Physician
Community Health Systems, INC.
Community Health Systems, INC. was paid $9.48M by Medicaid between Jan 2018 and Nov 2024, across 106 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 SYSTEMS, INC.
BLOOMINGTON, CA 92316
BLOOMINGTON, CA 92316
33aNPI1487706347assigned 01/18/2007
33bProvider typeFamily Medicine Physician
28Total paid$9.48M
24GClaims231,869
24DCodes billed106
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#43 of 2,511
Median peer was paid$13K
This provider vs. median738×
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 | 5,778 | $334K | |
| 2019 | 33,881 | $2.01M | |
| 2020 | 31,803 | $1.10M | |
| 2021 | 49,353 | $1.87M | |
| 2022 | 52,679 | $1.97M | |
| 2023 | 28,343 | $1.05M | |
| 2024incomplete | 30,032 | $1.15M |
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% | 25,091 | 21,090 | $2.82M |
| 00003 | Internal/system code - not a standard HCPCS code | 17% | 8,725 | 6,496 | $1.60M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 11% | 17,943 | 11,639 | $1.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 30,958 | 21,215 | $698K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.0% | 2,132 | 2,054 | $380K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.7% | 5,418 | 4,368 | $354K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 8,201 | 6,470 | $354K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.3% | 2,361 | 2,341 | $314K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 2.9% | 17,086 | 6,643 | $276K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.8% | 3,314 | 2,229 | $267K |
| G9012 | Other specified case management service not elsewhere classified | 2.3% | 6,441 | 3,986 | $220K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.3% | 9,985 | 8,645 | $218K |
94 more codes
| 98942 | 2.2% | 12,662 | $208K | |
| V2020 | Frames, purchases | 1.6% | 8,571 | $153K |
| 98940 | 1.5% | 8,696 | $140K | |
| 90837 | Psychotherapy session, about an hour | 1.2% | 971 | $118K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 7,618 | $71K |
| 92002 | <1% | 2,138 | $61K | |
| G0467 | Community health center visit, returning patient | <1% | 1,287 | $38K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 2,850 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 376 | $9K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 8,708 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 39 | $7K |
| V2744 | Tint, photochromatic, per lens | <1% | 382 | $5K |
| 0012A | <1% | 110 | $4K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,273 | $4K |
| 90686 | <1% | 1,257 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 106 | $4K |
| 0011A | <1% | 105 | $4K | |
| 92015 | Determination of refractive state | <1% | 479 | $4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 305 | $3K |
| 0013A | <1% | 70 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 606 | $3K |
| 88141 | <1% | 53 | $3K | |
| 99201 | <1% | 46 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 515 | $2K |
| 99000 | <1% | 1,379 | $2K | |
| 92551 | <1% | 1,904 | $2K | |
| 0001A | <1% | 43 | $2K | |
| 0002A | <1% | 42 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 262 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 79 | $1K |
| 81025 | <1% | 513 | $599.96 | |
| 0004A | <1% | 13 | $440.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | $414.53 |
| 81002 | <1% | 702 | $264.35 | |
| 93000 | <1% | 17 | $255.69 | |
| 92341 | <1% | 34 | $252.89 | |
| 59425 | <1% | 79 | $241.92 | |
| 96156 | <1% | 883 | $168.60 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 34 | $124.82 |
| 90715 | <1% | 98 | $122.32 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 16 | $62.34 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 16 | $62.14 |
| 90633 | <1% | 105 | $45.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 131 | $44.60 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 54 | $32.16 |
| 99173 | <1% | 1,752 | $27.54 | |
| 80053 | Comprehensive metabolic panel | <1% | 60 | $20.22 |
| 85027 | <1% | 22 | $11.87 | |
| 83655 | <1% | 12 | $10.52 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 48 | $8.45 |
| 3078F | 0% | 5,499 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 86 | $0.00 |
| 96160 | 0% | 749 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 707 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 416 | $0.00 |
| 90670 | 0% | 65 | $0.00 | |
| 1159F | 0% | 20 | $0.00 | |
| 3077F | 0% | 435 | $0.00 | |
| 90461 | 0% | 192 | $0.00 | |
| 90710 | 0% | 78 | $0.00 | |
| 82570 | 0% | 17 | $0.00 | |
| 90734 | 0% | 75 | $0.00 | |
| 80061 | Lipid panel | 0% | 41 | $0.00 |
| 90648 | 0% | 26 | $0.00 | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 0% | 43 | $0.00 |
| 81003 | 0% | 21 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 2,134 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 88 | $0.00 |
| 3074F | 0% | 5,768 | $0.00 | |
| 3008F | 0% | 894 | $0.00 | |
| 3075F | 0% | 803 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,420 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,816 | $0.00 |
| 3079F | 0% | 1,796 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 858 | $0.00 |
| 90651 | 0% | 175 | $0.00 | |
| 1220F | 0% | 166 | $0.00 | |
| 90620 | 0% | 199 | $0.00 | |
| Z1034 | 0% | 272 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,127 | $0.00 |
| G0202 | Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed | 0% | 13 | $0.00 |
| 82043 | 0% | 18 | $0.00 | |
| 3061F | 0% | 37 | $0.00 | |
| 3080F | 0% | 48 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 31 | $0.00 |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 0% | 205 | $0.00 |
| 90677 | 0% | 14 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 85018 | 0% | 51 | $0.00 | |
| 3351F | 0% | 135 | $0.00 | |
| 90696 | 0% | 43 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 32 | $0.00 |
| 2001F | 0% | 14 | $0.00 | |
| 90732 | 0% | 13 | $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 officialHOLEMAN, LORI (CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Health Systems, INC. | Riverside, CA | $51.26M |
| Community Health Systems, INC. | Riverside, CA | $17.18M |
| Moreno Valley Family Health Center | Moreno Valley, CA | $8.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.