Physician
South-West Community Health Center, INC
South-West Community Health Center, INC was paid $95.29M by Medicaid between Jan 2018 and Dec 2024, across 144 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoSOUTH-WEST COMMUNITY HEALTH CENTER, INC
BRIDGEPORT, CT 06605
BRIDGEPORT, CT 06605
33aNPI1699703686assigned 06/29/2006
33bProvider typeGynecology Physician
28Total paid$95.29M
24GClaims2,116,967
24DCodes billed144
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gynecology Physician providers in Connecticut
Rank by total paid#1 of 6
Median peer was paid$55K
This provider vs. median1,742×
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 | 227,034 | $12.46M | |
| 2019 | 231,744 | $12.92M | |
| 2020 | 231,725 | $14.10M | |
| 2021 | 231,534 | $13.99M | |
| 2022 | 266,873 | $13.00M | |
| 2023 | 470,987 | $14.62M | |
| 2024incomplete | 457,070 | $14.20M |
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 | 98% | 672,157 | 471,303 | $93.01M |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 1.2% | 37,362 | 28,525 | $1.18M |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 7,105 | 5,508 | $320K |
| 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% | 17,772 | 14,116 | $219K |
| 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% | 147,891 | 125,812 | $139K |
| 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 | <1% | 92,696 | 77,156 | $134K |
| 82962 | <1% | 24,406 | 21,516 | $64K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46,389 | 40,476 | $47K |
| 99442 | <1% | 50,704 | 41,768 | $45K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 59,898 | 35,781 | $44K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 2,337 | 1,620 | $42K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 39,869 | 25,362 | $18K |
132 more codes
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 148 | $7K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 17,996 | $5K |
| 99443 | <1% | 4,476 | $3K | |
| 98967 | <1% | 1,345 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,000 | $1K |
| 98968 | <1% | 2,118 | $941.99 | |
| 81002 | <1% | 18,914 | $941.37 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 10,414 | $768.63 |
| G0466 | Community health center visit, new patient | <1% | 59 | $717.09 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 5,463 | $680.49 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,926 | $663.96 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,132 | $587.60 |
| 97803 | <1% | 4,347 | $395.69 | |
| 85018 | <1% | 34,741 | $345.31 | |
| 99201 | <1% | 315 | $288.26 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 532 | $174.80 |
| 11721 | <1% | 292 | $129.23 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 715 | $126.50 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,726 | $124.82 |
| 90837 | Psychotherapy session, about an hour | <1% | 3,555 | $92.51 |
| 81025 | <1% | 9,506 | $50.26 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,719 | $49.73 |
| 99397 | <1% | 18 | $35.32 | |
| 0011A | <1% | 305 | $13.23 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,820 | $10.00 |
| 1036F | 0% | 59,463 | $0.00 | |
| 3074F | 0% | 68,766 | $0.00 | |
| 1126F | 0% | 60,780 | $0.00 | |
| 96127 | 0% | 29,295 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,495 | $0.00 |
| 84703 | 0% | 5,806 | $0.00 | |
| 99000 | 0% | 1,122 | $0.00 | |
| 1125F | 0% | 12,694 | $0.00 | |
| 3079F | 0% | 20,884 | $0.00 | |
| 90723 | 0% | 2,515 | $0.00 | |
| 92551 | 0% | 12,818 | $0.00 | |
| 90651 | 0% | 2,331 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 5,610 | $0.00 |
| 90686 | 0% | 24,120 | $0.00 | |
| 90647 | 0% | 2,634 | $0.00 | |
| 1034F | 0% | 5,949 | $0.00 | |
| 97802 | 0% | 3,489 | $0.00 | |
| 90716 | 0% | 1,606 | $0.00 | |
| 3080F | 0% | 1,872 | $0.00 | |
| 87590 | 0% | 2,499 | $0.00 | |
| 1170F | 0% | 5,364 | $0.00 | |
| 3075F | 0% | 9,378 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 2,426 | $0.00 |
| 87490 | 0% | 2,501 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 346 | $0.00 |
| 90677 | 0% | 1,220 | $0.00 | |
| 91301 | 0% | 649 | $0.00 | |
| 90619 | 0% | 440 | $0.00 | |
| 90696 | 0% | 26 | $0.00 | |
| 90656 | 0% | 3,152 | $0.00 | |
| 90620 | 0% | 352 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 367 | $0.00 |
| 0064A | 0% | 35 | $0.00 | |
| 93000 | 0% | 74 | $0.00 | |
| 96161 | 0% | 255 | $0.00 | |
| 0012A | 0% | 371 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 659 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 103 | $0.00 |
| 90674 | 0% | 134 | $0.00 | |
| 59430 | 0% | 317 | $0.00 | |
| 3044F | 0% | 316 | $0.00 | |
| 99457 | 0% | 41 | $0.00 | |
| 87800 | 0% | 255 | $0.00 | |
| 36416 | 0% | 225 | $0.00 | |
| 0001A | 0% | 299 | $0.00 | |
| 90480 | 0% | 12 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 13 | $0.00 |
| 83986 | 0% | 136 | $0.00 | |
| 99381 | 0% | 27 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 142 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 465 | $0.00 |
| 99383 | 0% | 65 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 28 | $0.00 |
| 0503F | 0% | 138 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 15 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 13 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 31 | $0.00 |
| 99384 | 0% | 15 | $0.00 | |
| 3078F | 0% | 61,332 | $0.00 | |
| 1159F | 0% | 93,330 | $0.00 | |
| 90461 | 0% | 12,247 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 36,680 | $0.00 |
| 99173 | 0% | 13,901 | $0.00 | |
| 90713 | 0% | 74 | $0.00 | |
| 83655 | 0% | 8,275 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 8,116 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 6,732 | $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% | 37 | $0.00 |
| 90633 | 0% | 2,464 | $0.00 | |
| 1160F | 0% | 93,322 | $0.00 | |
| 90670 | 0% | 3,210 | $0.00 | |
| 59425 | 0% | 5,184 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 7,459 | $0.00 |
| 3077F | 0% | 6,595 | $0.00 | |
| S9480 | Intensive outpatient psychiatric services, per diem | 0% | 17,154 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 6,294 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 3,289 | $0.00 |
| 90715 | 0% | 385 | $0.00 | |
| 59426 | 0% | 3,641 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 731 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,625 | $0.00 |
| 90707 | 0% | 962 | $0.00 | |
| 90681 | 0% | 638 | $0.00 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 654 | $0.00 |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 0% | 5,808 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 3,116 | $0.00 |
| 81003 | 0% | 12,353 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 724 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 299 | $0.00 |
| 0124A | 0% | 88 | $0.00 | |
| 80102 | 0% | 86 | $0.00 | |
| 91312 | 0% | 114 | $0.00 | |
| 3046F | 0% | 13 | $0.00 | |
| 91300 | 0% | 614 | $0.00 | |
| 0002A | 0% | 272 | $0.00 | |
| 90734 | 0% | 273 | $0.00 | |
| 90678 | 0% | 46 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 40 | $0.00 |
| 90473 | 0% | 219 | $0.00 | |
| 4004F | 0% | 141 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 90687 | 0% | 12 | $0.00 | |
| 87210 | 0% | 26 | $0.00 | |
| A4550 | Surgical trays | 0% | 12 | $0.00 |
| 80101 | 0% | 15 | $0.00 | |
| 99382 | 0% | 16 | $0.00 | |
| 90700 | 0% | 14 | $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 officialMELBOURNE, MOLLIE (PRESIDENT CEO)
| Provider | Location | Paid |
|---|---|---|
| Southwest Community Health Center | Bridgeport, CT | $7.92M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.