Clinic
The Chautauqua Center, INC
The Chautauqua Center, INC was paid $29.69M by Medicaid between Jan 2018 and Dec 2024, across 130 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 39% of everything it billed.
33Billing provider infoTHE CHAUTAUQUA CENTER, INC
DUNKIRK, NY 14048
DUNKIRK, NY 14048
33aNPI1760747521assigned 07/09/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$29.69M
24GClaims490,860
24DCodes billed130
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#14 of 158
Median peer was paid$1.73M
This provider vs. median17×
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 | 28,349 | $2.44M | |
| 2019 | 47,527 | $3.98M | |
| 2020 | 50,079 | $4.55M | |
| 2021 | 64,216 | $4.55M | |
| 2022 | 64,641 | $2.76M | |
| 2023 | 125,616 | $5.78M | |
| 2024incomplete | 110,432 | $5.62M |
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 | 39% | 118,572 | 66,432 | $11.67M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 130,111 | 66,119 | $8.22M |
| 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 | 13% | 63,943 | 24,999 | $3.98M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.5% | 17,123 | 11,799 | $1.05M |
| 80305 | 1.8% | 16,582 | 6,965 | $533K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.6% | 8,994 | 3,158 | $471K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 4,500 | 3,280 | $396K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 3,808 | 2,320 | $383K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 15,597 | 4,342 | $302K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,297 | 2,042 | $209K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,435 | 1,591 | $200K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 10,280 | 8,042 | $171K |
118 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,122 | $165K |
| D1110 | Prophylaxis - adult | <1% | 2,741 | $146K |
| 97803 | <1% | 1,881 | $121K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,740 | $118K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,694 | $112K |
| G0467 | Community health center visit, returning patient | <1% | 3,135 | $104K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 812 | $76K |
| D0191 | <1% | 3,006 | $74K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,618 | $74K |
| 81025 | <1% | 2,829 | $66K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,824 | $65K |
| 97802 | <1% | 890 | $62K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,195 | $55K |
| 96127 | <1% | 7,648 | $47K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 4,196 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,454 | $43K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,292 | $41K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,588 | $39K |
| D1120 | Dental cleaning, child | <1% | 877 | $38K |
| D0274 | Bitewings - four radiographic images | <1% | 1,426 | $36K |
| 92551 | <1% | 6,503 | $36K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,320 | $35K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 830 | $32K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 472 | $29K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,874 | $23K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 486 | $23K |
| D0330 | Panoramic radiographic image | <1% | 637 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,190 | $22K |
| D0120 | Dental checkup, returning patient | <1% | 800 | $21K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,461 | $20K |
| 87807 | <1% | 978 | $19K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 256 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 628 | $17K |
| 81003 | <1% | 773 | $16K | |
| 98940 | <1% | 1,167 | $16K | |
| 90651 | <1% | 99 | $16K | |
| D1206 | Topical application of fluoride varnish | <1% | 516 | $15K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 294 | $14K |
| 90686 | <1% | 1,816 | $12K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 135 | $11K |
| 0012A | <1% | 388 | $11K | |
| 82120 | <1% | 728 | $10K | |
| 90682 | <1% | 203 | $10K | |
| 0011A | <1% | 438 | $9K | |
| 83655 | <1% | 413 | $9K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 840 | $9K |
| 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% | 254 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 129 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 834 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 110 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 460 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 88 | $6K |
| 85018 | <1% | 288 | $6K | |
| 99406 | <1% | 859 | $5K | |
| 99383 | <1% | 44 | $3K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 144 | $3K |
| 0002A | <1% | 104 | $3K | |
| 0064A | <1% | 94 | $3K | |
| 99051 | <1% | 422 | $3K | |
| D9110 | <1% | 107 | $3K | |
| 99490 | Ccm add 20min | <1% | 63 | $3K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 798 | $2K |
| 0001A | <1% | 110 | $2K | |
| D2332 | <1% | 19 | $2K | |
| 90715 | <1% | 80 | $2K | |
| 87210 | <1% | 325 | $2K | |
| 99173 | <1% | 4,352 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 140 | $1K |
| 99459 | <1% | 79 | $1K | |
| 90688 | <1% | 69 | $1K | |
| 90756 | <1% | 40 | $1K | |
| 92567 | <1% | 76 | $898.48 | |
| 99001 | <1% | 133 | $843.84 | |
| 99442 | <1% | 20 | $787.22 | |
| 0134A | <1% | 28 | $780.41 | |
| 99443 | <1% | 12 | $690.22 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 44 | $679.75 |
| 99441 | <1% | 13 | $660.59 | |
| 99439 | <1% | 14 | $631.80 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 134 | $470.51 |
| D0270 | <1% | 37 | $463.64 | |
| 99195 | <1% | 22 | $410.62 | |
| 90658 | <1% | 28 | $403.83 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $345.30 |
| 99188 | <1% | 29 | $282.65 | |
| 83986 | <1% | 287 | $275.66 | |
| 90734 | <1% | 12 | $270.00 | |
| D9990 | <1% | 13 | $242.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $166.70 |
| G9920 | Screening performed and negative | <1% | 23 | $159.79 |
| 90480 | <1% | 12 | $90.66 | |
| 87220 | <1% | 163 | $31.61 | |
| 91301 | <1% | 850 | $2.11 | |
| 90677 | <1% | 88 | $0.03 | |
| 90619 | <1% | 58 | $0.01 | |
| 99408 | 0% | 423 | $0.00 | |
| 90670 | 0% | 462 | $0.00 | |
| 99080 | 0% | 1,772 | $0.00 | |
| 90633 | 0% | 110 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 262 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 95 | $0.00 |
| 91321 | 0% | 12 | $0.00 | |
| 90461 | 0% | 83 | $0.00 | |
| 91300 | 0% | 163 | $0.00 | |
| 3725F | 0% | 16 | $0.00 | |
| 90648 | 0% | 159 | $0.00 | |
| 1160F | 0% | 25 | $0.00 | |
| D0190 | 0% | 15 | $0.00 | |
| 1159F | 0% | 27 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 75 | $0.00 |
| 99172 | 0% | 34 | $0.00 | |
| 90647 | 0% | 41 | $0.00 | |
| 90697 | 0% | 66 | $0.00 | |
| 3008F | 0% | 54 | $0.00 | |
| 90723 | 0% | 106 | $0.00 | |
| 2010F | 0% | 121 | $0.00 | |
| 91306 | 0% | 69 | $0.00 | |
| 90680 | 0% | 69 | $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 officialPEASE, MICHAEL (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mountain Empire Older Citizens, INC. | Big Stone Gap, VA | $834K |
| The Chautauqua Center, INC | Jamestown, NY | $177K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.