Physician
My Community Health Center
My Community Health Center was paid $11.96M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoMY COMMUNITY HEALTH CENTER
CANTON, OH 44710
CANTON, OH 44710
33aNPI1588117147assigned 08/01/2016
33bProvider typeFamily Medicine Physician
28Total paid$11.96M
24GClaims341,100
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#9 of 739
Median peer was paid$30K
This provider vs. median403×
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 | 33,972 | $724K | |
| 2019 | 60,016 | $1.93M | |
| 2020 | 49,830 | $1.89M | |
| 2021 | 56,257 | $2.18M | |
| 2022 | 50,051 | $1.97M | |
| 2023 | 57,964 | $2.19M | |
| 2024incomplete | 33,010 | $1.08M |
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 | 67% | 125,099 | 80,983 | $8.00M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 158,823 | 80,642 | $3.27M |
| 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 | 2.3% | 9,060 | 4,693 | $273K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,144 | 1,425 | $60K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,764 | 902 | $52K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,209 | 2,631 | $36K |
| H1000 | Prenatal care, at-risk assessment | <1% | 1,393 | 704 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,506 | 2,716 | $31K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,321 | 457 | $26K |
| 81025 | <1% | 6,235 | 3,813 | $22K | |
| 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% | 2,390 | 1,920 | $21K |
| 59025 | Fetal non-stress test | <1% | 2,003 | 897 | $20K |
36 more codes
| 90686 | <1% | 2,728 | $18K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 3,734 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,165 | $14K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 397 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 322 | $12K |
| 59430 | <1% | 222 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 210 | $7K |
| 0012A | <1% | 178 | $4K | |
| 0011A | <1% | 213 | $3K | |
| 90715 | <1% | 188 | $3K | |
| 96127 | <1% | 1,377 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 63 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 119 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 377 | $1K |
| 99385 | <1% | 24 | $937.20 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 37 | $808.64 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 29 | $697.96 |
| 90656 | <1% | 34 | $562.11 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 104 | $391.06 |
| 90653 | <1% | 24 | $329.68 | |
| G0008 | Administration of influenza virus vaccine | <1% | 31 | $227.69 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 59 | $205.87 |
| 87210 | <1% | 109 | $202.60 | |
| 99406 | <1% | 186 | $131.98 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 87 | $130.34 |
| 96160 | <1% | 2,576 | $55.81 | |
| 81002 | <1% | 46 | $42.68 | |
| 91301 | <1% | 433 | $2.34 | |
| 3077F | <1% | 29 | $0.07 | |
| 0502F | 0% | 4,533 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 247 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 12 | $0.00 |
| 2014F | 0% | 42 | $0.00 | |
| 0500F | 0% | 121 | $0.00 | |
| 0503F | 0% | 83 | $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 officialAFABLE, JUAN PAULO (CEO)
| Provider | Location | Paid |
|---|---|---|
| My Community Health Center | Canton, OH | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.