Clinic
South Boston Community Health Center
South Boston Community Health Center was paid $17.17M by Medicaid between Jan 2018 and Dec 2024, across 132 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoSOUTH BOSTON COMMUNITY HEALTH CENTER
SOUTH BOSTON, MA 02127
SOUTH BOSTON, MA 02127
33aNPI1669447413assigned 02/22/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$17.17M
24GClaims291,843
24DCodes billed132
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#11 of 36
Median peer was paid$3.62M
This provider vs. median4.7×
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 | 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 | |
| 2024incomplete | 34,485 | $960K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 48% | 102,319 | 91,871 | $8.29M |
| 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 | 15% | 26,738 | 25,063 | $2.53M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.4% | 9,319 | 6,965 | $588K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 4,098 | 2,473 | $497K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.7% | 4,727 | 4,700 | $460K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 3,940 | 2,856 | $333K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 2,198 | 2,120 | $297K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 2,582 | 2,581 | $276K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 2,525 | 2,525 | $260K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 2,270 | 2,249 | $244K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 1,778 | 1,744 | $213K |
| D9450 | 1.2% | 17,708 | 10,954 | $207K |
120 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 2,267 | $198K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 1,680 | $173K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,512 | $169K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,084 | $154K |
| D1110 | Prophylaxis - adult | <1% | 4,833 | $145K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 5,125 | $144K |
| 90658 | <1% | 5,659 | $108K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 743 | $103K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13,179 | $100K |
| 87428 | <1% | 1,299 | $81K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 638 | $76K |
| 0002A | <1% | 1,760 | $70K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,539 | $70K |
| D0120 | Dental checkup, returning patient | <1% | 4,340 | $67K |
| 0001A | <1% | 1,821 | $65K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,637 | $63K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,511 | $62K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,396 | $53K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,582 | $51K |
| 90715 | <1% | 1,656 | $43K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,149 | $43K |
| 92015 | Determination of refractive state | <1% | 3,240 | $41K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,757 | $41K |
| D1120 | Dental cleaning, child | <1% | 842 | $39K |
| 91320 | <1% | 508 | $38K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 1,275 | $37K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,419 | $36K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,928 | $36K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 283 | $32K |
| D0274 | Bitewings - four radiographic images | <1% | 1,425 | $30K |
| 90480 | <1% | 724 | $29K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 472 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 567 | $28K |
| 90670 | <1% | 823 | $28K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 249 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,163 | $26K |
| D2740 | Crown - porcelain/ceramic | <1% | 39 | $25K |
| 99173 | <1% | 1,138 | $23K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,693 | $22K |
| 0054A | <1% | 546 | $22K | |
| D1206 | Topical application of fluoride varnish | <1% | 685 | $17K |
| 0004A | <1% | 390 | $17K | |
| 81025 | <1% | 2,511 | $16K | |
| 0124A | <1% | 529 | $16K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 90 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 370 | $16K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 258 | $15K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 140 | $14K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 99 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 957 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 92 | $13K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,325 | $11K |
| 90677 | <1% | 314 | $11K | |
| 99051 | <1% | 714 | $11K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 322 | $11K |
| 0012A | <1% | 264 | $10K | |
| 90649 | <1% | 372 | $10K | |
| 0011A | <1% | 278 | $9K | |
| 92551 | <1% | 887 | $9K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 280 | $8K |
| 90734 | <1% | 258 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,704 | $7K |
| 97803 | <1% | 113 | $7K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 843 | $6K |
| 0064A | <1% | 124 | $6K | |
| 0071A | <1% | 130 | $5K | |
| 81003 | <1% | 2,366 | $5K | |
| D1351 | Sealant - per tooth | <1% | 156 | $5K |
| 90746 | <1% | 122 | $5K | |
| 92558 | <1% | 693 | $4K | |
| 0072A | <1% | 93 | $4K | |
| 90707 | <1% | 133 | $4K | |
| D9110 | <1% | 152 | $3K | |
| 90716 | <1% | 66 | $3K | |
| D0272 | Bitewings - two radiographic images | <1% | 104 | $2K |
| 0052A | <1% | 46 | $2K | |
| 99385 | <1% | 64 | $2K | |
| D2331 | <1% | 36 | $2K | |
| D2330 | <1% | 60 | $2K | |
| 99386 | <1% | 66 | $2K | |
| 99050 | <1% | 76 | $1K | |
| 90887 | <1% | 55 | $1K | |
| 0051A | <1% | 26 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 113 | $970.80 |
| D0330 | Panoramic radiographic image | <1% | 12 | $850.00 |
| 90657 | <1% | 418 | $843.19 | |
| 99442 | <1% | 62 | $788.62 | |
| 87420 | <1% | 62 | $760.74 | |
| 0154A | <1% | 14 | $642.18 | |
| 86580 | <1% | 80 | $595.92 | |
| 20611 | <1% | 13 | $462.69 | |
| 81002 | <1% | 172 | $454.08 | |
| 97802 | <1% | 14 | $307.20 | |
| 0134A | <1% | 18 | $275.22 | |
| D0180 | <1% | 24 | $185.00 | |
| 90633 | <1% | 135 | $180.60 | |
| 90732 | <1% | 12 | $142.52 | |
| 90785 | <1% | 29 | $140.00 | |
| 90680 | <1% | 287 | $128.91 | |
| 90656 | <1% | 292 | $112.92 | |
| 90634 | <1% | 226 | $105.90 | |
| 90698 | <1% | 115 | $88.25 | |
| 90710 | <1% | 26 | $77.40 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 159 | $48.65 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 667 | $46.38 |
| 90696 | <1% | 14 | $25.80 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 168 | $0.00 |
| 91305 | 0% | 541 | $0.00 | |
| 90723 | 0% | 70 | $0.00 | |
| 91319 | 0% | 16 | $0.00 | |
| 91307 | 0% | 325 | $0.00 | |
| 91306 | 0% | 98 | $0.00 | |
| 91301 | 0% | 248 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 289 | $0.00 |
| 91315 | 0% | 18 | $0.00 | |
| 91312 | 0% | 432 | $0.00 | |
| 91300 | 0% | 1,482 | $0.00 | |
| 90648 | 0% | 70 | $0.00 | |
| 92133 | 0% | 38 | $0.00 | |
| 91313 | 0% | 18 | $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 officialHARRISON, KIM (CFO)
| Provider | Location | Paid |
|---|---|---|
| South Boston Community Health Center | South Boston, MA | $150K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.