Physician
Community Health Systems, INC.
Community Health Systems, INC. was paid $51.26M by Medicaid between Jan 2018 and Dec 2024, across 131 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH SYSTEMS, INC.
RIVERSIDE, CA 92503
RIVERSIDE, CA 92503
33aNPI1548538911assigned 12/13/2011
33bProvider typeFamily Medicine Physician
28Total paid$51.26M
24GClaims580,947
24DCodes billed131
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#5 of 2,511
Median peer was paid$13K
This provider vs. median3,991×
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 | 20,547 | $1.71M | |
| 2019 | 19,422 | $1.62M | |
| 2020 | 15,496 | $1.07M | |
| 2021 | 23,090 | $1.52M | |
| 2022 | 31,131 | $2.39M | |
| 2023 | 245,767 | $21.09M | |
| 2024incomplete | 225,494 | $21.86M |
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 | 77% | 162,820 | 116,592 | $39.59M |
| 00003 | Internal/system code - not a standard HCPCS code | 22% | 40,129 | 27,741 | $11.37M |
| 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% | 76,802 | 51,310 | $147K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20,487 | 15,054 | $49K |
| 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% | 27,751 | 20,420 | $33K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 11,207 | 6,968 | $21K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 185 | 185 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,049 | 850 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,332 | 5,200 | $8K |
| 0012A | <1% | 147 | 129 | $5K | |
| 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 | <1% | 136 | 106 | $5K |
| 0011A | <1% | 155 | 129 | $4K |
119 more codes
| 91320 | <1% | 68 | $3K | |
| 0001A | <1% | 52 | $2K | |
| 0002A | <1% | 46 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 101 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,747 | $2K |
| 0013A | <1% | 40 | $2K | |
| 93000 | <1% | 125 | $1K | |
| 99000 | <1% | 13,305 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,291 | $1K |
| 81025 | <1% | 2,092 | $852.94 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 52 | $675.90 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 89 | $597.90 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 91 | $595.98 |
| 0134A | <1% | 13 | $520.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,593 | $385.39 |
| 92551 | <1% | 3,475 | $311.86 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 8,489 | $281.86 |
| 96156 | <1% | 8,347 | $150.10 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 873 | $126.80 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 707 | $102.22 |
| 90715 | <1% | 225 | $84.68 | |
| 85018 | <1% | 997 | $53.93 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 132 | $49.08 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,631 | $47.76 |
| 88142 | <1% | 27 | $47.59 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 710 | $40.72 |
| 99173 | <1% | 3,935 | $29.82 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 154 | $29.22 |
| 80061 | Lipid panel | <1% | 163 | $22.84 |
| 81002 | <1% | 1,885 | $22.34 | |
| 80053 | Comprehensive metabolic panel | <1% | 162 | $18.38 |
| 90686 | <1% | 2,215 | $17.66 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,014 | $16.90 |
| 84439 | <1% | 42 | $7.83 | |
| 81001 | <1% | 70 | $2.76 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 3,233 | $0.00 |
| 3078F | 0% | 30,477 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 2,284 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 2,789 | $0.00 |
| 96160 | 0% | 923 | $0.00 | |
| Z6400 | 0% | 137 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 3,921 | $0.00 |
| 90461 | 0% | 502 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,496 | $0.00 |
| V2020 | Frames, purchases | 0% | 3,251 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 287 | $0.00 |
| 3077F | 0% | 5,660 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,594 | $0.00 |
| Z6304 | 0% | 90 | $0.00 | |
| 1159F | 0% | 343 | $0.00 | |
| 98940 | 0% | 6,221 | $0.00 | |
| 98942 | 0% | 6,054 | $0.00 | |
| 90648 | 0% | 132 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 151 | $0.00 |
| G9920 | Screening performed and negative | 0% | 615 | $0.00 |
| 90734 | 0% | 347 | $0.00 | |
| 90633 | 0% | 258 | $0.00 | |
| 90671 | 0% | 25 | $0.00 | |
| 99382 | 0% | 21 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 99397 | 0% | 12 | $0.00 | |
| 90710 | 0% | 45 | $0.00 | |
| 90713 | 0% | 12 | $0.00 | |
| 82274 | 0% | 15 | $0.00 | |
| 4004F | 0% | 28 | $0.00 | |
| 90653 | 0% | 33 | $0.00 | |
| Z6300 | 0% | 12 | $0.00 | |
| 85014 | 0% | 15 | $0.00 | |
| 90670 | 0% | 78 | $0.00 | |
| 90707 | 0% | 14 | $0.00 | |
| Z6202 | 0% | 14 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 8,029 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 41 | $0.00 |
| 3080F | 0% | 2,007 | $0.00 | |
| 3079F | 0% | 12,670 | $0.00 | |
| Z1034 | 0% | 2,160 | $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% | 2,103 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 3,742 | $0.00 |
| 3044F | 0% | 1,699 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 12,330 | $0.00 |
| 3074F | 0% | 32,263 | $0.00 | |
| 3075F | 0% | 7,447 | $0.00 | |
| 3008F | 0% | 347 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 2,603 | $0.00 |
| 99383 | 0% | 82 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,958 | $0.00 |
| 92002 | 0% | 607 | $0.00 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 315 | $0.00 |
| Z6406 | 0% | 47 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 728 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 5,761 | $0.00 |
| 3351F | 0% | 225 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 612 | $0.00 |
| Z6204 | 0% | 232 | $0.00 | |
| 90656 | 0% | 869 | $0.00 | |
| 90651 | 0% | 828 | $0.00 | |
| V2744 | Tint, photochromatic, per lens | 0% | 582 | $0.00 |
| 90716 | 0% | 43 | $0.00 | |
| 1220F | 0% | 641 | $0.00 | |
| 85027 | 0% | 93 | $0.00 | |
| V2781 | Progressive lens, per lens | 0% | 32 | $0.00 |
| 99385 | 0% | 241 | $0.00 | |
| 90723 | 0% | 24 | $0.00 | |
| 82962 | 0% | 240 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 1,448 | $0.00 |
| 36416 | 0% | 111 | $0.00 | |
| 90620 | 0% | 170 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 35 | $0.00 |
| 2001F | 0% | 12 | $0.00 | |
| 91301 | 0% | 34 | $0.00 | |
| 99386 | 0% | 31 | $0.00 | |
| 90677 | 0% | 48 | $0.00 | |
| 90694 | 0% | 12 | $0.00 | |
| 99384 | 0% | 45 | $0.00 | |
| 3061F | 0% | 68 | $0.00 | |
| 87428 | 0% | 32 | $0.00 | |
| Z6402 | 0% | 12 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 15 | $0.00 |
| 96161 | 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)
Parent organizationCOMMUNITY HEALTH SYSTEMS, INC.
| Provider | Location | Paid |
|---|---|---|
| Community Health Systems, INC. | Riverside, CA | $17.18M |
| Community Health Systems, INC. | Bloomington, CA | $9.48M |
| 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.