Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › SOUTH BOSTON › SOUTH BOSTON COMMUNITY HEALTH CENTER

SOUTH BOSTON COMMUNITY HEALTH CENTER

NPI: 1669447413 · SOUTH BOSTON, MA 02127 · Community Health Clinic/Center · NPI assigned 02/22/2006

$17.17M
Total Medicaid Paid
291,843
Total Claims
256,495
Beneficiaries
132
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRISON, KIM (CFO)
NPI Enumeration Date02/22/2006

Related Entities

Other providers sharing the same authorized official: HARRISON, KIM

ProviderCityStateTotal Paid
SOUTH BOSTON COMMUNITY HEALTH CENTER SOUTH BOSTON MA $150K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49,391 $2.65M
2019 46,829 $3.04M
2020 37,208 $2.85M
2021 43,188 $3.02M
2022 40,137 $3.07M
2023 40,605 $1.58M
2024 34,485 $960K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 102,319 91,871 $8.29M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,738 25,063 $2.53M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,319 6,965 $588K
90837 Psychotherapy, 53 minutes with patient 4,098 2,473 $497K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,727 4,700 $460K
90834 Psychotherapy, 45 minutes with patient 3,940 2,856 $333K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,198 2,120 $297K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,582 2,581 $276K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,525 2,525 $260K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,270 2,249 $244K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,778 1,744 $213K
D9450 17,708 10,954 $207K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,267 2,250 $198K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,680 1,677 $173K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,512 1,410 $169K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,084 2,054 $154K
D1110 Prophylaxis - adult 4,833 3,693 $145K
92340 Fitting of spectacles, except for aphakia; monofocal 5,125 4,450 $144K
90658 5,659 5,585 $108K
99215 Prolong outpt/office vis 743 722 $103K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,179 12,832 $100K
87428 1,299 1,237 $81K
77067 Screening mammography, bilateral, including computer-aided detection 638 635 $76K
0002A 1,760 1,578 $70K
90832 Psychotherapy, 30 minutes with patient 1,539 1,354 $70K
D0120 Periodic oral evaluation - established patient 4,340 3,514 $67K
0001A 1,821 1,632 $65K
D0140 Limited oral evaluation - problem focused 2,637 1,629 $63K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,511 954 $62K
D0210 Intraoral - complete series of radiographic images 1,396 1,048 $53K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,582 836 $51K
90715 1,656 1,646 $43K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,149 4,144 $43K
92015 Determination of refractive state 3,240 3,215 $41K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,757 1,679 $41K
D1120 Prophylaxis - child 842 830 $39K
91320 508 503 $38K
T1015 Clinic visit/encounter, all-inclusive 1,275 1,155 $37K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,419 2,261 $36K
D0220 Intraoral - periapical first radiographic image 3,928 2,422 $36K
90792 Psychiatric diagnostic evaluation with medical services 283 280 $32K
D0274 Bitewings - four radiographic images 1,425 1,126 $30K
90480 724 711 $29K
J1050 Injection, medroxyprogesterone acetate, 1 mg 472 468 $29K
D7140 Extraction, erupted tooth or exposed root 567 222 $28K
90670 823 820 $28K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 249 249 $28K
D0150 Comprehensive oral evaluation - new or established patient 1,163 872 $26K
D2740 Crown - porcelain/ceramic 39 28 $25K
99173 1,138 1,138 $23K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,693 1,634 $22K
0054A 546 512 $22K
D1206 Topical application of fluoride varnish 685 673 $17K
0004A 390 386 $17K
81025 2,511 2,437 $16K
0124A 529 517 $16K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 90 88 $16K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 370 236 $16K
71046 Radiologic examination, chest; 2 views 258 246 $15K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 140 136 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 99 98 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 957 934 $13K
90791 Psychiatric diagnostic evaluation 92 91 $13K
83036 Hemoglobin; glycosylated (A1C) 1,325 1,310 $11K
90677 314 314 $11K
99051 714 695 $11K
77063 Screening digital breast tomosynthesis, bilateral 322 320 $11K
0012A 264 227 $10K
90649 372 372 $10K
0011A 278 249 $9K
92551 887 886 $9K
D1208 Topical application of fluoride, excluding varnish 280 278 $8K
90734 258 258 $7K
90472 Immunization administration, each additional vaccine (list separately) 3,704 3,661 $7K
97803 113 100 $7K
D0230 Intraoral - periapical each additional radiographic image 843 341 $6K
0064A 124 124 $6K
0071A 130 130 $5K
81003 2,366 2,283 $5K
D1351 Sealant - per tooth 156 44 $5K
90746 122 122 $5K
92558 693 693 $4K
0072A 93 93 $4K
90707 133 133 $4K
D9110 152 88 $3K
90716 66 66 $3K
D0272 Bitewings - two radiographic images 104 98 $2K
0052A 46 46 $2K
99385 64 60 $2K
D2331 36 24 $2K
D2330 60 24 $2K
99386 66 66 $2K
99050 76 71 $1K
90887 55 42 $1K
0051A 26 26 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 113 103 $970.80
D0330 Panoramic radiographic image 12 12 $850.00
90657 418 413 $843.19
99442 62 60 $788.62
87420 62 59 $760.74
0154A 14 14 $642.18
86580 80 78 $595.92
20611 13 13 $462.69
81002 172 127 $454.08
97802 14 14 $307.20
0134A 18 18 $275.22
D0180 24 13 $185.00
90633 135 135 $180.60
90732 12 12 $142.52
90785 29 28 $140.00
90680 287 286 $128.91
90656 292 287 $112.92
90634 226 226 $105.90
90698 115 115 $88.25
90710 26 26 $77.40
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 159 152 $48.65
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 667 664 $46.38
90696 14 14 $25.80
36415 Collection of venous blood by venipuncture 168 158 $0.00
91305 541 536 $0.00
90723 70 70 $0.00
91319 16 15 $0.00
91307 325 311 $0.00
91306 98 98 $0.00
91301 248 191 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 289 283 $0.00
91315 18 18 $0.00
91312 432 432 $0.00
91300 1,482 1,196 $0.00
90648 70 70 $0.00
92133 38 38 $0.00
91313 18 18 $0.00