Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › WORCESTER › FAMILY HEALTH CENTER OF WORCESTER, INC.

FAMILY HEALTH CENTER OF WORCESTER, INC.

NPI: 1841200664 · WORCESTER, MA 01610 · Federally Qualified Health Center (FQHC) · NPI assigned 08/08/2006

$70.19M
Total Medicaid Paid
1,087,922
Total Claims
893,060
Beneficiaries
223
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJUSTINIANO-FRANZEL, ALYDA (MGR. PROVIDER RELATIONS/CRED)
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: JUSTINIANO-FRANZEL, ALYDA

ProviderCityStateTotal Paid
FAMILY HEALTH CENTER OF WORCESTER, INC. WORCESTER MA $11K
FAMILY HEALTH CENTER OF WORCESTER, INC. WORCESTER MA $325.79

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 114,467 $4.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 278,580 219,074 $42.38M
T1040 Medicaid certified community behavioral health clinic services, per diem 21,964 12,978 $3.03M
D9450 105,214 63,382 $2.53M
90834 Psychotherapy, 45 minutes with patient 18,910 11,411 $1.49M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9,153 8,919 $1.38M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,919 7,910 $1.22M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 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 8,052 6,117 $1.10M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,281 6,271 $938K
G0467 Federally 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 20,389 17,076 $848K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,312 4,302 $702K
D1110 Prophylaxis - adult 25,394 18,653 $701K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 18,413 17,339 $436K
D0210 Intraoral - complete series of radiographic images 10,674 7,821 $386K
D1120 Prophylaxis - child 7,627 7,313 $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 21,347 21,172 $374K
90460 Immunization administration through 18 years of age via any route, first or only component 33,127 32,521 $366K
90739 2,717 2,694 $342K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,690 6,495 $339K
90832 Psychotherapy, 30 minutes with patient 7,952 6,456 $322K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 150 150 $321K
90750 2,244 2,232 $318K
D7140 Extraction, erupted tooth or exposed root 6,889 2,396 $306K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7,711 4,239 $304K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 6,514 3,986 $292K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,447 3,392 $289K
99381 1,529 1,522 $280K
D9110 11,902 6,380 $270K
96110 Developmental screening, with scoring and documentation, per standardized instrument 27,945 27,601 $269K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,914 7,435 $262K
D0274 Bitewings - four radiographic images 9,674 8,073 $261K
99173 14,710 14,648 $258K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 701 696 $245K
90651 5,730 5,714 $242K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 2,986 1,125 $227K
D0120 Periodic oral evaluation - established patient 12,627 10,038 $193K
D0150 Comprehensive oral evaluation - new or established patient 7,343 5,629 $185K
D0140 Limited oral evaluation - problem focused 7,697 4,706 $181K
90791 Psychiatric diagnostic evaluation 1,510 1,494 $173K
99188 6,207 6,184 $160K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 8,048 6,598 $160K
D1206 Topical application of fluoride varnish 6,295 6,054 $158K
90686 22,045 21,967 $143K
77067 Screening mammography, bilateral, including computer-aided detection 2,873 1,488 $137K
D0180 7,611 5,596 $137K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,185 9,927 $131K
D1351 Sealant - per tooth 3,148 970 $122K
0012A 2,611 2,604 $120K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,425 2,424 $119K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24,426 23,913 $114K
90715 6,847 6,839 $113K
99460 1,765 1,755 $112K
0011A 2,507 2,504 $102K
D2150 Silver amalgam - two surfaces, primary or permanent 1,906 1,311 $102K
91320 896 896 $100K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,342 9,664 $92K
D0220 Intraoral - periapical first radiographic image 9,706 5,998 $92K
D2331 2,171 1,169 $90K
0001A 1,954 1,922 $89K
D1208 Topical application of fluoride, excluding varnish 2,852 2,735 $79K
0004A 1,699 1,695 $77K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,719 1,126 $75K
D0330 Panoramic radiographic image 2,114 1,263 $72K
99232 Subsequent hospital care, per day, moderate complexity 1,518 1,372 $72K
87634 1,152 1,135 $71K
99462 2,135 1,447 $67K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,081 2,047 $64K
90746 1,167 1,166 $60K
59025 Fetal non-stress test 2,030 1,482 $59K
83036 Hemoglobin; glycosylated (A1C) 6,794 6,759 $57K
D4341 1,658 800 $56K
90837 Psychotherapy, 53 minutes with patient 648 493 $54K
D2140 1,160 777 $54K
99238 Hospital discharge day management, 30 minutes or less 1,024 1,019 $51K
90887 992 814 $50K
90670 5,901 5,878 $50K
D2335 817 449 $49K
90632 876 876 $49K
D4342 1,253 686 $48K
90480 1,121 1,120 $47K
0002A 1,035 1,030 $47K
90688 4,542 4,537 $47K
92340 Fitting of spectacles, except for aphakia; monofocal 1,608 1,466 $45K
D2330 1,327 674 $44K
0124A 1,176 1,160 $43K
81025 6,505 6,366 $43K
D2332 816 472 $41K
11981 379 378 $40K
D0230 Intraoral - periapical each additional radiographic image 5,357 2,204 $40K
D5212 188 127 $39K
90707 3,190 3,178 $37K
99050 1,978 1,922 $37K
90732 414 412 $36K
99383 201 200 $33K
92015 Determination of refractive state 2,579 2,565 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,570 5,263 $30K
90461 15,512 15,201 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,191 2,143 $29K
90882 672 453 $28K
99219 392 346 $27K
96127 2,832 2,804 $26K
97802 372 372 $24K
99384 136 136 $23K
93000 1,578 1,560 $23K
92341 664 662 $23K
71046 Radiologic examination, chest; 2 views 1,883 958 $22K
0071A 485 483 $22K
90472 Immunization administration, each additional vaccine (list separately) 7,020 6,946 $20K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 590 526 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 893 856 $19K
11982 155 155 $18K
0072A 370 368 $17K
88142 1,056 1,054 $16K
D5211 90 56 $16K
D2160 368 233 $16K
90682 270 268 $15K
99222 Initial hospital care, per day, moderate complexity 127 126 $12K
91319 144 144 $12K
D0270 1,947 1,298 $11K
90674 4,175 4,165 $11K
97803 264 252 $11K
90714 741 733 $11K
S3005 Performance measurement, evaluation of patient self assessment, depression 1,251 1,230 $10K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 12 12 $10K
91318 112 112 $7K
H0046 Mental health services, not otherwise specified 216 178 $7K
99215 Prolong outpt/office vis 193 165 $7K
98966 578 505 $6K
98967 274 262 $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 26 26 $6K
S4989 Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies 24 24 $6K
0081A 105 102 $5K
90716 3,165 3,153 $4K
82948 986 921 $4K
87501 103 100 $4K
86580 624 610 $4K
99382 42 42 $4K
90713 2,324 2,312 $3K
90662 223 223 $3K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 14 14 $3K
72100 199 99 $3K
58300 108 108 $2K
73562 164 77 $2K
98968 74 69 $2K
90734 2,857 2,847 $2K
54150 12 12 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2,881 2,874 $2K
99442 70 68 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $1K
D0272 Bitewings - two radiographic images 63 50 $1K
77065 Tomosynthesis, mammo 28 14 $1K
81002 413 349 $1K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face 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 fqhc visit 27 27 $1K
87210 238 236 $1K
73030 81 41 $945.20
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $816.48
90473 74 74 $656.28
0003A 14 14 $642.18
82947 196 192 $624.60
90694 312 308 $600.52
0073A 13 13 $596.31
90661 698 698 $589.60
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 20 19 $244.60
90474 364 362 $167.77
90620 252 250 $120.21
92551 12 12 $112.56
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 12 12 $109.11
85610 26 12 $89.50
90658 30 30 $56.00
91312 1,247 1,236 $55.00
90653 39 39 $52.00
91301 3,975 3,924 $45.34
90633 5,663 5,646 $36.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 609 535 $13.00
82962 13 12 $7.06
90677 1,705 1,702 $2.99
0154A 24 23 $0.22
98926 612 546 $0.00
90648 5,892 5,867 $0.00
90700 2,870 2,852 $0.00
90681 3,103 3,094 $0.00
69210 336 314 $0.00
91308 209 201 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 24 24 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 306 306 $0.00
91300 4,519 4,342 $0.00
90672 81 81 $0.00
90710 1,625 1,620 $0.00
J2315 Injection, naltrexone, depot form, 1 mg 188 170 $0.00
0502F 231 185 $0.00
99408 12 12 $0.00
99051 173 173 $0.00
90685 101 101 $0.00
90671 768 766 $0.00
90678 39 39 $0.00
V2020 Frames, purchases 14 14 $0.00
90723 3,404 3,387 $0.00
90696 1,708 1,704 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 507 480 $0.00
90619 1,169 1,168 $0.00
G0008 Administration of influenza virus vaccine 1,132 1,121 $0.00
90744 964 963 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 635 624 $0.00
90680 1,046 1,046 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 364 324 $0.00
98925 180 162 $0.00
99000 61 61 $0.00
90697 690 689 $0.00
91307 1,131 1,080 $0.00
91317 32 30 $0.00
G0009 Administration of pneumococcal vaccine 40 40 $0.00
G0010 Administration of hepatitis b vaccine 13 13 $0.00
D9995 1,211 677 $0.00
D0170 51 39 $0.00
90656 12 12 $0.00
91305 113 109 $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 42 39 $0.00
36416 286 265 $0.00
96380 40 40 $0.00
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg 28 25 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 15 15 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 241 241 $0.00
91315 23 22 $0.00