Clinic
Hamilton Health Center, INC.
Hamilton Health Center, INC. was paid $3.71M by Medicaid between Jan 2018 and Nov 2019, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoHAMILTON HEALTH CENTER, INC.
HARRISBURG, PA 17104
HARRISBURG, PA 17104
33aNPI1497779862assigned 07/27/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.71M
24GClaims29,751
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#61 of 240
Median peer was paid$909K
This provider vs. median4.1×
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 | 10,038 | $1.59M | |
| 2019 | 19,713 | $2.12M |
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 | 100% | 19,590 | 16,589 | $3.70M |
| 3077F | <1% | 167 | 167 | $880.00 | |
| 3079F | <1% | 190 | 184 | $780.00 | |
| 3078F | <1% | 164 | 157 | $670.00 | |
| 3075F | <1% | 127 | 124 | $460.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,147 | 1,137 | $380.13 |
| 3074F | <1% | 125 | 124 | $380.00 | |
| 3080F | <1% | 82 | 82 | $360.00 | |
| 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% | 2,874 | 2,711 | $80.00 |
| 3044F | <1% | 13 | 13 | $40.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 26 | 26 | $0.00 |
| 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 | 0% | 126 | 123 | $0.00 |
25 more codes
| 90723 | 0% | 162 | $0.00 | |
| 90686 | 0% | 246 | $0.00 | |
| 92551 | 0% | 355 | $0.00 | |
| 85018 | 0% | 69 | $0.00 | |
| 90680 | 0% | 28 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 176 | $0.00 |
| 90647 | 0% | 79 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 49 | $0.00 |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 0% | 30 | $0.00 |
| 99383 | 0% | 14 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,005 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 41 | $0.00 |
| 90461 | 0% | 605 | $0.00 | |
| 3725F | 0% | 42 | $0.00 | |
| 99173 | 0% | 370 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 97 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 147 | $0.00 |
| 90670 | 0% | 275 | $0.00 | |
| 81025 | 0% | 65 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 76 | $0.00 |
| 90710 | 0% | 15 | $0.00 | |
| 83655 | 0% | 56 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 41 | $0.00 |
| 90633 | 0% | 65 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $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 officialSHEAFFER, BROOKE (DIRECTOR OF BILLING AND UTILIZATION)
| Provider | Location | Paid |
|---|---|---|
| Hamilton Health Center, INC | Newport, PA | $147K |
| Hamilton Health Center, INC | Harrisburg, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.