Clinic
Charles River Community Health, INC
Charles River Community Health, INC was paid $10.35M by Medicaid between Jan 2018 and Dec 2024, across 107 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 51% of everything it billed.
33Billing provider infoCHARLES RIVER COMMUNITY HEALTH, INC
BRIGHTON, MA 02135
BRIGHTON, MA 02135
33aNPI1487664884assigned 08/08/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.35M
24GClaims241,585
24DCodes billed107
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#10 of 56
Median peer was paid$1.51M
This provider vs. median6.9×
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 | 37,641 | $1.55M | |
| 2019 | 37,034 | $1.42M | |
| 2020 | 30,836 | $1.49M | |
| 2021 | 34,112 | $1.61M | |
| 2022 | 28,609 | $1.94M | |
| 2023 | 39,775 | $1.35M | |
| 2024incomplete | 33,578 | $973K |
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 | 51% | 34,543 | 30,325 | $5.33M |
| D9450 | 10.0% | 44,898 | 30,265 | $1.03M | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 2,413 | 2,368 | $358K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 2,427 | 2,421 | $352K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.8% | 5,868 | 5,780 | $293K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.6% | 1,570 | 1,565 | $264K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 1,739 | 1,733 | $251K |
| D1110 | Prophylaxis - adult | 1.9% | 14,485 | 11,634 | $193K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 1,263 | 1,259 | $178K |
| D9110 | 1.7% | 7,083 | 3,637 | $172K | |
| D1120 | Dental cleaning, childProphylaxis - child | 1.2% | 2,552 | 2,460 | $129K |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 13,873 | 7,660 | $125K |
95 more codes
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 4,109 | $109K |
| D0120 | Dental checkup, returning patient | <1% | 12,206 | $103K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 4,206 | $84K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 4,946 | $78K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 4,566 | $76K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 9,600 | $74K |
| D1206 | Topical application of fluoride varnish | <1% | 2,893 | $72K |
| 92015 | Determination of refractive state | <1% | 5,217 | $63K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,464 | $62K |
| D0274 | Bitewings - four radiographic images | <1% | 5,584 | $61K |
| 99050 | <1% | 1,171 | $57K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,776 | $56K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,321 | $56K |
| G0467 | Community health center visit, returning patient | <1% | 1,547 | $47K |
| 90686 | <1% | 3,102 | $42K | |
| 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% | 1,018 | $36K |
| 90746 | <1% | 549 | $34K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,120 | $34K |
| 90677 | <1% | 395 | $32K | |
| 91320 | <1% | 286 | $32K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,313 | $30K |
| 90750 | <1% | 467 | $26K | |
| 99381 | <1% | 116 | $25K | |
| 0012A | <1% | 444 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,109 | $20K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,059 | $20K |
| 0011A | <1% | 400 | $17K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 777 | $17K |
| 99402 | <1% | 284 | $17K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 129 | $16K |
| 90480 | <1% | 356 | $16K | |
| D2740 | Crown - porcelain/ceramic | <1% | 213 | $16K |
| 90715 | <1% | 629 | $15K | |
| D2331 | <1% | 938 | $15K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 839 | $14K |
| 99173 | <1% | 968 | $14K | |
| 81025 | <1% | 1,783 | $12K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,910 | $12K |
| D2330 | <1% | 762 | $11K | |
| 99188 | <1% | 392 | $10K | |
| 0124A | <1% | 228 | $9K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,336 | $9K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 59 | $8K |
| 96127 | <1% | 737 | $7K | |
| 92341 | <1% | 206 | $7K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 925 | $6K |
| D0330 | Panoramic radiographic image | <1% | 133 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,260 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 76 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 387 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 68 | $5K |
| 92551 | <1% | 458 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 406 | $4K |
| 81000 | <1% | 1,214 | $4K | |
| 90670 | <1% | 189 | $4K | |
| 90651 | <1% | 362 | $3K | |
| 99383 | <1% | 17 | $3K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 99 | $3K |
| D1354 | <1% | 289 | $3K | |
| 85018 | <1% | 1,203 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 93 | $2K |
| D1351 | Sealant - per tooth | <1% | 58 | $2K |
| D0180 | <1% | 327 | $2K | |
| D2332 | <1% | 58 | $2K | |
| 99385 | <1% | 13 | $2K | |
| D0270 | <1% | 522 | $2K | |
| D4341 | <1% | 106 | $2K | |
| 90707 | <1% | 86 | $1K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 24 | $1K |
| 82947 | <1% | 257 | $1K | |
| D2140 | <1% | 48 | $906.00 | |
| D2335 | <1% | 58 | $710.00 | |
| 90716 | <1% | 108 | $641.27 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 19 | $585.35 |
| 90461 | <1% | 1,195 | $186.96 | |
| 81003 | <1% | 83 | $162.36 | |
| 82274 | <1% | 12 | $153.93 | |
| 90694 | <1% | 15 | $147.35 | |
| 99442 | <1% | 12 | $145.67 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $122.43 |
| 90474 | <1% | 269 | $44.15 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 811 | $6.00 |
| 90633 | 0% | 385 | $0.00 | |
| 90648 | 0% | 179 | $0.00 | |
| 91312 | 0% | 144 | $0.00 | |
| 90710 | 0% | 38 | $0.00 | |
| 90680 | 0% | 386 | $0.00 | |
| 90697 | 0% | 239 | $0.00 | |
| 90619 | 0% | 155 | $0.00 | |
| 36416 | 0% | 413 | $0.00 | |
| 91301 | 0% | 949 | $0.00 | |
| 90723 | 0% | 118 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | $0.00 |
| 90688 | 0% | 19 | $0.00 | |
| 91307 | 0% | 14 | $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 officialBROWNE, ELIZABETH (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Charles River Community Health, INC | Waltham, MA | $9.75M |
| Charles River Community Health, INC | Allston, MA | $121K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.