Clinic
Edward M. Kennedy Community Health Center, INC
Edward M. Kennedy Community Health Center, INC was paid $55.25M by Medicaid between Jan 2018 and Dec 2024, across 180 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 56% of everything it billed.
33Billing provider infoEDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
WORCESTER, MA 01605
WORCESTER, MA 01605
33aNPI1609842152assigned 02/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$55.25M
24GClaims984,102
24DCodes billed180
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#4 of 56
Median peer was paid$1.51M
This provider vs. median37×
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 | 152,896 | $7.29M | |
| 2019 | 166,755 | $7.63M | |
| 2020 | 127,921 | $7.69M | |
| 2021 | 162,817 | $9.82M | |
| 2022 | 158,570 | $12.82M | |
| 2023 | 153,004 | $7.66M | |
| 2024incomplete | 62,139 | $2.33M |
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 | 56% | 200,954 | 164,429 | $30.93M |
| D9450 | 5.8% | 136,499 | 79,267 | $3.18M | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 3.9% | 15,202 | 10,163 | $2.13M |
| 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 | 3.1% | 10,455 | 8,938 | $1.73M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 10,405 | 9,740 | $1.54M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 8,260 | 8,252 | $1.23M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.1% | 15,324 | 10,015 | $1.15M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 7,496 | 7,494 | $1.12M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 6,642 | 6,640 | $1.00M |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 5,213 | 5,209 | $794K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 31,201 | 16,673 | $655K |
| D1110 | Prophylaxis - adult | 1.1% | 28,215 | 21,881 | $594K |
168 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 11,726 | $498K |
| G0467 | Community health center visit, returning patient | <1% | 11,799 | $375K |
| D0120 | Dental checkup, returning patient | <1% | 27,353 | $337K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 13,043 | $333K |
| 99381 | <1% | 1,645 | $309K | |
| D1120 | Dental cleaning, child | <1% | 5,935 | $305K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 13,848 | $285K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 11,560 | $252K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,444 | $251K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 3,591 | $244K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 26,024 | $222K |
| D2740 | Crown - porcelain/ceramic | <1% | 1,158 | $218K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 10,840 | $208K |
| 99050 | <1% | 4,600 | $207K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 3,918 | $196K |
| D0274 | Bitewings - four radiographic images | <1% | 12,108 | $188K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 45,934 | $186K |
| 97802 | <1% | 3,206 | $168K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16,158 | $156K |
| 97803 | <1% | 4,330 | $155K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,290 | $153K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 5,558 | $151K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 4,684 | $150K |
| D1351 | Sealant - per tooth | <1% | 3,382 | $137K |
| D0180 | <1% | 9,848 | $130K | |
| 90746 | <1% | 1,811 | $118K | |
| 90686 | <1% | 18,650 | $115K | |
| D2331 | <1% | 3,448 | $103K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 407 | $101K |
| D2335 | <1% | 1,922 | $92K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 3,838 | $90K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 3,070 | $89K |
| D2751 | Crown - porcelain fused to predominantly base metal | <1% | 575 | $88K |
| 92015 | Determination of refractive state | <1% | 7,796 | $87K |
| 90715 | <1% | 4,709 | $84K | |
| D5212 | <1% | 535 | $83K | |
| D9110 | <1% | 3,598 | $81K | |
| D2330 | <1% | 2,983 | $79K | |
| 99173 | <1% | 3,831 | $78K | |
| D3320 | <1% | 503 | $78K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,872 | $76K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 7,396 | $72K |
| D0272 | Bitewings - two radiographic images | <1% | 2,552 | $69K |
| 99188 | <1% | 2,621 | $68K | |
| 0064A | <1% | 1,466 | $67K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 1,796 | $66K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 2,311 | $62K |
| D2332 | <1% | 1,527 | $61K | |
| 90632 | <1% | 1,216 | $60K | |
| D4341 | <1% | 2,535 | $59K | |
| 90688 | <1% | 3,800 | $58K | |
| 99384 | <1% | 327 | $57K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 21,481 | $55K |
| 92341 | <1% | 1,513 | $52K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,744 | $50K |
| D5211 | <1% | 286 | $46K | |
| 91322 | <1% | 373 | $43K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 353 | $42K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,118 | $40K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,472 | $36K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 111 | $35K |
| D4342 | <1% | 1,775 | $35K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,417 | $33K |
| 0134A | <1% | 711 | $32K | |
| D0330 | Panoramic radiographic image | <1% | 867 | $32K |
| 81025 | <1% | 4,674 | $32K | |
| D2954 | <1% | 546 | $31K | |
| D2140 | <1% | 1,151 | $31K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 357 | $31K |
| 0012A | <1% | 664 | $30K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,593 | $30K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 532 | $27K |
| D3310 | <1% | 264 | $27K | |
| 90670 | <1% | 6,573 | $27K | |
| 93000 | <1% | 1,677 | $26K | |
| 99383 | <1% | 141 | $25K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,079 | $23K |
| 90651 | <1% | 4,832 | $22K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,376 | $22K |
| 0011A | <1% | 530 | $21K | |
| 99385 | <1% | 140 | $20K | |
| 96127 | <1% | 2,104 | $19K | |
| 92551 | <1% | 1,942 | $18K | |
| 90707 | <1% | 2,494 | $17K | |
| 0072A | <1% | 329 | $15K | |
| 0071A | <1% | 316 | $14K | |
| 90716 | <1% | 2,629 | $12K | |
| 90480 | <1% | 280 | $12K | |
| 0054A | <1% | 257 | $12K | |
| 90620 | <1% | 2,017 | $11K | |
| 0002A | <1% | 242 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 661 | $10K |
| 0001A | <1% | 220 | $10K | |
| D0270 | <1% | 2,270 | $10K | |
| D2160 | <1% | 276 | $9K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 169 | $8K |
| 81003 | <1% | 3,581 | $7K | |
| 11981 | <1% | 63 | $7K | |
| 0004A | <1% | 136 | $6K | |
| 90734 | <1% | 2,734 | $6K | |
| D2394 | <1% | 152 | $5K | |
| 0052A | <1% | 105 | $5K | |
| 90887 | <1% | 79 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,648 | $5K |
| 90750 | <1% | 37 | $3K | |
| 90677 | <1% | 862 | $3K | |
| 86580 | <1% | 562 | $3K | |
| 0124A | <1% | 63 | $3K | |
| 90732 | <1% | 32 | $3K | |
| 0051A | <1% | 49 | $2K | |
| 90682 | <1% | 35 | $2K | |
| 0111A | <1% | 40 | $2K | |
| 90474 | <1% | 4,368 | $2K | |
| 11982 | <1% | 14 | $2K | |
| 90714 | <1% | 772 | $2K | |
| 90713 | <1% | 703 | $2K | |
| 0013A | <1% | 33 | $2K | |
| 90473 | <1% | 119 | $1K | |
| 92370 | <1% | 84 | $939.96 | |
| 87210 | <1% | 168 | $859.42 | |
| 97804 | <1% | 20 | $702.24 | |
| 0112A | <1% | 12 | $550.44 | |
| 0003A | <1% | 12 | $550.44 | |
| 99462 | <1% | 12 | $402.60 | |
| 59025 | Fetal non-stress test | <1% | 47 | $379.60 |
| 91301 | <1% | 6,676 | $318.58 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 54 | $20.00 |
| 94760 | <1% | 3,215 | $14.18 | |
| 82962 | <1% | 1,947 | $6.50 | |
| 90744 | 0% | 2,150 | $0.00 | |
| 90619 | 0% | 1,177 | $0.00 | |
| 90697 | 0% | 2,121 | $0.00 | |
| 90696 | 0% | 1,320 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 317 | $0.00 |
| 90680 | 0% | 5,060 | $0.00 | |
| 91306 | 0% | 1,513 | $0.00 | |
| 90698 | 0% | 2,794 | $0.00 | |
| 90723 | 0% | 793 | $0.00 | |
| 91307 | 0% | 741 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 179 | $0.00 |
| D1330 | 0% | 363 | $0.00 | |
| 91305 | 0% | 561 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 489 | $0.00 |
| 91303 | 0% | 149 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 70 | $0.00 |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 478 | $0.00 |
| 90674 | 0% | 280 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 14 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 13 | $0.00 |
| 90710 | 0% | 1,446 | $0.00 | |
| 90633 | 0% | 5,362 | $0.00 | |
| 90648 | 0% | 2,409 | $0.00 | |
| 90700 | 0% | 1,822 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 42 | $0.00 |
| 91311 | 0% | 128 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 2,496 | $0.00 |
| 0502F | 0% | 295 | $0.00 | |
| 90685 | 0% | 791 | $0.00 | |
| 91313 | 0% | 856 | $0.00 | |
| 90671 | 0% | 76 | $0.00 | |
| 99408 | 0% | 357 | $0.00 | |
| 90661 | 0% | 223 | $0.00 | |
| D5422 | 0% | 51 | $0.00 | |
| 91300 | 0% | 1,034 | $0.00 | |
| 90687 | 0% | 13 | $0.00 | |
| MEDAD | 0% | 65 | $0.00 | |
| 91312 | 0% | 86 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 35 | $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 officialKERRIGAN, STEPHEN (PRESIDENT & CEO)
Parent organizationEDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| Edward M. Kennedy Community Health Center, INC | Worcester, MA | $3.09M |
| Edward M. Kennedy Community Health Center, INC | Milford, MA | $636K |
| Edward M. Kennedy Community Health Center, INC | Framingham, MA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.