Clinic
Charles River Community Health, INC
Charles River Community Health, INC was paid $9.75M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 56% of everything it billed.
33Billing provider infoCHARLES RIVER COMMUNITY HEALTH, INC
WALTHAM, MA 02453
WALTHAM, MA 02453
33aNPI1750486106assigned 09/13/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.75M
24GClaims180,270
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#11 of 56
Median peer was paid$1.51M
This provider vs. median6.5×
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 | 24,555 | $1.23M | |
| 2019 | 24,739 | $1.41M | |
| 2020 | 21,403 | $1.38M | |
| 2021 | 28,756 | $1.77M | |
| 2022 | 20,569 | $1.72M | |
| 2023 | 31,015 | $1.33M | |
| 2024incomplete | 29,233 | $913K |
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 | 56% | 36,162 | 31,982 | $5.47M |
| D9450 | 6.1% | 26,908 | 17,899 | $592K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 3,336 | 3,267 | $479K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 2,973 | 2,965 | $427K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 2,258 | 2,257 | $346K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.2% | 1,912 | 1,906 | $308K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 3,340 | 2,171 | $263K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 1,441 | 1,440 | $216K |
| D9110 | 1.2% | 5,305 | 2,613 | $114K | |
| D1110 | Prophylaxis - adult | 1.1% | 8,101 | 6,357 | $110K |
| 90677 | <1% | 721 | 721 | $94K | |
| 90746 | <1% | 1,216 | 1,212 | $80K |
90 more codes
| G0467 | Community health center visit, returning patient | <1% | 2,212 | $74K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 7,915 | $69K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 469 | $65K |
| 99050 | <1% | 1,299 | $64K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,491 | $52K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,202 | $52K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,221 | $51K |
| 90686 | <1% | 3,694 | $50K | |
| 91320 | <1% | 446 | $50K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,441 | $42K |
| D0120 | Dental checkup, returning patient | <1% | 5,706 | $42K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 9,357 | $40K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,943 | $37K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,058 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,608 | $31K |
| D1120 | Dental cleaning, child | <1% | 562 | $28K |
| 90480 | <1% | 616 | $28K | |
| 90750 | <1% | 565 | $26K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 201 | $26K |
| D0274 | Bitewings - four radiographic images | <1% | 2,347 | $25K |
| 90715 | <1% | 842 | $24K | |
| 0012A | <1% | 513 | $24K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,111 | $23K |
| 0011A | <1% | 492 | $22K | |
| 99381 | <1% | 116 | $22K | |
| 0124A | <1% | 495 | $21K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 150 | $19K |
| D1206 | Topical application of fluoride varnish | <1% | 726 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,833 | $18K |
| 81025 | <1% | 2,145 | $15K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,912 | $13K |
| 99385 | <1% | 65 | $13K | |
| 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% | 121 | $13K |
| 90651 | <1% | 585 | $12K | |
| 99402 | <1% | 194 | $11K | |
| 99173 | <1% | 736 | $11K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,695 | $11K |
| 90707 | <1% | 369 | $9K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 114 | $8K |
| 99188 | <1% | 273 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 485 | $6K |
| 90739 | <1% | 46 | $6K | |
| D2330 | <1% | 360 | $6K | |
| 96127 | <1% | 522 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,473 | $5K |
| 81000 | <1% | 1,215 | $4K | |
| 85018 | <1% | 1,374 | $3K | |
| 92551 | <1% | 323 | $3K | |
| 90670 | <1% | 240 | $2K | |
| D1351 | Sealant - per tooth | <1% | 38 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 423 | $1K |
| 90716 | <1% | 195 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 71 | $1K |
| 99443 | <1% | 73 | $1K | |
| 0154A | <1% | 60 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,065 | $936.46 |
| 90461 | <1% | 1,343 | $777.36 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 13 | $740.74 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 52 | $705.00 |
| 99442 | <1% | 100 | $665.92 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 52 | $578.76 |
| D0270 | <1% | 117 | $463.00 | |
| 81003 | <1% | 222 | $437.58 | |
| D1354 | <1% | 36 | $360.00 | |
| D2331 | <1% | 18 | $184.00 | |
| 82947 | <1% | 25 | $95.61 | |
| D3120 | <1% | 41 | $68.00 | |
| 91318 | <1% | 103 | $65.36 | |
| 0054A | <1% | 29 | $55.35 | |
| 90474 | <1% | 446 | $35.32 | |
| 90680 | 0% | 475 | $0.00 | |
| 91301 | 0% | 1,212 | $0.00 | |
| 36416 | 0% | 716 | $0.00 | |
| 90697 | 0% | 390 | $0.00 | |
| 90619 | 0% | 54 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 964 | $0.00 |
| 91315 | 0% | 79 | $0.00 | |
| 91305 | 0% | 84 | $0.00 | |
| 91307 | 0% | 31 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90723 | 0% | 120 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 45 | $0.00 |
| 90694 | 0% | 16 | $0.00 | |
| D0180 | 0% | 17 | $0.00 | |
| 90633 | 0% | 366 | $0.00 | |
| 90648 | 0% | 167 | $0.00 | |
| 91312 | 0% | 319 | $0.00 | |
| 91308 | 0% | 99 | $0.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 90473 | 0% | 16 | $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 officialBROWNE, ELIZABETH (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Charles River Community Health, INC | Brighton, MA | $10.35M |
| Charles River Community Health, INC | Allston, MA | $121K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.