Clinic
Circle Health Services
Circle Health Services was paid $4.50M by Medicaid between Jun 2018 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoCIRCLE HEALTH SERVICES
CLEVELAND, OH 44103
CLEVELAND, OH 44103
33aNPI1568978948assigned 12/20/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.50M
24GClaims118,555
24DCodes billed30
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#76 of 348
Median peer was paid$1.33M
This provider vs. median3.4×
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 | 6,714 | $145K | |
| 2019 | 20,818 | $576K | |
| 2020 | 9,084 | $373K | |
| 2021 | 20,313 | $762K | |
| 2022 | 22,078 | $873K | |
| 2023 | 26,804 | $1.21M | |
| 2024incomplete | 12,744 | $565K |
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 | 66% | 38,899 | 25,678 | $2.98M |
| 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 | 14% | 22,068 | 11,632 | $627K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 18,087 | 9,702 | $363K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.3% | 9,571 | 3,443 | $192K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.5% | 6,454 | 2,151 | $158K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 8,137 | 3,647 | $39K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,517 | 2,547 | $33K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 538 | 218 | $22K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 525 | 250 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,133 | 640 | $16K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 287 | 148 | $11K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | <1% | 632 | 379 | $8K |
18 more codes
| 0011A | <1% | 462 | $7K | |
| 0012A | <1% | 441 | $7K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 520 | $5K |
| G0467 | Community health center visit, returning patient | <1% | 346 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 213 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,386 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 543 | $1K |
| 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% | 332 | $1K |
| 82947 | <1% | 735 | $874.78 | |
| 99201 | <1% | 71 | $862.30 | |
| 99442 | <1% | 30 | $176.85 | |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 40 | $133.20 |
| 91301 | <1% | 922 | $4.60 | |
| 3078F | 0% | 233 | $0.00 | |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 0% | 48 | $0.00 |
| 3077F | 0% | 15 | $0.00 | |
| 3074F | 0% | 344 | $0.00 | |
| 3079F | 0% | 26 | $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 officialGAMBATESE, CHRISTINE (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| The Centers for Families and Children | Cleveland, OH | $22.97M |
| Circle Health Services | Cleveland, OH | $7.97M |
| Circle Health Services | Cleveland, OH | $7.04M |
| Circle Health Services | Cleveland, OH | $5.95M |
| Circle Health Services | Parma, OH | $3.56M |
| The Centers for Families and Children | Cleveland, OH | $449K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.