Clinic
Community Health Programs
Community Health Programs was paid $197K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is G0467, community health center visit, returning patient — 71% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH PROGRAMS
LEE, MA 01238
LEE, MA 01238
33aNPI1689945784assigned 01/20/2012
33bProvider typeCommunity Health Clinic/Center
28Total paid$197K
24GClaims9,028
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#26 of 36
Median peer was paid$3.62M
This provider vs. median0.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JOHNSON, KAREN controls 15+ related entities in our dataset. Read more
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 | 1,749 | $64K | |
| 2019 | 1,188 | $23K | |
| 2020 | 1,004 | $17K | |
| 2021 | 1,115 | $19K | |
| 2022 | 1,254 | $24K | |
| 2023 | 1,414 | $25K | |
| 2024incomplete | 1,304 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 71% | 4,489 | 3,591 | $140K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 25% | 483 | 426 | $48K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 3.9% | 659 | 525 | $8K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 42 | 40 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 17 | 16 | $0.00 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 0% | 25 | 25 | $0.00 |
| 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 | 0% | 2,430 | 2,099 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 24 | 24 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 859 | 747 | $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 officialJOHNSON, KAREN (CHIEF HUMAN RESOURCES AND COMPLIANC)
| Provider | Location | Paid |
|---|---|---|
| Lawndale Christian Health Center | Chicago, IL | $103.50M |
| Community Health Programs | Pittsfield, MA | $4.24M |
| Huntsville Isd | Huntsville, TX | $3.39M |
| Lawndale Christian Health Center | Chicago, IL | $952K |
| DR. KG Johnson and Associates, LLC | Washington, DC | $878K |
| Garden City Usd 457 | Garden City, KS | $812K |
| Community Health Programs | North Adams, MA | $653K |
| Henderson Family Eye Care, PLLC | Henderson, TN | $524K |
| Lawndale Christian Health Center | Chicago, IL | $307K |
| Lawndale Christian Health Center | Chicago, IL | $297K |
| Lawndale Christian Health Center | Chicago, IL | $216K |
| Choices Recovery Services INC | Sioux Falls, SD | $118K |
| Community Health Programs | Great Barrington, MA | $52K |
| Ohio Eyecare Specialists, INC | Dayton, OH | $4K |
| Northern Orthopedics LTD | Brainerd, MN | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.