Clinic
South End Community Health Center INC
South End Community Health Center INC was paid $8.65M by Medicaid between Jan 2018 and Jun 2020, across 102 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 infoSOUTH END COMMUNITY HEALTH CENTER INC
BOSTON, MA 02118
BOSTON, MA 02118
33aNPI1558310052assigned 05/10/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.65M
24GClaims185,544
24DCodes billed102
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#13 of 56
Median peer was paid$1.51M
This provider vs. median5.7×
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 | 83,210 | $3.51M | |
| 2019 | 77,719 | $3.44M | |
| 2020 | 24,615 | $1.70M |
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% | 38,157 | 30,430 | $6.05M |
| 99050 | 2.2% | 3,875 | 3,542 | $189K | |
| D9450 | 2.0% | 25,017 | 12,855 | $176K | |
| 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 | 1.8% | 4,825 | 3,726 | $152K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 18,325 | 16,116 | $145K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.6% | 4,839 | 3,976 | $135K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 6,656 | 4,154 | $118K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.3% | 2,544 | 2,520 | $110K |
| D1110 | Prophylaxis - adult | 1.3% | 6,432 | 4,495 | $109K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 583 | 582 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 573 | 573 | $97K |
| 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 | 1.1% | 2,652 | 1,496 | $94K |
90 more codes
| D9110 | 1.1% | 3,550 | $93K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,806 | $76K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 427 | $72K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 6,126 | $71K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 4,081 | $69K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,596 | $60K |
| D0120 | Dental checkup, returning patient | <1% | 5,553 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 282 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,418 | $43K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,082 | $43K |
| D1120 | Dental cleaning, child | <1% | 893 | $43K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,785 | $38K |
| D0274 | Bitewings - four radiographic images | <1% | 2,392 | $37K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 227 | $36K |
| 92341 | <1% | 1,035 | $36K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,284 | $30K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,001 | $28K |
| 99188 | <1% | 1,064 | $27K | |
| V2020 | Frames, purchases | <1% | 275 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,628 | $24K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 347 | $23K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,788 | $19K |
| 92015 | Determination of refractive state | <1% | 1,585 | $19K |
| D2331 | <1% | 760 | $17K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,191 | $14K |
| D2330 | <1% | 623 | $13K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 446 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,177 | $9K |
| 90461 | <1% | 761 | $9K | |
| 11721 | <1% | 492 | $7K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 226 | $7K |
| 81025 | <1% | 888 | $5K | |
| D2140 | <1% | 184 | $5K | |
| 90682 | <1% | 201 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 385 | $5K |
| 90688 | <1% | 1,159 | $5K | |
| 82947 | <1% | 1,691 | $5K | |
| 90746 | <1% | 66 | $4K | |
| 97802 | <1% | 72 | $4K | |
| D2332 | <1% | 117 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 157 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 129 | $3K |
| 90715 | <1% | 181 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 854 | $3K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 41 | $2K |
| H0001 | Alcohol and/or drug assessment | <1% | 2,237 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 75 | $2K |
| 90651 | <1% | 155 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 245 | $2K |
| 97803 | <1% | 47 | $2K | |
| D2160 | <1% | 47 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 103 | $1K |
| D2335 | <1% | 21 | $1K | |
| 81002 | <1% | 448 | $1K | |
| 90686 | <1% | 67 | $957.11 | |
| D4341 | <1% | 239 | $925.00 | |
| 90670 | <1% | 261 | $858.48 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 66 | $756.67 |
| 98928 | <1% | 12 | $588.43 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 650 | $532.44 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 92 | $507.10 |
| 99442 | <1% | 27 | $484.38 | |
| 90658 | <1% | 59 | $452.19 | |
| 99051 | <1% | 190 | $436.92 | |
| 90734 | <1% | 104 | $416.64 | |
| 81003 | <1% | 171 | $363.79 | |
| 92552 | <1% | 16 | $332.96 | |
| 99173 | <1% | 16 | $320.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 59 | $237.14 |
| 90473 | <1% | 17 | $182.30 | |
| 90716 | <1% | 44 | $77.20 | |
| 90647 | <1% | 251 | $26.63 | |
| A9150 | Non-prescription drugs | <1% | 14 | $25.05 |
| 90657 | <1% | 149 | $11.36 | |
| 94760 | <1% | 40 | $4.78 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 159 | $0.00 |
| 90681 | 0% | 18 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 42 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 17 | $0.00 |
| 90633 | 0% | 293 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 16 | $0.00 |
| 90707 | 0% | 26 | $0.00 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | 0% | 28 | $0.00 |
| 90710 | 0% | 33 | $0.00 | |
| 90680 | 0% | 127 | $0.00 | |
| 90696 | 0% | 33 | $0.00 | |
| 90723 | 0% | 159 | $0.00 | |
| 96151 | 0% | 143 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 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 officialWALCZAK, WILLIAM (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| South End Community Health Center INC | Boston, MA | $1.96M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.