Clinic
Holyoke Health Center INC.
Holyoke Health Center INC. was paid $6.43M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoHOLYOKE HEALTH CENTER INC.
CHICOPEE, MA 01013
CHICOPEE, MA 01013
33aNPI1518948595assigned 11/08/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.43M
24GClaims86,812
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#17 of 56
Median peer was paid$1.51M
This provider vs. median4.3×
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 | 11,367 | $919K | |
| 2019 | 12,746 | $1.09M | |
| 2020 | 10,577 | $1.00M | |
| 2021 | 13,413 | $1.21M | |
| 2022 | 14,012 | $1.60M | |
| 2023 | 14,190 | $477K | |
| 2024incomplete | 10,507 | $138K |
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 | 88% | 40,037 | 33,207 | $5.64M |
| G0467 | Community health center visit, returning patientFederally 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 | 3.7% | 7,991 | 7,091 | $236K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 706 | 698 | $92K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 500 | 496 | $64K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 294 | 294 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 284 | 279 | $37K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,678 | 2,426 | $32K |
| 99173 | <1% | 1,724 | 1,702 | $28K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,926 | 2,885 | $26K |
| 80305 | <1% | 2,947 | 2,440 | $26K | |
| 90677 | <1% | 141 | 141 | $20K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 484 | 476 | $17K |
42 more codes
| 90686 | <1% | 1,734 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,609 | $15K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,814 | $15K |
| 92551 | <1% | 1,479 | $14K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 93 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 81 | $10K |
| 90688 | <1% | 788 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 465 | $10K |
| 82947 | <1% | 3,268 | $10K | |
| 90715 | <1% | 372 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,419 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 526 | $7K |
| 90461 | <1% | 1,039 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 780 | $6K |
| 0124A | <1% | 81 | $2K | |
| 99188 | <1% | 86 | $2K | |
| 81002 | <1% | 781 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 4,692 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 21 | $2K |
| 85018 | <1% | 564 | $1K | |
| 81025 | <1% | 169 | $1K | |
| 90746 | <1% | 13 | $871.78 | |
| 88142 | <1% | 40 | $712.79 | |
| 99201 | <1% | 12 | $414.72 | |
| 36416 | <1% | 614 | $398.01 | |
| 93000 | <1% | 26 | $383.75 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $289.38 |
| 90651 | <1% | 211 | $280.00 | |
| 90662 | <1% | 37 | $55.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17 | $8.83 |
| 91307 | 0% | 38 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,870 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 42 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 87 | $0.00 |
| 90619 | 0% | 25 | $0.00 | |
| 90734 | 0% | 56 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 13 | $0.00 |
| 90661 | 0% | 62 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 91312 | 0% | 12 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 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 officialBOK, REGINA (CFO)
Parent organizationHOLYOKE HEALTH CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Holyoke Health Center INC. | Holyoke, MA | $59.30M |
| Holyoke Health Center Pharmacy | Holyoke, MA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.