Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › FITCHBURG › COMMUNITY HEALTH CONNECTIONS, INC.

COMMUNITY HEALTH CONNECTIONS, INC.

NPI: 1477580827 · FITCHBURG, MA 01420 · Community Health Clinic/Center · NPI assigned 06/28/2006

$31.73M
Total Medicaid Paid
818,047
Total Claims
591,287
Beneficiaries
176
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMALIA, JOHN (PRESIDENT AND CEO)
NPI Enumeration Date06/28/2006

Related Entities

Other providers sharing the same authorized official: DEMALIA, JOHN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 112,951 $4.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 63,529 52,461 $9.48M
D9450 162,685 103,256 $5.99M
D1110 Prophylaxis - adult 36,169 26,021 $1.18M
D1120 Prophylaxis - child 18,930 18,339 $896K
D7140 Extraction, erupted tooth or exposed root 19,780 6,498 $877K
D0120 Periodic oral evaluation - established patient 45,622 36,470 $833K
D1351 Sealant - per tooth 22,992 7,536 $817K
D1206 Topical application of fluoride varnish 28,759 27,836 $731K
D0140 Limited oral evaluation - problem focused 30,968 18,291 $708K
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 20,529 16,887 $695K
D2740 Crown - porcelain/ceramic 1,499 1,015 $548K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 5,698 2,708 $526K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 11,777 7,122 $523K
D2391 Resin-based composite - one surface, posterior, primary or permanent 14,453 7,381 $499K
D0210 Intraoral - complete series of radiographic images 13,117 9,054 $488K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,709 23,368 $410K
D0274 Bitewings - four radiographic images 15,737 11,954 $381K
D0150 Comprehensive oral evaluation - new or established patient 12,052 9,313 $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 8,250 6,450 $319K
D0220 Intraoral - periapical first radiographic image 31,339 18,923 $290K
90834 Psychotherapy, 45 minutes with patient 9,512 7,299 $289K
D2331 5,397 2,850 $247K
D2335 3,096 1,745 $230K
D2332 3,631 2,034 $213K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,257 1,252 $208K
D0330 Panoramic radiographic image 4,771 3,140 $198K
D2150 Silver amalgam - two surfaces, primary or permanent 4,761 2,493 $194K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 3,927 2,748 $184K
D2330 4,831 2,323 $179K
D5212 523 343 $154K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 928 925 $152K
D4341 2,860 1,062 $144K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 885 881 $139K
92340 Fitting of spectacles, except for aphakia; monofocal 4,389 3,873 $124K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 6,594 5,310 $123K
D4342 2,540 1,081 $123K
D0272 Bitewings - two radiographic images 4,570 4,127 $119K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,601 16,473 $111K
T1040 Medicaid certified community behavioral health clinic services, per diem 1,133 858 $110K
D2160 2,458 1,288 $107K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,146 2,140 $96K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 471 469 $87K
D0230 Intraoral - periapical each additional radiographic image 11,931 5,298 $87K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,283 1,283 $82K
D2140 2,167 1,126 $75K
D7230 566 356 $72K
90677 280 275 $69K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 174 159 $68K
D5211 255 162 $66K
D2954 607 487 $55K
D5110 141 86 $55K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 290 272 $52K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,520 2,397 $52K
92015 Determination of refractive state 4,559 4,516 $52K
D9110 2,167 1,310 $50K
90686 4,677 4,544 $44K
D0180 1,808 1,492 $43K
D2751 Crown - porcelain fused to predominantly base metal 146 92 $42K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,883 8,698 $39K
90715 1,744 1,728 $38K
D2394 561 412 $37K
92341 1,104 1,086 $37K
D1354 2,634 1,401 $37K
D0270 4,406 3,355 $33K
83036 Hemoglobin; glycosylated (A1C) 5,287 4,963 $30K
D2161 541 291 $29K
D7311 283 231 $25K
90832 Psychotherapy, 30 minutes with patient 1,580 1,451 $25K
99173 1,523 1,509 $22K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 413 406 $21K
D2950 232 186 $20K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,079 1,884 $18K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,401 1,326 $17K
D3320 52 43 $16K
90460 Immunization administration through 18 years of age via any route, first or only component 1,582 1,436 $15K
90688 1,396 1,377 $14K
90651 708 697 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,276 2,873 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 398 393 $12K
90750 363 359 $12K
90791 Psychiatric diagnostic evaluation 176 176 $12K
90472 Immunization administration, each additional vaccine (list separately) 2,671 2,174 $12K
99188 408 404 $10K
81025 1,530 1,432 $9K
96127 1,247 990 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 629 550 $8K
D5120 23 12 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,187 1,122 $6K
81002 2,114 2,051 $5K
D3120 216 186 $5K
93000 398 350 $5K
99215 Prolong outpt/office vis 553 536 $4K
99384 25 24 $3K
92551 363 356 $3K
99050 71 70 $3K
82962 8,142 7,537 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 277 274 $3K
99385 12 12 $3K
0004A 100 98 $3K
90461 656 614 $3K
0011A 91 91 $2K
99383 13 13 $2K
0001A 49 49 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 413 412 $2K
90670 176 176 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 8,699 8,104 $2K
87275 200 199 $2K
90792 Psychiatric diagnostic evaluation with medical services 28 28 $1K
D5650 34 12 $1K
99442 165 164 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 31 30 $1K
97803 36 36 $1K
D4346 26 26 $1K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 16 16 $965.11
0012A 34 34 $957.40
D3310 20 13 $750.00
98967 42 42 $624.30
0064A 49 49 $565.81
98966 88 86 $560.04
97810 19 13 $507.11
92370 37 37 $414.03
92133 27 27 $402.81
97811 19 13 $383.61
90707 24 24 $376.56
G0008 Administration of influenza virus vaccine 448 415 $365.32
99443 30 28 $355.36
81003 170 168 $310.34
0054A 49 49 $297.21
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 22 22 $284.05
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15 15 $231.00
D0273 14 12 $223.00
90734 225 224 $216.85
86580 26 25 $157.04
36416 1,503 1,430 $138.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 6,157 5,774 $78.14
99408 17 16 $55.48
99406 340 333 $52.92
99000 1,625 1,424 $52.72
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 152 148 $35.57
85018 12 12 $25.08
96160 133 133 $17.12
J1885 Injection, ketorolac tromethamine, per 15 mg 251 243 $0.52
J1050 Injection, medroxyprogesterone acetate, 1 mg 24 24 $0.01
1000F 2,118 2,006 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4,000 2,098 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 1,484 783 $0.00
D0603 69 44 $0.00
91301 1,112 1,109 $0.00
V2799 Vision item or service, miscellaneous 168 151 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 912 579 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 927 880 $0.00
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 4,156 1,862 $0.00
99441 18 16 $0.00
90680 12 12 $0.00
H0049 Alcohol and/or drug screening 698 682 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 53 53 $0.00
3008F 40 39 $0.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 37 26 $0.00
91305 16 16 $0.00
G0009 Administration of pneumococcal vaccine 12 12 $0.00
90689 19 19 $0.00
94760 14 14 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 12 12 $0.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 819 490 $0.00
V2020 Frames, purchases 3,874 3,497 $0.00
99051 667 646 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 424 423 $0.00
90746 55 54 $0.00
90633 270 269 $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 67 67 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 224 221 $0.00
91300 388 373 $0.00
90648 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 16 16 $0.00
90687 56 56 $0.00
D0400 59 36 $0.00