Clinic
Family Health Center of Worcester, INC.
Family Health Center of Worcester, INC. was paid $11K by Medicaid between May 2023 and May 2024, across 3 billing codes. Its largest line is G0467, community health center visit, returning patient — 100% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTER OF WORCESTER, INC.
WORCESTER, MA 01609
WORCESTER, MA 01609
33aNPI1720647209assigned 06/10/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11K
24GClaims524
24DCodes billed3
24AFirst – last monthMay 2023 – May 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#48 of 56
Median peer was paid$1.51M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2023 | 337 | $8K | |
| 2024incomplete | 187 | $4K |
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 | 100% | 316 | 271 | $11K |
| 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% | 181 | 159 | $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% | 27 | 27 | $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 officialJUSTINIANO-FRANZEL, ALYDA (MANAGER OF PROVIDER RELATIONS/CRED.)
Parent organizationFAMILY HEALTH CENTER OF WORCESTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Family Health Center of Worcester, INC. | Worcester, MA | $70.19M |
| Family Health Center of Worcester, INC. | Worcester, MA | $325.79 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.