Community Health Clinics, INC.
Community Health Clinics, INC. was paid $37.71M by Medicaid between Jan 2018 and Sep 2024, across 135 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
NAMPA, ID 83687
Next to other Federally Qualified Health Center (FQHC) providers in Idaho
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 57,655 | $2.51M | |
| 2019 | 58,364 | $3.06M | |
| 2020 | 129,214 | $4.61M | |
| 2021 | 89,698 | $5.82M | |
| 2022 | 66,373 | $7.79M | |
| 2023 | 92,467 | $8.36M | |
| 2024incomplete | 69,350 | $5.57M |
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 | 100% | 208,306 | 164,554 | $37.64M |
| 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% | 52,113 | 46,144 | $24K |
| 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% | 6,172 | 5,100 | $19K |
| 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% | 65,293 | 60,072 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,535 | 3,206 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,827 | 5,623 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,259 | 3,224 | $1K |
| 81003 | <1% | 2,904 | 2,780 | $845.67 | |
| G0008 | Administration of influenza virus vaccine | <1% | 164 | 162 | $787.43 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,496 | 7,236 | $781.05 |
| 90686 | <1% | 3,955 | 3,858 | $715.35 | |
| 36416 | <1% | 4,792 | 4,654 | $670.32 |
123 more codes
| 80305 | <1% | 3,779 | $523.27 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,877 | $424.27 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 513 | $380.38 |
| 90670 | <1% | 2,289 | $325.41 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 558 | $294.48 |
| 3044F | <1% | 1,997 | $283.14 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 750 | $214.11 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 191 | $190.31 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,431 | $155.34 |
| 1160F | <1% | 24,020 | $127.95 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,931 | $116.76 |
| 90732 | <1% | 283 | $105.19 | |
| 81025 | <1% | 1,127 | $85.34 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 3,760 | $74.54 |
| 3046F | <1% | 578 | $62.53 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,964 | $59.36 |
| 90715 | <1% | 1,258 | $53.90 | |
| 90674 | <1% | 455 | $44.07 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 13 | $43.10 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 66 | $40.70 |
| 88142 | <1% | 858 | $39.99 | |
| 1159F | <1% | 16,246 | $37.69 | |
| 3008F | <1% | 17,325 | $37.69 | |
| 82962 | <1% | 28 | $32.15 | |
| 99443 | <1% | 1,070 | $19.46 | |
| 3078F | <1% | 8,145 | $17.75 | |
| 3074F | <1% | 9,975 | $16.16 | |
| 4040F | <1% | 2,722 | $14.44 | |
| 3048F | <1% | 1,444 | $14.22 | |
| 3077F | <1% | 1,934 | $12.06 | |
| 3079F | <1% | 4,108 | $11.01 | |
| 3075F | <1% | 1,701 | $9.47 | |
| 3014F | <1% | 805 | $9.17 | |
| 3080F | <1% | 1,279 | $8.93 | |
| 90461 | <1% | 6,535 | $8.66 | |
| 3017F | <1% | 1,428 | $6.25 | |
| 90734 | <1% | 508 | $4.33 | |
| 90649 | <1% | 867 | $4.33 | |
| 3050F | <1% | 604 | $4.06 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 33 | $3.97 |
| 3060F | <1% | 452 | $3.95 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 990 | $3.47 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,185 | $3.46 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,408 | $3.28 |
| 3015F | <1% | 1,694 | $2.92 | |
| 3049F | <1% | 920 | $2.92 | |
| 3051F | <1% | 308 | $2.68 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,416 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 1,024 | $0.00 |
| 4274F | 0% | 1,105 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 3,589 | $0.00 |
| 90473 | 0% | 15 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 3,163 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 3,943 | $0.00 |
| 99173 | 0% | 716 | $0.00 | |
| 90633 | 0% | 27 | $0.00 | |
| 2022F | 0% | 624 | $0.00 | |
| 99188 | 0% | 1,028 | $0.00 | |
| 90685 | 0% | 375 | $0.00 | |
| 90653 | 0% | 52 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 397 | $0.00 |
| 86703 | 0% | 687 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 666 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 273 | $0.00 |
| 99442 | 0% | 728 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 1,152 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 43 | $0.00 |
| 91312 | 0% | 13 | $0.00 | |
| 4004F | 0% | 171 | $0.00 | |
| 99177 | 0% | 96 | $0.00 | |
| 90710 | 0% | 146 | $0.00 | |
| 90746 | 0% | 56 | $0.00 | |
| 90672 | 0% | 166 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 329 | $0.00 |
| 83655 | 0% | 246 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 1,222 | $0.00 |
| 90785 | 0% | 31 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 100 | $0.00 |
| 90836 | 0% | 13 | $0.00 | |
| 87210 | 0% | 26 | $0.00 | |
| 0124A | 0% | 12 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 12 | $0.00 |
| 1036F | 0% | 4,509 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 10,283 | $0.00 |
| 2010F | 0% | 2,657 | $0.00 | |
| 99381 | 0% | 126 | $0.00 | |
| 2001F | 0% | 2,546 | $0.00 | |
| 2000F | 0% | 2,317 | $0.00 | |
| 3351F | 0% | 323 | $0.00 | |
| 99441 | 0% | 268 | $0.00 | |
| 3052F | 0% | 220 | $0.00 | |
| 86580 | 0% | 42 | $0.00 | |
| 86780 | 0% | 28 | $0.00 | |
| 90680 | 0% | 1,483 | $0.00 | |
| 99406 | 0% | 389 | $0.00 | |
| 99000 | 0% | 1,425 | $0.00 | |
| 3061F | 0% | 587 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 1,168 | $0.00 |
| 1170F | 0% | 331 | $0.00 | |
| 90647 | 0% | 1,654 | $0.00 | |
| 1125F | 0% | 272 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 928 | $0.00 |
| 86803 | 0% | 107 | $0.00 | |
| 1034F | 0% | 987 | $0.00 | |
| 85018 | 0% | 895 | $0.00 | |
| 1126F | 0% | 607 | $0.00 | |
| 4010F | 0% | 132 | $0.00 | |
| 90723 | 0% | 45 | $0.00 | |
| 90696 | 0% | 133 | $0.00 | |
| 4037F | 0% | 25 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 61 | $0.00 |
| 90620 | 0% | 66 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 40 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 153 | $0.00 |
| 4000F | 0% | 177 | $0.00 | |
| 1111F | 0% | 65 | $0.00 | |
| 99385 | 0% | 30 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 63 | $0.00 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 32 | $0.00 |
| 90480 | 0% | 12 | $0.00 | |
| 81001 | 0% | 12 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 15 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Community Health Clinics, INC. | Boise, ID | $651K |
| Community Health Clinics, INC. | Boise, ID | $569K |
| Community Health Clinics, INC. | Nampa, ID | $376K |
| Community Health Clinics, INC. | Boise, ID | $265K |
| Community Health Clinics, INC. | Nampa, ID | $250K |
| Community Health Clinics, INC. | Homedale, ID | $187K |
| Community Health Clinics, INC. | Middleton, ID | $176K |
| Community Health Clinics, INC. | Nampa, ID | $170K |
| Community Health Clinics, INC. | Melba, ID | $73K |
| Community Health Clinics, INC. | Nampa, ID | $71K |
| Community Health Clinics, INC. | Boise, ID | $58K |
| Community Health Clinics, INC. | Caldwell, ID | $41K |
| Community Health Clinics, INC. | Caldwell, ID | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.