825.66 | |
| 87634 | <1% | 13 | $804.96 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 26 | $804.70 |
| D0272 | Bitewings - two radiographic images | <1% | 37 | $746.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 60 | $669.85 |
| 0072A | <1% | 17 | $642.18 | |
| D0270 | <1% | 81 | $528.00 | |
| D9310 | <1% | 333 | $279.00 | |
| 81003 | <1% | 135 | $255.42 | |
| 81025 | <1% | 36 | $224.64 | |
| 87400 | <1% | 18 | $224.28 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16 | $148.51 |
| 81002 | <1% | 56 | $100.15 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 132 | $77.43 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 53 | $0.00 |
| 91312 | 0% | 111 | $0.00 | |
| 91300 | 0% | 115 | $0.00 | |
| D9996 | 0% | 44 | $0.00 | |
| D0190 | 0% | 16 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 31 | $0.00 |
| 99051 | 0% | 16 | $0.00 | |
| 91301 | 0% | 648 | $0.00 | |
| 91305 | 0% | 116 | $0.00 | |
| D0171 | 0% | 56 | $0.00 | |
| D1330 | 0% | 101 | $0.00 | |
| 99406 | 0% | 54 | $0.00 | |
| 99000 | 0% | 36 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 91307 | 0% | 37 | $0.00 | |
| 91303 | 0% | 30 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 16 | $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 officialHOYNOSKI, ARLEY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Community Health Center of Franklin County Incorporated | Orange, MA | $4.28M |
| Community Health Center of Franklin County | Greenfield, MA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.