Clinic
Brockton Neighborhood Health Center
Brockton Neighborhood Health Center was paid $7.52M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 35% of everything it billed.
33Billing provider infoBROCKTON NEIGHBORHOOD HEALTH CENTER
BROCKTON, MA 02301
BROCKTON, MA 02301
33aNPI1497148407assigned 03/16/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.52M
24GClaims71,890
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#14 of 56
Median peer was paid$1.51M
This provider vs. median5.0×
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 | 3,688 | $261K | |
| 2019 | 1,898 | $166K | |
| 2020 | 3,274 | $521K | |
| 2021 | 3,932 | $496K | |
| 2022 | 17,180 | $1.82M | |
| 2023 | 28,544 | $2.68M | |
| 2024incomplete | 13,374 | $1.58M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 35% | 19,214 | 11,080 | $2.66M |
| 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 | 34% | 13,524 | 12,653 | $2.59M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 9.5% | 3,365 | 2,967 | $716K |
| D9450 | 2.8% | 3,576 | 2,609 | $211K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 853 | 814 | $185K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.4% | 2,064 | 1,511 | $177K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 677 | 658 | $147K |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit | 1.5% | 572 | 571 | $109K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 450 | 438 | $94K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 1,763 | 1,618 | $92K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 2,396 | 2,305 | $87K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 391 | 364 | $81K |
76 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,307 | $56K |
| D1206 | Topical application of fluoride varnish | <1% | 2,911 | $52K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 3,111 | $52K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 232 | $27K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,247 | $21K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 352 | $19K |
| 99384 | <1% | 83 | $16K | |
| 99173 | <1% | 688 | $15K | |
| 99383 | <1% | 61 | $13K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 318 | $11K |
| 99050 | <1% | 186 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 232 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 77 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 42 | $8K |
| 99381 | <1% | 29 | $6K | |
| 96127 | <1% | 1,004 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 327 | $5K |
| 0124A | <1% | 97 | $4K | |
| 99382 | <1% | 17 | $4K | |
| 0111A | <1% | 83 | $4K | |
| 90837 | Psychotherapy session, about an hour | <1% | 35 | $3K |
| 90474 | <1% | 291 | $2K | |
| 99188 | <1% | 89 | $2K | |
| 92551 | <1% | 247 | $2K | |
| T2022 | Case management, per month | <1% | 14 | $2K |
| 0071A | <1% | 46 | $2K | |
| 97802 | <1% | 60 | $2K | |
| 0112A | <1% | 32 | $1K | |
| 0154A | <1% | 30 | $1K | |
| 98967 | <1% | 54 | $901.26 | |
| 99460 | <1% | 14 | $886.20 | |
| 90662 | <1% | 57 | $828.10 | |
| 97803 | <1% | 30 | $712.20 | |
| 99462 | <1% | 20 | $671.00 | |
| 81025 | <1% | 77 | $569.25 | |
| 0051A | <1% | 12 | $550.44 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $517.56 |
| 90882 | <1% | 17 | $483.95 | |
| 99397 | <1% | 24 | $444.66 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 31 | $438.00 |
| D0120 | Dental checkup, returning patient | <1% | 42 | $434.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $401.06 |
| 90651 | <1% | 293 | $243.48 | |
| 98966 | <1% | 26 | $218.40 | |
| 90686 | <1% | 1,462 | $209.33 | |
| 90620 | <1% | 126 | $190.74 | |
| 81002 | <1% | 55 | $165.78 | |
| G0008 | Administration of influenza virus vaccine | <1% | 50 | $164.05 |
| 81003 | <1% | 58 | $112.86 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 170 | $47.79 |
| 82947 | <1% | 337 | $46.28 | |
| 36416 | 0% | 36 | $0.00 | |
| 90696 | 0% | 142 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 13 | $0.00 |
| 91307 | 0% | 76 | $0.00 | |
| 92558 | 0% | 464 | $0.00 | |
| 90697 | 0% | 573 | $0.00 | |
| 90619 | 0% | 237 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 26 | $0.00 |
| 91305 | 0% | 60 | $0.00 | |
| 90744 | 0% | 72 | $0.00 | |
| 90698 | 0% | 144 | $0.00 | |
| 90716 | 0% | 87 | $0.00 | |
| 91315 | 0% | 14 | $0.00 | |
| 90715 | 0% | 192 | $0.00 | |
| 91312 | 0% | 82 | $0.00 | |
| 90461 | 0% | 1,235 | $0.00 | |
| 91311 | 0% | 119 | $0.00 | |
| 90713 | 0% | 78 | $0.00 | |
| 90707 | 0% | 56 | $0.00 | |
| 99177 | 0% | 162 | $0.00 | |
| 91308 | 0% | 28 | $0.00 | |
| 90670 | 0% | 733 | $0.00 | |
| 90633 | 0% | 453 | $0.00 | |
| 90710 | 0% | 340 | $0.00 | |
| 90681 | 0% | 371 | $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 officialBENSON, MELVIN (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Brockton Neighborhood Health Center | Brockton, MA | $91.34M |
| Brockton Neighborhood Health Center | Brockton, MA | $1.32M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.