Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHARLES RIVER COMMUNITY HEALTH, INC

NPI: 1487664884 · BRIGHTON, MA 02135 · Federally Qualified Health Center (FQHC) · NPI assigned 08/08/2006

$10.35M
Total Medicaid Paid
241,585
Total Claims
191,692
Beneficiaries
107
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROWNE, ELIZABETH (EXECUTIVE DIRECTOR)
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: BROWNE, ELIZABETH

ProviderCityStateTotal Paid
CHARLES RIVER COMMUNITY HEALTH, INC WALTHAM MA $9.75M
CHARLES RIVER COMMUNITY HEALTH, INC ALLSTON MA $121K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 33,578 $973K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 34,543 30,325 $5.33M
D9450 44,898 30,265 $1.03M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,413 2,368 $358K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,427 2,421 $352K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,868 5,780 $293K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,570 1,565 $264K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,739 1,733 $251K
D1110 Prophylaxis - adult 14,485 11,634 $193K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,263 1,259 $178K
D9110 7,083 3,637 $172K
D1120 Prophylaxis - child 2,552 2,460 $129K
D0220 Intraoral - periapical first radiographic image 13,873 7,660 $125K
92340 Fitting of spectacles, except for aphakia; monofocal 4,109 3,705 $109K
D0120 Periodic oral evaluation - established patient 12,206 10,079 $103K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,206 2,988 $84K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,946 2,972 $78K
D0210 Intraoral - complete series of radiographic images 4,566 3,625 $76K
D0230 Intraoral - periapical each additional radiographic image 9,600 4,864 $74K
D1206 Topical application of fluoride varnish 2,893 2,744 $72K
92015 Determination of refractive state 5,217 5,212 $63K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,464 1,437 $62K
D0274 Bitewings - four radiographic images 5,584 4,587 $61K
99050 1,171 1,141 $57K
D0150 Comprehensive oral evaluation - new or established patient 2,776 2,283 $56K
D7140 Extraction, erupted tooth or exposed root 1,321 508 $56K
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 1,547 1,317 $47K
90686 3,102 3,085 $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 1,018 502 $36K
90746 549 546 $34K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,120 7,043 $34K
90677 395 394 $32K
91320 286 286 $32K
D0140 Limited oral evaluation - problem focused 1,313 738 $30K
90750 467 464 $26K
99381 116 116 $25K
0012A 444 444 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,109 1,986 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,059 934 $20K
0011A 400 399 $17K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 777 346 $17K
99402 284 279 $17K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 129 127 $16K
90480 356 356 $16K
D2740 Crown - porcelain/ceramic 213 97 $16K
90715 629 625 $15K
D2331 938 652 $15K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 839 646 $14K
99173 968 965 $14K
81025 1,783 1,742 $12K
90472 Immunization administration, each additional vaccine (list separately) 2,910 2,894 $12K
D2330 762 371 $11K
99188 392 388 $10K
0124A 228 223 $9K
83036 Hemoglobin; glycosylated (A1C) 1,336 1,322 $9K
T1040 Medicaid certified community behavioral health clinic services, per diem 59 55 $8K
96127 737 719 $7K
92341 206 204 $7K
90834 Psychotherapy, 45 minutes with patient 925 466 $6K
D0330 Panoramic radiographic image 133 75 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 2,260 2,243 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 76 76 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 387 384 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 68 68 $5K
92551 458 455 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 406 386 $4K
81000 1,214 1,195 $4K
90670 189 189 $4K
90651 362 359 $3K
99383 17 17 $3K
D2150 Silver amalgam - two surfaces, primary or permanent 99 72 $3K
D1354 289 136 $3K
85018 1,203 1,189 $3K
D0272 Bitewings - two radiographic images 93 92 $2K
D1351 Sealant - per tooth 58 16 $2K
D0180 327 295 $2K
D2332 58 37 $2K
99385 13 13 $2K
D0270 522 418 $2K
D4341 106 37 $2K
90707 86 86 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 24 24 $1K
82947 257 234 $1K
D2140 48 29 $906.00
D2335 58 41 $710.00
90716 108 107 $641.27
90832 Psychotherapy, 30 minutes with patient 19 14 $585.35
90461 1,195 1,191 $186.96
81003 83 81 $162.36
82274 12 12 $153.93
90694 15 15 $147.35
99442 12 12 $145.67
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $122.43
90474 269 267 $44.15
36415 Collection of venous blood by venipuncture 811 792 $6.00
90633 385 383 $0.00
90648 179 178 $0.00
91312 144 142 $0.00
90710 38 38 $0.00
90680 386 385 $0.00
90697 239 238 $0.00
90619 155 155 $0.00
36416 413 406 $0.00
91301 949 938 $0.00
90723 118 118 $0.00
G0008 Administration of influenza virus vaccine 30 27 $0.00
90688 19 19 $0.00
91307 14 13 $0.00