Medicaid Provider Spending

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

SOUTH COVE COMMUNITY HEALTH CENTER, INC.

NPI: 1700801263 · BOSTON, MA 02111 · Federally Qualified Health Center (FQHC) · NPI assigned 07/13/2006

$20.59M
Total Medicaid Paid
761,857
Total Claims
624,950
Beneficiaries
143
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWELCH, EUGENE (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/13/2006

Related Entities

Other providers sharing the same authorized official: WELCH, EUGENE

ProviderCityStateTotal Paid
SOUTH COVE COMMUNITY HEALTH CENTER BOSTON MA $2.45M
SOUTH COVE COMMUNITY HEALTH CENTER, INC. QUINCY MA $314K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 114,275 $3.59M
2019 93,785 $1.96M
2020 59,747 $1.44M
2021 70,389 $2.09M
2022 70,153 $2.71M
2023 173,326 $3.85M
2024 180,182 $4.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 126,029 102,501 $6.20M
D9450 73,028 47,908 $2.51M
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 7,285 6,504 $1.36M
D1110 Prophylaxis - adult 30,575 22,165 $1.00M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 105,381 87,194 $741K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 69,770 61,266 $714K
G0467 Federally 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 20,166 16,634 $693K
92340 Fitting of spectacles, except for aphakia; monofocal 20,654 20,575 $582K
D0120 Periodic oral evaluation - established patient 33,159 25,319 $532K
77067 Screening mammography, bilateral, including computer-aided detection 7,053 6,095 $523K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,706 8,693 $395K
D0210 Intraoral - complete series of radiographic images 9,273 6,799 $393K
D1120 Prophylaxis - child 7,051 6,853 $355K
D0274 Bitewings - four radiographic images 13,198 9,850 $313K
D2391 Resin-based composite - one surface, posterior, primary or permanent 8,166 3,664 $284K
T1040 Medicaid certified community behavioral health clinic services, per diem 1,921 950 $262K
D1206 Topical application of fluoride varnish 8,727 8,499 $224K
92341 6,398 6,394 $223K
D7140 Extraction, erupted tooth or exposed root 4,852 1,991 $212K
D2150 Silver amalgam - two surfaces, primary or permanent 4,001 2,530 $202K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,280 2,588 $196K
D0150 Comprehensive oral evaluation - new or established patient 4,682 3,837 $137K
D2140 3,007 1,792 $119K
D0140 Limited oral evaluation - problem focused 4,259 2,869 $118K
90834 Psychotherapy, 45 minutes with patient 1,747 1,121 $112K
D1351 Sealant - per tooth 2,878 751 $112K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,427 10,372 $106K
D0220 Intraoral - periapical first radiographic image 9,584 6,394 $104K
D2331 1,965 1,058 $91K
92015 Determination of refractive state 7,340 7,314 $90K
90674 6,517 5,908 $87K
D9110 2,837 1,793 $77K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 800 744 $71K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 930 930 $71K
D2330 1,921 860 $70K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21,775 20,290 $68K
91322 858 857 $66K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 11,476 10,753 $55K
90661 2,216 2,213 $48K
99397 1,613 1,600 $46K
D4341 822 243 $44K
92250 1,787 1,737 $44K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,284 2,276 $42K
90677 396 396 $41K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,151 3,151 $41K
93000 3,381 3,323 $37K
0064A 2,238 2,232 $37K
90832 Psychotherapy, 30 minutes with patient 822 616 $36K
77080 2,748 1,943 $35K
90651 644 641 $35K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,938 2,938 $33K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,341 1,341 $33K
D0230 Intraoral - periapical each additional radiographic image 3,286 1,938 $32K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 13 13 $28K
G0469 Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 129 129 $27K
G0008 Administration of influenza virus vaccine 5,015 4,757 $24K
90480 916 913 $24K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 627 351 $23K
D0180 999 734 $21K
90688 3,684 3,121 $20K
D0272 Bitewings - two radiographic images 797 705 $20K
D2160 418 274 $20K
99050 488 460 $19K
77063 Screening digital breast tomosynthesis, bilateral 574 556 $18K
90756 1,431 1,028 $18K
82270 11,726 11,178 $17K
0134A 1,324 1,323 $17K
D2332 283 142 $15K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 7,500 7,481 $15K
90716 235 235 $15K
0012A 739 739 $14K
90714 464 460 $12K
99381 53 52 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,804 1,678 $10K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 527 456 $10K
0011A 706 703 $10K
81002 3,497 3,214 $9K
90792 Psychiatric diagnostic evaluation with medical services 63 63 $7K
D1208 Topical application of fluoride, excluding varnish 219 217 $6K
87400 599 590 $6K
82948 2,740 2,645 $6K
D7111 77 52 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 434 426 $5K
99441 280 240 $5K
77065 Tomosynthesis, mammo 48 47 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,702 1,619 $5K
D3120 180 139 $5K
90686 2,141 2,115 $5K
90715 185 182 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 192 192 $4K
90472 Immunization administration, each additional vaccine (list separately) 3,603 3,583 $4K
D0145 Oral evaluation for a patient under three years of age 141 141 $4K
90694 215 213 $4K
91301 760 728 $4K
90653 341 341 $3K
91306 1,681 1,675 $3K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 22 13 $3K
85018 933 924 $2K
90746 32 32 $2K
99215 Prolong outpt/office vis 118 115 $2K
86580 235 232 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 115 112 $2K
90791 Psychiatric diagnostic evaluation 13 12 $2K
81025 216 211 $1K
90707 75 75 $1K
0031A 56 56 $1K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 114 112 $953.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 276 270 $890.27
G0009 Administration of pneumococcal vaccine 90 90 $737.40
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 2,188 2,171 $719.22
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 71 53 $609.16
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 45 45 $540.00
99442 16 16 $496.18
90474 43 43 $370.86
D0270 43 31 $370.00
99459 13 12 $200.98
90732 15 15 $196.41
90620 340 340 $134.94
0071A 14 14 $91.74
99051 57 56 $69.68
90619 292 292 $0.00
90656 2,067 2,047 $0.00
90660 15 15 $0.00
90744 36 35 $0.00
91307 17 16 $0.00
99000 154 154 $0.00
90680 116 115 $0.00
90696 14 14 $0.00
99386 13 13 $0.00
90723 111 105 $0.00
90697 12 12 $0.00
91303 12 12 $0.00
91313 930 930 $0.00
90621 102 102 $0.00
90734 304 302 $0.00
90670 150 150 $0.00
1159F 54 51 $0.00
90648 145 145 $0.00
90700 46 46 $0.00
1160F 54 51 $0.00
90710 13 13 $0.00
90685 69 69 $0.00
90633 98 98 $0.00