Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › ROXBURY CROSSING › WHITTIER STREET HEALTH CENTER COMMITTEE INC

WHITTIER STREET HEALTH CENTER COMMITTEE INC

NPI: 1457397986 · ROXBURY CROSSING, MA 02120 · Clinic/Center · NPI assigned 06/22/2006

$36.73M
Total Medicaid Paid
644,201
Total Claims
466,545
Beneficiaries
147
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, JIM (CFO / VICE PRESIDENT FINANCE)
NPI Enumeration Date06/22/2006

Related Entities

Other providers sharing the same authorized official: LEE, JIM

ProviderCityStateTotal Paid
JIM LEE DDS PC ALEXANDRIA VA $174K
COUNTY OF WAYNE LYONS NY $147K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 107,818 $5.34M
2019 106,849 $4.47M
2020 84,390 $5.60M
2021 96,874 $6.35M
2022 94,531 $7.45M
2023 76,562 $4.24M
2024 77,177 $3.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 141,506 111,697 $21.60M
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 15,740 13,230 $2.50M
D9450 102,371 52,096 $2.24M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,337 4,298 $638K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,240 4,180 $618K
G0467 Federally 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 13,444 11,468 $589K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,930 3,923 $579K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,730 3,578 $555K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,364 3,358 $493K
D1110 Prophylaxis - adult 28,383 18,634 $488K
90834 Psychotherapy, 45 minutes with patient 6,731 4,430 $479K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,892 16,923 $452K
90832 Psychotherapy, 30 minutes with patient 11,200 7,985 $431K
D2740 Crown - porcelain/ceramic 1,042 644 $289K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,884 5,865 $288K
D0210 Intraoral - complete series of radiographic images 12,040 7,882 $286K
D7140 Extraction, erupted tooth or exposed root 5,738 1,855 $239K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9,596 5,170 $236K
D9110 9,941 5,430 $228K
D0140 Limited oral evaluation - problem focused 10,564 5,574 $223K
D2391 Resin-based composite - one surface, posterior, primary or permanent 9,992 4,539 $185K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,695 2,690 $178K
D0120 Periodic oral evaluation - established patient 16,744 12,178 $171K
D0274 Bitewings - four radiographic images 11,486 8,147 $158K
D0150 Comprehensive oral evaluation - new or established patient 9,999 6,695 $155K
D0220 Intraoral - periapical first radiographic image 16,642 9,937 $155K
D1120 Prophylaxis - child 3,033 2,956 $148K
T1040 Medicaid certified community behavioral health clinic services, per diem 969 608 $129K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 6,483 5,224 $123K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,664 5,403 $114K
D0330 Panoramic radiographic image 2,639 1,502 $101K
90715 4,129 4,118 $91K
92015 Determination of refractive state 6,977 6,962 $84K
92340 Fitting of spectacles, except for aphakia; monofocal 2,899 2,575 $81K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 3,530 2,007 $79K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,163 380 $78K
D0230 Intraoral - periapical each additional radiographic image 10,419 5,619 $78K
D4342 3,295 778 $66K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,859 4,879 $62K
90746 937 931 $59K
0012A 975 929 $44K
D1206 Topical application of fluoride varnish 1,644 1,614 $43K
90649 1,616 1,611 $42K
D4341 4,209 825 $41K
99381 230 224 $40K
0011A 998 987 $38K
D5212 265 165 $38K
0001A 863 809 $37K
D2330 1,745 665 $33K
90670 3,312 3,298 $32K
D2335 841 389 $30K
D2331 1,375 693 $29K
D5211 188 114 $26K
D8670 Periodic orthodontic treatment visit 128 109 $24K
D0180 2,038 1,367 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 11,315 10,999 $22K
90480 511 506 $21K
0004A 448 447 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,230 3,083 $19K
0064A 443 441 $19K
90658 3,908 3,894 $18K
0002A 407 406 $18K
D2332 622 298 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,127 1,086 $16K
D7230 195 92 $16K
D2954 258 131 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 12,308 12,127 $15K
D0272 Bitewings - two radiographic images 560 526 $14K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 299 292 $13K
D1351 Sealant - per tooth 359 83 $12K
90661 474 471 $12K
0124A 295 287 $12K
91320 225 225 $11K
D3310 486 279 $11K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 45 42 $11K
90657 2,956 2,947 $10K
90707 1,030 1,022 $9K
D3320 57 37 $9K
96127 831 821 $8K
90853 Group psychotherapy (other than of a multiple-family group) 313 192 $8K
0134A 223 218 $7K
92341 198 196 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 289 287 $6K
91322 123 123 $6K
99385 67 65 $5K
D2150 Silver amalgam - two surfaces, primary or permanent 107 68 $5K
90837 Psychotherapy, 53 minutes with patient 56 49 $5K
D2950 83 66 $4K
92133 401 392 $4K
81025 634 608 $4K
99188 159 159 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 41 39 $4K
90686 757 755 $4K
90791 Psychiatric diagnostic evaluation 30 29 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 240 235 $3K
86580 468 453 $3K
V2020 Frames, purchases 32 32 $2K
99051 820 790 $2K
99383 12 12 $2K
0054A 46 46 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 33 32 $2K
99215 Prolong outpt/office vis 24 24 $2K
90716 1,080 1,071 $2K
0071A 39 39 $2K
90461 12,834 7,571 $2K
90732 100 100 $2K
D7311 145 43 $1K
92134 259 258 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 256 243 $1K
90472 Immunization administration, each additional vaccine (list separately) 1,504 1,487 $1K
87210 231 227 $959.20
87220 226 222 $948.37
90656 911 908 $930.49
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 14 14 $772.10
90650 20 20 $672.00
D2751 Crown - porcelain fused to predominantly base metal 59 19 $571.00
90710 404 403 $531.00
90651 730 730 $440.00
90723 1,457 1,456 $390.00
92083 12 12 $357.57
90736 191 190 $212.50
90680 2,000 1,998 $135.00
90734 887 885 $135.00
90713 74 74 $112.56
G0008 Administration of influenza virus vaccine 17 17 $108.60
90648 1,975 1,968 $93.60
D0460 1,210 602 $58.00
90633 1,861 1,836 $47.88
36416 182 170 $33.12
82962 129 118 $27.48
90634 262 262 $0.00
90744 28 28 $0.00
90696 175 174 $0.00
91306 678 669 $0.00
90620 497 493 $0.00
91301 992 878 $0.00
D1330 110 81 $0.00
91305 250 246 $0.00
91307 270 252 $0.00
90702 78 77 $0.00
D1310 107 79 $0.00
D9310 73 26 $0.00
90700 927 910 $0.00
91300 4,166 3,611 $0.00
D0190 139 80 $0.00
91312 290 286 $0.00
91313 153 153 $0.00