Clinic
Mattapan Community Health Center INC
Mattapan Community Health Center INC was paid $14.14M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 58% of everything it billed.
33Billing provider infoMATTAPAN COMMUNITY HEALTH CENTER INC
MATTAPAN, MA 02126
MATTAPAN, MA 02126
33aNPI1639240393assigned 11/13/2006
33bProvider typeClinic/Center
28Total paid$14.14M
24GClaims258,638
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Massachusetts
Rank by total paid#10 of 53
Median peer was paid$154K
This provider vs. median92×
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 | 45,441 | $1.85M | |
| 2019 | 38,707 | $1.87M | |
| 2020 | 32,770 | $1.90M | |
| 2021 | 34,152 | $2.04M | |
| 2022 | 32,714 | $2.89M | |
| 2023 | 40,094 | $2.22M | |
| 2024incomplete | 34,760 | $1.37M |
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 | 58% | 59,238 | 50,732 | $8.24M |
| D9450 | 8.1% | 35,261 | 20,775 | $1.14M | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 6.4% | 6,714 | 3,918 | $911K |
| 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 | 2.3% | 2,798 | 2,033 | $319K |
| D1110 | Prophylaxis - adult | 2.0% | 9,217 | 6,730 | $287K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 3,743 | 2,409 | $280K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 1,644 | 1,644 | $237K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.3% | 3,692 | 3,631 | $188K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 1,244 | 1,241 | $184K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 1,211 | 1,158 | $181K |
| 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 | 1.1% | 4,552 | 3,954 | $151K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 3,520 | 3,259 | $130K |
104 more codes
| D0274 | Bitewings - four radiographic images | <1% | 5,428 | $122K |
| D0330 | Panoramic radiographic image | <1% | 2,535 | $120K |
| D1206 | Topical application of fluoride varnish | <1% | 4,620 | $119K |
| D0120 | Dental checkup, returning patient | <1% | 6,647 | $115K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 706 | $111K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,767 | $110K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,440 | $101K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,516 | $88K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 26,211 | $84K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,016 | $80K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,765 | $70K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,304 | $65K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,841 | $63K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 321 | $56K |
| D1351 | Sealant - per tooth | <1% | 1,349 | $53K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,948 | $53K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,031 | $45K |
| 99050 | <1% | 803 | $41K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,379 | $40K |
| 90837 | Psychotherapy session, about an hour | <1% | 485 | $38K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,916 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 406 | $24K |
| D0272 | Bitewings - two radiographic images | <1% | 868 | $24K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,977 | $21K |
| 99173 | <1% | 1,374 | $21K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 223 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 401 | $18K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 154 | $16K |
| D2140 | <1% | 610 | $16K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 504 | $13K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,764 | $12K |
| 90715 | <1% | 412 | $9K | |
| 90746 | <1% | 150 | $8K | |
| D9110 | <1% | 325 | $8K | |
| 96127 | <1% | 723 | $7K | |
| 84703 | <1% | 990 | $7K | |
| 90688 | <1% | 997 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 44 | $5K |
| 82962 | <1% | 3,169 | $4K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 118 | $4K |
| 97803 | <1% | 151 | $4K | |
| 92551 | <1% | 391 | $3K | |
| 97802 | <1% | 111 | $3K | |
| 99188 | <1% | 129 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,338 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 180 | $2K |
| 99381 | <1% | 12 | $2K | |
| D4341 | <1% | 1,933 | $2K | |
| 87428 | <1% | 289 | $2K | |
| 90686 | <1% | 882 | $2K | |
| 98968 | <1% | 44 | $1K | |
| 90480 | <1% | 26 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 34 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,139 | $907.48 |
| 92552 | <1% | 37 | $891.71 | |
| 90750 | <1% | 123 | $840.70 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 63 | $836.26 |
| 0124A | <1% | 18 | $735.25 | |
| 98966 | <1% | 78 | $734.62 | |
| 0064A | <1% | 32 | $721.65 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 52 | $640.03 |
| 81002 | <1% | 231 | $573.13 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 257 | $526.57 |
| 0004A | <1% | 14 | $504.67 | |
| 90461 | <1% | 58 | $472.32 | |
| 0011A | <1% | 16 | $452.78 | |
| 90658 | <1% | 668 | $445.54 | |
| 99442 | <1% | 44 | $418.94 | |
| 98967 | <1% | 14 | $271.88 | |
| 99453 | <1% | 17 | $212.98 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 40 | $212.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | $175.49 |
| 90716 | <1% | 38 | $151.03 | |
| 36416 | <1% | 1,232 | $31.73 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 201 | $18.75 |
| 90733 | <1% | 14 | $15.00 | |
| 90657 | <1% | 105 | $5.68 | |
| 91301 | 0% | 581 | $0.00 | |
| D1330 | 0% | 4,153 | $0.00 | |
| 90723 | 0% | 174 | $0.00 | |
| D9995 | 0% | 466 | $0.00 | |
| 90651 | 0% | 93 | $0.00 | |
| D0602 | 0% | 217 | $0.00 | |
| 90656 | 0% | 70 | $0.00 | |
| 91306 | 0% | 88 | $0.00 | |
| D4342 | 0% | 142 | $0.00 | |
| 90677 | 0% | 142 | $0.00 | |
| 90744 | 0% | 37 | $0.00 | |
| 90680 | 0% | 74 | $0.00 | |
| D0601 | 0% | 32 | $0.00 | |
| 91300 | 0% | 219 | $0.00 | |
| 90648 | 0% | 263 | $0.00 | |
| 90710 | 0% | 66 | $0.00 | |
| 90633 | 0% | 278 | $0.00 | |
| 90670 | 0% | 195 | $0.00 | |
| 91313 | 0% | 26 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90713 | 0% | 65 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 24 | $0.00 |
| 90707 | 0% | 12 | $0.00 | |
| 91312 | 0% | 43 | $0.00 | |
| 90473 | 0% | 25 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 30 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 14 | $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 officialVALDEZ, GUALE (PRESIDENT & CHIEF EXECUTIVE OFFICER)