Physician
Community Health Center of Franklin County Incorporated
Community Health Center of Franklin County Incorporated was paid $4.28M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INCORPORATED
ORANGE, MA 01364
ORANGE, MA 01364
33aNPI1750337333assigned 05/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$4.28M
24GClaims75,903
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#7 of 744
Median peer was paid$10K
This provider vs. median409×
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 | 12,844 | $523K | |
| 2019 | 14,850 | $652K | |
| 2020 | 8,782 | $479K | |
| 2021 | 8,218 | $510K | |
| 2022 | 12,106 | $1.26M | |
| 2023 | 10,849 | $575K | |
| 2024incomplete | 8,254 | $284K |
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 | 59% | 19,922 | 16,173 | $2.54M |
| D9450 | 17% | 18,538 | 11,383 | $725K | |
| 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 | 4.3% | 5,635 | 4,601 | $183K |
| D1110 | Prophylaxis - adult | 3.9% | 4,792 | 3,397 | $168K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.1% | 1,653 | 348 | $131K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.6% | 1,344 | 780 | $67K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 2,627 | 1,700 | $65K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 1,213 | 834 | $56K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.2% | 1,310 | 661 | $52K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 2,727 | 2,078 | $45K |
| D0274 | Bitewings - four radiographic images | <1% | 1,585 | 1,207 | $42K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,389 | 1,633 | $24K |
41 more codes
| D0330 | Panoramic radiographic image | <1% | 520 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 775 | $21K |
| D1206 | Topical application of fluoride varnish | <1% | 775 | $18K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 80 | $16K |
| D1120 | Dental cleaning, child | <1% | 303 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 251 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 220 | $11K |
| D2740 | Crown - porcelain/ceramic | <1% | 15 | $9K |
| 80305 | <1% | 986 | $9K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 172 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 506 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 71 | $4K |
| 99173 | <1% | 255 | $4K | |
| D4341 | <1% | 68 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 52 | $3K |
| 90686 | <1% | 304 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 281 | $3K |
| D2335 | <1% | 25 | $2K | |
| D9110 | <1% | 113 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 27 | $2K |
| 91322 | <1% | 12 | $2K | |
| 99188 | <1% | 61 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 345 | $1K |
| 90480 | <1% | 28 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 166 | $1K |
| 92551 | <1% | 125 | $1K | |
| 96127 | <1% | 263 | $862.68 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 27 | $829.17 |
| 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% | 110 | $517.92 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 50 | $486.50 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 41 | $451.05 |
| 90715 | <1% | 15 | $230.02 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 17 | $216.15 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,992 | $207.16 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $122.30 |
| 81003 | <1% | 13 | $25.74 | |
| 91312 | 0% | 42 | $0.00 | |
| 90461 | 0% | 47 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,912 | $0.00 |
| D9310 | 0% | 75 | $0.00 | |
| D1330 | 0% | 15 | $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 officialHOYNOSKI, ARLEY (CFO)
Parent organizationCOMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INCORPORATED
| Provider | Location | Paid |
|---|---|---|
| Community Health Center of Franklin County Incorporated | Greenfield, MA | $9.42M |
| Community Health Center of Franklin County | Greenfield, MA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.