Clinic
Community Health Systems, INC.
Community Health Systems, INC. was paid $14.26M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH SYSTEMS, INC.
BELOIT, WI 53511
BELOIT, WI 53511
33aNPI1750390670assigned 08/07/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$14.26M
24GClaims260,353
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Wisconsin
Rank by total paid#5 of 46
Median peer was paid$590K
This provider vs. median24×
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 | 34,012 | $1.62M | |
| 2019 | 42,759 | $2.43M | |
| 2020 | 28,472 | $1.51M | |
| 2021 | 35,152 | $1.85M | |
| 2022 | 41,106 | $2.36M | |
| 2023 | 42,122 | $2.26M | |
| 2024incomplete | 36,730 | $2.22M |
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 | 94% | 75,623 | 58,793 | $13.42M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 6,269 | 3,474 | $185K |
| 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 | 1.0% | 5,615 | 4,231 | $149K |
| 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% | 7,528 | 5,908 | $135K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,506 | 747 | $60K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,176 | 766 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 5,361 | 3,617 | $26K |
| D1206 | Topical application of fluoride varnish | <1% | 32,381 | 28,140 | $24K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 449 | 383 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,827 | 2,639 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 10,919 | 9,579 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,025 | 796 | $13K |
82 more codes
| D1120 | Dental cleaning, child | <1% | 9,666 | $13K |
| D1110 | Prophylaxis - adult | <1% | 5,768 | $12K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 200 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 4,290 | $10K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 655 | $10K |
| G0467 | Community health center visit, returning patient | <1% | 393 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,337 | $7K |
| D0191 | <1% | 12,585 | $6K | |
| 99443 | <1% | 408 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 6,782 | $5K |
| 0071A | <1% | 187 | $5K | |
| D0120 | Dental checkup, returning patient | <1% | 5,498 | $5K |
| D1351 | Sealant - per tooth | <1% | 17,661 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 5,984 | $5K |
| D0330 | Panoramic radiographic image | <1% | 5,759 | $5K |
| 0001A | <1% | 122 | $4K | |
| 0012A | <1% | 169 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 2,596 | $4K |
| 0011A | <1% | 201 | $3K | |
| 0072A | <1% | 138 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 114 | $3K |
| 0002A | <1% | 73 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 223 | $2K |
| T1016 | Case management, each 15 minutes | <1% | 118 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 46 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 7,242 | $2K |
| 87631 | <1% | 15 | $2K | |
| 0064A | <1% | 81 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 35 | $1K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 67 | $1K |
| 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% | 46 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 38 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 23 | $1K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 80 | $867.06 |
| 0004A | <1% | 26 | $839.52 | |
| 90619 | <1% | 47 | $786.92 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 64 | $767.32 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 63 | $751.04 |
| D2330 | <1% | 22 | $720.84 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 20 | $588.45 |
| 90480 | <1% | 15 | $534.24 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $513.10 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,046 | $455.43 |
| 90686 | <1% | 53 | $442.38 | |
| Q3014 | Telehealth originating site facility fee | <1% | 247 | $428.01 |
| 81025 | <1% | 115 | $416.05 | |
| 99442 | <1% | 63 | $379.08 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 15 | $210.54 |
| 96127 | <1% | 219 | $205.52 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 400 | $170.78 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 47 | $169.86 |
| 90785 | <1% | 23 | $149.16 | |
| 3008F | <1% | 3,129 | $140.00 | |
| 90656 | <1% | 14 | $135.00 | |
| D0270 | <1% | 1,484 | $73.50 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $26.48 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,166 | $7.71 |
| 99417 | Prolong home eval add 15m | <1% | 75 | $4.16 |
| 91301 | <1% | 388 | $0.31 | |
| 91307 | <1% | 339 | $0.11 | |
| 91300 | <1% | 257 | $0.07 | |
| 3078F | 0% | 2,666 | $0.00 | |
| D9110 | 0% | 14 | $0.00 | |
| D1354 | 0% | 3,041 | $0.00 | |
| TX693 | 0% | 13 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 20 | $0.00 |
| D0180 | 0% | 16 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 15 | $0.00 |
| 4004F | 0% | 23 | $0.00 | |
| 96160 | 0% | 13 | $0.00 | |
| 3075F | 0% | 46 | $0.00 | |
| 3074F | 0% | 2,673 | $0.00 | |
| D9995 | 0% | 198 | $0.00 | |
| 3079F | 0% | 158 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 532 | $0.00 |
| D0170 | 0% | 31 | $0.00 | |
| D4346 | 0% | 48 | $0.00 | |
| 91306 | 0% | 81 | $0.00 | |
| D0603 | 0% | 34 | $0.00 | |
| D0240 | 0% | 38 | $0.00 | |
| 91305 | 0% | 36 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 12 | $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 officialFRIDH, ANNE (CEO)
Parent organizationCOMMUNITY HEALTH SYSTEMS, INC.