Clinic
Community Health Connections, INC.
Community Health Connections, INC. was paid $31.73M by Medicaid between Jan 2018 and Dec 2024, across 176 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 30% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CONNECTIONS, INC.
FITCHBURG, MA 01420
FITCHBURG, MA 01420
33aNPI1477580827assigned 06/28/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$31.73M
24GClaims818,047
24DCodes billed176
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#7 of 36
Median peer was paid$3.62M
This provider vs. median8.8×
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 | 129,013 | $3.85M | |
| 2019 | 132,442 | $4.42M | |
| 2020 | 104,295 | $3.16M | |
| 2021 | 114,740 | $4.22M | |
| 2022 | 110,146 | $6.26M | |
| 2023 | 114,460 | $4.91M | |
| 2024incomplete | 112,951 | $4.91M |
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 | 30% | 63,529 | 52,461 | $9.48M |
| D9450 | 19% | 162,685 | 103,256 | $5.99M | |
| D1110 | Prophylaxis - adult | 3.7% | 36,169 | 26,021 | $1.18M |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 18,930 | 18,339 | $896K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 19,780 | 6,498 | $877K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 45,622 | 36,470 | $833K |
| D1351 | Sealant - per tooth | 2.6% | 22,992 | 7,536 | $817K |
| D1206 | Topical application of fluoride varnish | 2.3% | 28,759 | 27,836 | $731K |
| D0140 | Limited oral evaluation - problem focused | 2.2% | 30,968 | 18,291 | $708K |
| 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 | 2.2% | 20,529 | 16,887 | $695K |
| D2740 | Crown - porcelain/ceramic | 1.7% | 1,499 | 1,015 | $548K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.7% | 5,698 | 2,708 | $526K |
164 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 11,777 | $523K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 14,453 | $499K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 13,117 | $488K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.3% | 25,709 | $410K |
| D0274 | Bitewings - four radiographic images | 1.2% | 15,737 | $381K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 12,052 | $374K |
| 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 | 1.0% | 8,250 | $319K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 31,339 | $290K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 9,512 | $289K |
| D2331 | <1% | 5,397 | $247K | |
| D2335 | <1% | 3,096 | $230K | |
| D2332 | <1% | 3,631 | $213K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,257 | $208K |
| D0330 | Panoramic radiographic image | <1% | 4,771 | $198K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 4,761 | $194K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 3,927 | $184K |
| D2330 | <1% | 4,831 | $179K | |
| D5212 | <1% | 523 | $154K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 928 | $152K |
| D4341 | <1% | 2,860 | $144K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 885 | $139K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 4,389 | $124K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 6,594 | $123K |
| D4342 | <1% | 2,540 | $123K | |
| D0272 | Bitewings - two radiographic images | <1% | 4,570 | $119K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 18,601 | $111K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 1,133 | $110K |
| D2160 | <1% | 2,458 | $107K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,146 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 471 | $87K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 11,931 | $87K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,283 | $82K |
| D2140 | <1% | 2,167 | $75K | |
| D7230 | <1% | 566 | $72K | |
| 90677 | <1% | 280 | $69K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 174 | $68K |
| D5211 | <1% | 255 | $66K | |
| D2954 | <1% | 607 | $55K | |
| D5110 | <1% | 141 | $55K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 290 | $52K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,520 | $52K |
| 92015 | Determination of refractive state | <1% | 4,559 | $52K |
| D9110 | <1% | 2,167 | $50K | |
| 90686 | <1% | 4,677 | $44K | |
| D0180 | <1% | 1,808 | $43K | |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 146 | $42K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,883 | $39K |
| 90715 | <1% | 1,744 | $38K | |
| D2394 | <1% | 561 | $37K | |
| 92341 | <1% | 1,104 | $37K | |
| D1354 | <1% | 2,634 | $37K | |
| D0270 | <1% | 4,406 | $33K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,287 | $30K |
| D2161 | <1% | 541 | $29K | |
| D7311 | <1% | 283 | $25K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,580 | $25K |
| 99173 | <1% | 1,523 | $22K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 413 | $21K |
| D2950 | <1% | 232 | $20K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,079 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,401 | $17K |
| D3320 | <1% | 52 | $16K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,582 | $15K |
| 90688 | <1% | 1,396 | $14K | |
| 90651 | <1% | 708 | $14K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,276 | $14K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 398 | $12K |
| 90750 | <1% | 363 | $12K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 176 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,671 | $12K |
| 99188 | <1% | 408 | $10K | |
| 81025 | <1% | 1,530 | $9K | |
| 96127 | <1% | 1,247 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 629 | $8K |
| D5120 | <1% | 23 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,187 | $6K |
| 81002 | <1% | 2,114 | $5K | |
| D3120 | <1% | 216 | $5K | |
| 93000 | <1% | 398 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 553 | $4K |
| 99384 | <1% | 25 | $3K | |
| 92551 | <1% | 363 | $3K | |
| 99050 | <1% | 71 | $3K | |
| 82962 | <1% | 8,142 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 277 | $3K |
| 99385 | <1% | 12 | $3K | |
| 0004A | <1% | 100 | $3K | |
| 90461 | <1% | 656 | $3K | |
| 0011A | <1% | 91 | $2K | |
| 99383 | <1% | 13 | $2K | |
| 0001A | <1% | 49 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 413 | $2K |
| 90670 | <1% | 176 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 8,699 | $2K |
| 87275 | <1% | 200 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 28 | $1K |
| D5650 | <1% | 34 | $1K | |
| 99442 | <1% | 165 | $1K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 31 | $1K |
| 97803 | <1% | 36 | $1K | |
| D4346 | <1% | 26 | $1K | |
| G0466 | Community health center visit, new patient | <1% | 16 | $965.11 |
| 0012A | <1% | 34 | $957.40 | |
| D3310 | <1% | 20 | $750.00 | |
| 98967 | <1% | 42 | $624.30 | |
| 0064A | <1% | 49 | $565.81 | |
| 98966 | <1% | 88 | $560.04 | |
| 97810 | <1% | 19 | $507.11 | |
| 92370 | <1% | 37 | $414.03 | |
| 92133 | <1% | 27 | $402.81 | |
| 97811 | <1% | 19 | $383.61 | |
| 90707 | <1% | 24 | $376.56 | |
| G0008 | Administration of influenza virus vaccine | <1% | 448 | $365.32 |
| 99443 | <1% | 30 | $355.36 | |
| 81003 | <1% | 170 | $310.34 | |
| 0054A | <1% | 49 | $297.21 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 22 | $284.05 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 15 | $231.00 |
| D0273 | <1% | 14 | $223.00 | |
| 90734 | <1% | 225 | $216.85 | |
| 86580 | <1% | 26 | $157.04 | |
| 36416 | <1% | 1,503 | $138.01 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 6,157 | $78.14 |
| 99408 | <1% | 17 | $55.48 | |
| 99406 | <1% | 340 | $52.92 | |
| 99000 | <1% | 1,625 | $52.72 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 152 | $35.57 |
| 85018 | <1% | 12 | $25.08 | |
| 96160 | <1% | 133 | $17.12 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 251 | $0.52 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 24 | $0.01 |
| 1000F | 0% | 2,118 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 4,000 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 1,484 | $0.00 |
| D0603 | 0% | 69 | $0.00 | |
| 91301 | 0% | 1,112 | $0.00 | |
| V2799 | Vision item or service, miscellaneous | 0% | 168 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 912 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 927 | $0.00 |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 4,156 | $0.00 |
| 99441 | 0% | 18 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 698 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 53 | $0.00 |
| 3008F | 0% | 40 | $0.00 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 37 | $0.00 |
| 91305 | 0% | 16 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 12 | $0.00 |
| 90689 | 0% | 19 | $0.00 | |
| 94760 | 0% | 14 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 819 | $0.00 |
| V2020 | Frames, purchases | 0% | 3,874 | $0.00 |
| 99051 | 0% | 667 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 424 | $0.00 |
| 90746 | 0% | 55 | $0.00 | |
| 90633 | 0% | 270 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 67 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 224 | $0.00 |
| 91300 | 0% | 388 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| 90687 | 0% | 56 | $0.00 | |
| D0400 | 0% | 59 | $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 officialDEMALIA, JOHN (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Health Connections, INC. | Gardner, MA | $9.05M |
| Community Health Connections, INC. | Leominster, MA | $8.90M |
| Community Health Connections, INC. | Fitchburg, MA | $3.56M |
| Community Health Connections, INC. | Leominster, MA | $1.56M |
| Community Health Connections, INC. | Gardner, MA | $1.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.