Clinic
Community Health Connections, INC.
Community Health Connections, INC. was paid $3.56M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CONNECTIONS, INC.
FITCHBURG, MA 01420
FITCHBURG, MA 01420
33aNPI1811149586assigned 10/14/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.56M
24GClaims59,286
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#20 of 56
Median peer was paid$1.51M
This provider vs. median2.4×
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 | 6,147 | $411K | |
| 2019 | 9,509 | $688K | |
| 2020 | 12,501 | $780K | |
| 2021 | 9,482 | $583K | |
| 2022 | 8,407 | $778K | |
| 2023 | 5,667 | $207K | |
| 2024incomplete | 7,573 | $116K |
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 | 68% | 17,419 | 15,309 | $2.41M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 6,747 | 5,074 | $426K |
| 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 | 4.6% | 1,718 | 1,515 | $164K |
| 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 | 3.5% | 3,830 | 3,353 | $126K |
| 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 | 2.4% | 4,211 | 3,898 | $85K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.1% | 747 | 745 | $73K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.0% | 3,591 | 3,406 | $72K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.4% | 391 | 275 | $51K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 973 | 912 | $35K |
| 99050 | <1% | 556 | 542 | $22K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 908 | 708 | $18K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 424 | 212 | $13K |
55 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 4,162 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 296 | $7K |
| 90686 | <1% | 435 | $6K | |
| 90715 | <1% | 172 | $5K | |
| 0064A | <1% | 133 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 545 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 388 | $4K |
| 0071A | <1% | 82 | $4K | |
| 90677 | <1% | 27 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 309 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 18 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,057 | $2K |
| 0004A | <1% | 43 | $2K | |
| 90688 | <1% | 117 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | $1K |
| 0002A | <1% | 24 | $1K | |
| D1110 | Prophylaxis - adult | <1% | 19 | $819.00 |
| 81025 | <1% | 114 | $757.77 | |
| 81002 | <1% | 267 | $616.19 | |
| G0466 | Community health center visit, new patient | <1% | 13 | $587.40 |
| 0072A | <1% | 12 | $504.57 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | $459.29 |
| 93000 | <1% | 27 | $356.01 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 125 | $342.66 |
| D0120 | Dental checkup, returning patient | <1% | 18 | $336.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 18 | $250.00 |
| 0003A | <1% | 13 | $229.35 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $157.90 |
| 87275 | <1% | 15 | $142.22 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 108 | $79.47 |
| 81003 | <1% | 15 | $27.72 | |
| 36416 | <1% | 331 | $2.00 | |
| 82962 | <1% | 862 | $1.28 | |
| 99051 | 0% | 43 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 377 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,278 | $0.00 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 0% | 51 | $0.00 |
| 91300 | 0% | 495 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | $0.00 |
| 99001 | 0% | 607 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 0054A | 0% | 25 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 38 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 33 | $0.00 |
| 1000F | 0% | 762 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,450 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 471 | $0.00 |
| 99000 | 0% | 418 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 219 | $0.00 |
| 91301 | 0% | 324 | $0.00 | |
| D9450 | 0% | 154 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $0.00 |
| 91307 | 0% | 138 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 22 | $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 officialDEMALIA, JOHN (PRESIDENT AND CEO)
Parent organizationCOMMUNITY HEALTH CONNECTIONS, INC.
| Provider | Location | Paid |
|---|---|---|
| Community Health Connections, INC. | Fitchburg, MA | $31.73M |
| Community Health Connections, INC. | Gardner, MA | $9.05M |
| Community Health Connections, INC. | Leominster, MA | $8.90M |
| Community Health Connections, INC. | Leominster, MA | $1.56M |
| Community Health Connections, INC. | Gardner, MA | $1.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.