Clinic
Family Health Center of Worcester, INC.
Family Health Center of Worcester, INC. was paid $70.19M by Medicaid between Jan 2018 and Dec 2024, across 223 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoFAMILY HEALTH CENTER OF WORCESTER, INC.
WORCESTER, MA 01610
WORCESTER, MA 01610
33aNPI1841200664assigned 08/08/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$70.19M
24GClaims1,087,922
24DCodes billed223
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#3 of 56
Median peer was paid$1.51M
This provider vs. median47×
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 | 170,511 | $10.00M | |
| 2019 | 187,163 | $11.34M | |
| 2020 | 127,153 | $8.70M | |
| 2021 | 184,828 | $12.13M | |
| 2022 | 170,468 | $15.63M | |
| 2023 | 133,332 | $7.58M | |
| 2024incomplete | 114,467 | $4.79M |
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 | 60% | 278,580 | 219,074 | $42.38M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 4.3% | 21,964 | 12,978 | $3.03M |
| D9450 | 3.6% | 105,214 | 63,382 | $2.53M | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.1% | 18,910 | 11,411 | $1.49M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 9,153 | 8,919 | $1.38M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 7,919 | 7,910 | $1.22M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 7,462 | 7,443 | $1.14M |
| 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 | 1.6% | 8,052 | 6,117 | $1.10M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 6,281 | 6,271 | $938K |
| 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 | 1.2% | 20,389 | 17,076 | $848K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 4,312 | 4,302 | $702K |
| D1110 | Prophylaxis - adult | <1% | 25,394 | 18,653 | $701K |
211 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 18,413 | $436K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 10,674 | $386K |
| D1120 | Dental cleaning, child | <1% | 7,627 | $377K |
| 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% | 21,347 | $374K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 33,127 | $366K |
| 90739 | <1% | 2,717 | $342K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 6,690 | $339K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 7,952 | $322K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 150 | $321K |
| 90750 | <1% | 2,244 | $318K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 6,889 | $306K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 7,711 | $304K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 6,514 | $292K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 3,447 | $289K |
| 99381 | <1% | 1,529 | $280K | |
| D9110 | <1% | 11,902 | $270K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27,945 | $269K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 7,914 | $262K |
| D0274 | Bitewings - four radiographic images | <1% | 9,674 | $261K |
| 99173 | <1% | 14,710 | $258K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 701 | $245K |
| 90651 | <1% | 5,730 | $242K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 2,986 | $227K |
| D0120 | Dental checkup, returning patient | <1% | 12,627 | $193K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 7,343 | $185K |
| D0140 | Limited oral evaluation - problem focused | <1% | 7,697 | $181K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,510 | $173K |
| 99188 | <1% | 6,207 | $160K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 8,048 | $160K |
| D1206 | Topical application of fluoride varnish | <1% | 6,295 | $158K |
| 90686 | <1% | 22,045 | $143K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 2,873 | $137K |
| D0180 | <1% | 7,611 | $137K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 11,185 | $131K |
| D1351 | Sealant - per tooth | <1% | 3,148 | $122K |
| 0012A | <1% | 2,611 | $120K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,425 | $119K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24,426 | $114K |
| 90715 | <1% | 6,847 | $113K | |
| 99460 | <1% | 1,765 | $112K | |
| 0011A | <1% | 2,507 | $102K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 1,906 | $102K |
| 91320 | <1% | 896 | $100K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 10,342 | $92K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 9,706 | $92K |
| D2331 | <1% | 2,171 | $90K | |
| 0001A | <1% | 1,954 | $89K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,852 | $79K |
| 0004A | <1% | 1,699 | $77K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 1,719 | $75K |
| D0330 | Panoramic radiographic image | <1% | 2,114 | $72K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,518 | $72K |
| 87634 | <1% | 1,152 | $71K | |
| 99462 | <1% | 2,135 | $67K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,081 | $64K |
| 90746 | <1% | 1,167 | $60K | |
| 59025 | Fetal non-stress test | <1% | 2,030 | $59K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,794 | $57K |
| D4341 | <1% | 1,658 | $56K | |
| 90837 | Psychotherapy session, about an hour | <1% | 648 | $54K |
| D2140 | <1% | 1,160 | $54K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,024 | $51K |
| 90887 | <1% | 992 | $50K | |
| 90670 | <1% | 5,901 | $50K | |
| D2335 | <1% | 817 | $49K | |
| 90632 | <1% | 876 | $49K | |
| D4342 | <1% | 1,253 | $48K | |
| 90480 | <1% | 1,121 | $47K | |
| 0002A | <1% | 1,035 | $47K | |
| 90688 | <1% | 4,542 | $47K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,608 | $45K |
| D2330 | <1% | 1,327 | $44K | |
| 0124A | <1% | 1,176 | $43K | |
| 81025 | <1% | 6,505 | $43K | |
| D2332 | <1% | 816 | $41K | |
| 11981 | <1% | 379 | $40K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,357 | $40K |
| D5212 | <1% | 188 | $39K | |
| 90707 | <1% | 3,190 | $37K | |
| 99050 | <1% | 1,978 | $37K | |
| 90732 | <1% | 414 | $36K | |
| 99383 | <1% | 201 | $33K | |
| 92015 | Determination of refractive state | <1% | 2,579 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,570 | $30K |
| 90461 | <1% | 15,512 | $30K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,191 | $29K |
| 90882 | <1% | 672 | $28K | |
| 99219 | <1% | 392 | $27K | |
| 96127 | <1% | 2,832 | $26K | |
| 97802 | <1% | 372 | $24K | |
| 99384 | <1% | 136 | $23K | |
| 93000 | <1% | 1,578 | $23K | |
| 92341 | <1% | 664 | $23K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,883 | $22K |
| 0071A | <1% | 485 | $22K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 7,020 | $20K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 590 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 893 | $19K |
| 11982 | <1% | 155 | $18K | |
| 0072A | <1% | 370 | $17K | |
| 88142 | <1% | 1,056 | $16K | |
| D5211 | <1% | 90 | $16K | |
| D2160 | <1% | 368 | $16K | |
| 90682 | <1% | 270 | $15K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 127 | $12K |
| 91319 | <1% | 144 | $12K | |
| D0270 | <1% | 1,947 | $11K | |
| 90674 | <1% | 4,175 | $11K | |
| 97803 | <1% | 264 | $11K | |
| 90714 | <1% | 741 | $11K | |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 1,251 | $10K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | $10K |
| 91318 | <1% | 112 | $7K | |
| H0046 | Mental health services, not otherwise specified | <1% | 216 | $7K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 193 | $7K |
| 98966 | <1% | 578 | $6K | |
| 98967 | <1% | 274 | $6K | |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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% | 26 | $6K |
| S4989 | Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies | <1% | 24 | $6K |
| 0081A | <1% | 105 | $5K | |
| 90716 | <1% | 3,165 | $4K | |
| 82948 | <1% | 986 | $4K | |
| 87501 | <1% | 103 | $4K | |
| 86580 | <1% | 624 | $4K | |
| 99382 | <1% | 42 | $4K | |
| 90713 | <1% | 2,324 | $3K | |
| 90662 | <1% | 223 | $3K | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 14 | $3K |
| 72100 | <1% | 199 | $3K | |
| 58300 | <1% | 108 | $2K | |
| 73562 | <1% | 164 | $2K | |
| 98968 | <1% | 74 | $2K | |
| 90734 | <1% | 2,857 | $2K | |
| 54150 | <1% | 12 | $2K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 2,881 | $2K |
| 99442 | <1% | 70 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 63 | $1K |
| 77065 | Tomosynthesis, mammo | <1% | 28 | $1K |
| 81002 | <1% | 413 | $1K | |
| G0466 | Community health center visit, new patient | <1% | 27 | $1K |
| 87210 | <1% | 238 | $1K | |
| 73030 | <1% | 81 | $945.20 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | $816.48 |
| 90473 | <1% | 74 | $656.28 | |
| 0003A | <1% | 14 | $642.18 | |
| 82947 | <1% | 196 | $624.60 | |
| 90694 | <1% | 312 | $600.52 | |
| 0073A | <1% | 13 | $596.31 | |
| 90661 | <1% | 698 | $589.60 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 20 | $244.60 |
| 90474 | <1% | 364 | $167.77 | |
| 90620 | <1% | 252 | $120.21 | |
| 92551 | <1% | 12 | $112.56 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 12 | $109.11 |
| 85610 | <1% | 26 | $89.50 | |
| 90658 | <1% | 30 | $56.00 | |
| 91312 | <1% | 1,247 | $55.00 | |
| 90653 | <1% | 39 | $52.00 | |
| 91301 | <1% | 3,975 | $45.34 | |
| 90633 | <1% | 5,663 | $36.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 609 | $13.00 |
| 82962 | <1% | 13 | $7.06 | |
| 90677 | <1% | 1,705 | $2.99 | |
| 0154A | <1% | 24 | $0.22 | |
| 98926 | 0% | 612 | $0.00 | |
| 90648 | 0% | 5,892 | $0.00 | |
| 90700 | 0% | 2,870 | $0.00 | |
| 90681 | 0% | 3,103 | $0.00 | |
| 69210 | 0% | 336 | $0.00 | |
| 91308 | 0% | 209 | $0.00 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 0% | 24 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 306 | $0.00 |
| 91300 | 0% | 4,519 | $0.00 | |
| 90672 | 0% | 81 | $0.00 | |
| 90710 | 0% | 1,625 | $0.00 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | 0% | 188 | $0.00 |
| 0502F | 0% | 231 | $0.00 | |
| 99408 | 0% | 12 | $0.00 | |
| 99051 | 0% | 173 | $0.00 | |
| 90685 | 0% | 101 | $0.00 | |
| 90671 | 0% | 768 | $0.00 | |
| 90678 | 0% | 39 | $0.00 | |
| V2020 | Frames, purchases | 0% | 14 | $0.00 |
| 90723 | 0% | 3,404 | $0.00 | |
| 90696 | 0% | 1,708 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 507 | $0.00 |
| 90619 | 0% | 1,169 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 1,132 | $0.00 |
| 90744 | 0% | 964 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 635 | $0.00 |
| 90680 | 0% | 1,046 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 364 | $0.00 |
| 98925 | 0% | 180 | $0.00 | |
| 99000 | 0% | 61 | $0.00 | |
| 90697 | 0% | 690 | $0.00 | |
| 91307 | 0% | 1,131 | $0.00 | |
| 91317 | 0% | 32 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 40 | $0.00 |
| G0010 | Administration of hepatitis b vaccine | 0% | 13 | $0.00 |
| D9995 | 0% | 1,211 | $0.00 | |
| D0170 | 0% | 51 | $0.00 | |
| 90656 | 0% | 12 | $0.00 | |
| 91305 | 0% | 113 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 42 | $0.00 |
| 36416 | 0% | 286 | $0.00 | |
| 96380 | 0% | 40 | $0.00 | |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 0% | 28 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 15 | $0.00 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 241 | $0.00 |
| 91315 | 0% | 23 | $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 officialJUSTINIANO-FRANZEL, ALYDA (MGR. PROVIDER RELATIONS/CRED)
| Provider | Location | Paid |
|---|---|---|
| Family Health Center of Worcester, INC. | Worcester, MA | $11K |
| Family Health Center of Worcester, INC. | Worcester, MA | $325.79 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.