Clinic
Berks Community Health Center
Berks Community Health Center was paid $37.54M by Medicaid between Jan 2018 and Dec 2024, across 128 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoBERKS COMMUNITY HEALTH CENTER
READING, PA 19602
READING, PA 19602
33aNPI1649525569assigned 07/17/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$37.54M
24GClaims399,738
24DCodes billed128
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#4 of 240
Median peer was paid$909K
This provider vs. median41×
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 | 7,128 | $1.07M | |
| 2019 | 12,249 | $1.93M | |
| 2020 | 28,832 | $3.93M | |
| 2021 | 77,669 | $8.49M | |
| 2022 | 83,965 | $7.64M | |
| 2023 | 99,481 | $7.73M | |
| 2024incomplete | 90,414 | $6.75M |
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 | 99% | 158,685 | 135,595 | $37.02M |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,342 | 1,107 | $230K |
| 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% | 9,985 | 9,114 | $64K |
| 3074F | <1% | 4,427 | 4,264 | $41K | |
| 3078F | <1% | 4,572 | 4,364 | $38K | |
| 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% | 47,494 | 43,960 | $28K |
| 3079F | <1% | 2,921 | 2,824 | $24K | |
| 3077F | <1% | 3,049 | 2,926 | $21K | |
| 3075F | <1% | 2,162 | 2,102 | $17K | |
| 3044F | <1% | 1,539 | 1,532 | $13K | |
| 3080F | <1% | 1,598 | 1,552 | $12K | |
| 3046F | <1% | 584 | 576 | $5K |
116 more codes
| 3051F | <1% | 534 | $5K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 146 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 162 | $4K |
| 3052F | <1% | 415 | $3K | |
| 0502F | <1% | 766 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13,407 | $2K |
| 90734 | <1% | 317 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16,076 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 9,445 | $1K |
| 90688 | <1% | 171 | $966.14 | |
| 90670 | <1% | 707 | $880.64 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,049 | $812.45 |
| 99499 | <1% | 27 | $567.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,288 | $560.32 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,604 | $520.32 |
| 90715 | <1% | 1,537 | $480.51 | |
| 90686 | <1% | 5,410 | $370.49 | |
| 92015 | Determination of refractive state | <1% | 130 | $291.00 |
| 90710 | <1% | 54 | $280.00 | |
| 99442 | <1% | 835 | $278.76 | |
| 82962 | <1% | 6,366 | $272.13 | |
| 83655 | <1% | 1,767 | $270.64 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 8,140 | $262.33 |
| 97802 | <1% | 708 | $258.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,011 | $170.90 |
| 90633 | <1% | 759 | $109.51 | |
| 90461 | <1% | 3,320 | $83.78 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,080 | $78.05 |
| D1110 | Prophylaxis - adult | <1% | 95 | $72.00 |
| 99384 | <1% | 319 | $60.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 892 | $53.87 |
| 90647 | <1% | 752 | $53.28 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 472 | $40.00 |
| 91321 | <1% | 15 | $40.00 | |
| 92552 | <1% | 5,263 | $36.80 | |
| 97035 | <1% | 5,528 | $31.35 | |
| 99177 | <1% | 2,049 | $30.00 | |
| 99173 | <1% | 5,274 | $27.60 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 149 | $20.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 500 | $12.70 |
| 96127 | <1% | 1,650 | $10.80 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 815 | $6.99 |
| 97014 | <1% | 7,986 | $4.00 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 2,092 | $3.66 |
| 85018 | 0% | 353 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 120 | $0.00 |
| 99443 | 0% | 613 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 28 | $0.00 |
| D1310 | 0% | 32 | $0.00 | |
| 1126F | 0% | 545 | $0.00 | |
| 96161 | 0% | 133 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 106 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 212 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,479 | $0.00 |
| 97139 | 0% | 139 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 456 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 2,265 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 84 | $0.00 |
| 99496 | 0% | 64 | $0.00 | |
| 90677 | 0% | 671 | $0.00 | |
| 90723 | 0% | 667 | $0.00 | |
| 99383 | 0% | 256 | $0.00 | |
| 98943 | 0% | 461 | $0.00 | |
| 90619 | 0% | 412 | $0.00 | |
| 90696 | 0% | 27 | $0.00 | |
| 99000 | 0% | 121 | $0.00 | |
| 90732 | 0% | 110 | $0.00 | |
| 11055 | 0% | 80 | $0.00 | |
| 90656 | 0% | 271 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 52 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 12 | $0.00 |
| 99385 | 0% | 29 | $0.00 | |
| 99999 | 0% | 26 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 66 | $0.00 |
| 99441 | 0% | 12 | $0.00 | |
| 90480 | 0% | 26 | $0.00 | |
| 0001A | 0% | 12 | $0.00 | |
| 90620 | 0% | 26 | $0.00 | |
| 1125F | 0% | 16 | $0.00 | |
| 91307 | 0% | 15 | $0.00 | |
| 90674 | 0% | 12 | $0.00 | |
| 1111F | 0% | 16 | $0.00 | |
| 99381 | 0% | 14 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 12 | $0.00 |
| 83037 | 0% | 5,500 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 180 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 1,094 | $0.00 |
| 90681 | 0% | 91 | $0.00 | |
| 11720 | 0% | 1,472 | $0.00 | |
| 99401 | 0% | 1,190 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,628 | $0.00 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 334 | $0.00 |
| 97803 | 0% | 768 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 576 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 2,356 | $0.00 |
| 3725F | 0% | 7,889 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 468 | $0.00 |
| 81002 | 0% | 632 | $0.00 | |
| 11056 | 0% | 368 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 57 | $0.00 |
| 99188 | 0% | 1,290 | $0.00 | |
| 98940 | 0% | 899 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 301 | $0.00 |
| 90756 | 0% | 18 | $0.00 | |
| 90746 | 0% | 298 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 143 | $0.00 |
| 99382 | 0% | 28 | $0.00 | |
| 1160F | 0% | 1,123 | $0.00 | |
| 90649 | 0% | 86 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 76 | $0.00 |
| 1159F | 0% | 1,116 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 141 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 59 | $0.00 |
| 2022F | 0% | 26 | $0.00 | |
| 11721 | 0% | 12 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 28 | $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 officialKARGBO, MARY (CEO)