Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Community Inclusion INC

Community Inclusion INC was paid $56K by Medicaid between Apr 2024 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoCOMMUNITY INCLUSION INC
JAMESTOWN, NY 14701
33aNPI1699549287assigned 11/14/2023
28Total paid$56K
24GClaims1,147
24DCodes billed11
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New York

Rank by total paid#85 of 118
Median peer was paid$372K
This provider vs. median0.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete1,147$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 34% 327 252 $19K
D1110 Prophylaxis - adult 21% 219 152 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 145 128 $9K
D0150 Comprehensive oral evaluation - new or established patient 11% 164 113 $6K
D0274 Bitewings - four radiographic images 4.8% 75 61 $3K
D0999 Unspecified diagnostic procedure, by report 3.1% 13 12 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2.4% 12 12 $1K
D0220 Intraoral - periapical first radiographic image 2.4% 67 65 $1K
D0230 Intraoral - periapical each additional radiographic image 2.1% 72 55 $1K
D0210 Intraoral - complete series of radiographic images 1.2% 39 39 $694.98
D0140 Limited oral evaluation - problem focused <1% 14 12 $358.20

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 officialBROWN, HEATHER (VP)
Same official

Other billing entities under BROWN, HEATHER

Full network →
ProviderLocationPaid
Elm Pediatrics, LLCLake City, SC$1.36M
Hope on the Lakeshore Therapy Professional LLCWhitehall, MI$120K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.