Clinic
Columbus Neighborhood Health Center, INC.
Columbus Neighborhood Health Center, INC. was paid $7.76M by Medicaid between Jan 2018 and Nov 2024, across 109 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
33Billing provider infoCOLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
COLUMBUS, OH 43204
COLUMBUS, OH 43204
33aNPI1497817142assigned 12/15/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.76M
24GClaims308,797
24DCodes billed109
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#36 of 348
Median peer was paid$1.33M
This provider vs. median5.8×
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 | 73,676 | $1.50M | |
| 2019 | 58,225 | $1.43M | |
| 2020 | 40,116 | $1.16M | |
| 2021 | 43,464 | $1.23M | |
| 2022 | 40,313 | $1.10M | |
| 2023 | 41,839 | $1.05M | |
| 2024incomplete | 11,164 | $295K |
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 | 70% | 83,408 | 59,586 | $5.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 51,298 | 27,447 | $1.01M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 10,093 | 6,041 | $159K |
| 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 | 1.8% | 5,062 | 3,384 | $140K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.6% | 8,198 | 5,407 | $121K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 3,827 | 2,251 | $110K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 3,710 | 2,176 | $81K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 8,825 | 5,657 | $76K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 4,398 | 3,023 | $69K |
| 92015 | Determination of refractive state | <1% | 17,431 | 11,791 | $67K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,945 | 2,394 | $65K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,270 | 1,301 | $64K |
97 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,711 | $60K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,128 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,125 | $35K |
| 90837 | Psychotherapy session, about an hour | <1% | 656 | $17K |
| D1110 | Prophylaxis - adult | <1% | 2,728 | $16K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,268 | $15K |
| 81002 | <1% | 13,832 | $13K | |
| 92551 | <1% | 4,119 | $12K | |
| 92341 | <1% | 1,432 | $12K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,532 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,296 | $9K |
| H1000 | Prenatal care, at-risk assessment | <1% | 699 | $9K |
| D0330 | Panoramic radiographic image | <1% | 1,336 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,204 | $8K |
| 90686 | <1% | 4,639 | $8K | |
| 81025 | <1% | 2,302 | $8K | |
| 76801 | <1% | 226 | $8K | |
| G0467 | Community health center visit, returning patient | <1% | 547 | $7K |
| D0120 | Dental checkup, returning patient | <1% | 2,646 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 2,866 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 2,574 | $5K |
| 97803 | <1% | 352 | $5K | |
| D1120 | Dental cleaning, child | <1% | 1,958 | $4K |
| 36416 | <1% | 3,654 | $4K | |
| 90715 | <1% | 450 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,542 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 259 | $3K |
| 0012A | <1% | 87 | $3K | |
| 97802 | <1% | 113 | $2K | |
| D1351 | Sealant - per tooth | <1% | 396 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 315 | $2K |
| 96127 | <1% | 1,332 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 119 | $2K |
| 99173 | <1% | 1,347 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 57 | $1K |
| 0011A | <1% | 39 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,131 | $1K |
| V2020 | Frames, purchases | <1% | 170 | $1K |
| 99381 | <1% | 51 | $988.90 | |
| 90670 | <1% | 2,821 | $840.68 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 35 | $796.16 |
| 90633 | <1% | 1,369 | $675.45 | |
| 59430 | <1% | 32 | $638.80 | |
| 99454 | <1% | 27 | $574.25 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 203 | $429.02 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 113 | $364.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 53 | $253.49 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 27 | $232.95 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 18 | $199.35 |
| 92133 | <1% | 58 | $111.72 | |
| D0272 | Bitewings - two radiographic images | <1% | 183 | $90.00 |
| 90647 | <1% | 1,599 | $75.47 | |
| 82962 | <1% | 136 | $31.30 | |
| 90723 | <1% | 1,979 | $20.50 | |
| 90707 | <1% | 836 | $15.45 | |
| 90716 | <1% | 901 | $15.45 | |
| 90700 | <1% | 370 | $10.50 | |
| 91301 | <1% | 163 | $1.37 | |
| 3074F | <1% | 379 | $0.62 | |
| 3079F | <1% | 202 | $0.42 | |
| 3078F | <1% | 251 | $0.40 | |
| 3044F | <1% | 178 | $0.24 | |
| 3077F | <1% | 99 | $0.19 | |
| 3075F | <1% | 44 | $0.07 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,396 | $0.00 |
| 99071 | 0% | 9,585 | $0.00 | |
| 2028F | 0% | 526 | $0.00 | |
| 90681 | 0% | 768 | $0.00 | |
| 3045F | 0% | 110 | $0.00 | |
| 4004F | 0% | 183 | $0.00 | |
| 90648 | 0% | 203 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 80 | $0.00 |
| 90734 | 0% | 215 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 203 | $0.00 |
| D0190 | 0% | 112 | $0.00 | |
| 90687 | 0% | 57 | $0.00 | |
| 2022F | 0% | 22 | $0.00 | |
| 90671 | 0% | 51 | $0.00 | |
| 90461 | 0% | 76 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 21 | $0.00 |
| 3046F | 0% | 16 | $0.00 | |
| 90697 | 0% | 161 | $0.00 | |
| 99000 | 0% | 1,164 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,630 | $0.00 |
| D1330 | 0% | 689 | $0.00 | |
| 4000F | 0% | 263 | $0.00 | |
| 90651 | 0% | 486 | $0.00 | |
| D0601 | 0% | 160 | $0.00 | |
| 90677 | 0% | 145 | $0.00 | |
| D0602 | 0% | 299 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 55 | $0.00 |
| 90688 | 0% | 107 | $0.00 | |
| D0603 | 0% | 82 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 90656 | 0% | 95 | $0.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 12 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 33 | $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 officialGOMEZ OTAYCO, NICHOLE (COO)
| Provider | Location | Paid |
|---|---|---|
| Columbus Neighborhood Health Center, INC. | Columbus, OH | $379K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.