Clinic
Columbus Neighborhood Health Center, INC.
Columbus Neighborhood Health Center, INC. was paid $8.67M by Medicaid between Jan 2018 and Nov 2024, across 111 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
33Billing provider infoCOLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
COLUMBUS, OH 43205
COLUMBUS, OH 43205
33aNPI1851474993assigned 10/23/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.67M
24GClaims411,505
24DCodes billed111
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#27 of 348
Median peer was paid$1.33M
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 | 94,969 | $1.81M | |
| 2019 | 71,544 | $1.54M | |
| 2020 | 47,432 | $1.24M | |
| 2021 | 59,979 | $1.25M | |
| 2022 | 55,351 | $1.18M | |
| 2023 | 61,230 | $1.15M | |
| 2024incomplete | 21,000 | $491K |
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 | 65% | 105,308 | 71,450 | $5.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 64,168 | 35,717 | $1.21M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.5% | 20,891 | 10,781 | $301K |
| 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 | 2.6% | 8,800 | 5,212 | $227K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.7% | 4,634 | 1,350 | $148K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.5% | 8,609 | 5,336 | $127K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.1% | 7,156 | 4,543 | $94K |
| 76801 | <1% | 2,687 | 1,452 | $83K | |
| 92015 | Determination of refractive state | <1% | 17,325 | 11,238 | $73K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 6,992 | 4,242 | $57K |
| 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% | 3,549 | 2,834 | $48K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,959 | 1,054 | $46K |
99 more codes
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 925 | $44K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,400 | $41K |
| 92341 | <1% | 4,189 | $38K | |
| D1110 | Prophylaxis - adult | <1% | 3,871 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,061 | $32K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,674 | $30K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 621 | $22K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,054 | $22K |
| 97803 | <1% | 1,225 | $22K | |
| D0330 | Panoramic radiographic image | <1% | 2,177 | $21K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,407 | $21K |
| 81002 | <1% | 21,660 | $19K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,345 | $17K |
| V2020 | Frames, purchases | <1% | 1,729 | $16K |
| 90686 | <1% | 2,853 | $15K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 928 | $13K |
| D0120 | Dental checkup, returning patient | <1% | 1,690 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 705 | $12K |
| 36416 | <1% | 10,013 | $11K | |
| 81025 | <1% | 3,125 | $10K | |
| 99078 | <1% | 720 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 515 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,452 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 557 | $10K |
| 99442 | <1% | 855 | $9K | |
| 97802 | <1% | 431 | $9K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 8,562 | $8K |
| D1206 | Topical application of fluoride varnish | <1% | 875 | $7K |
| D1120 | Dental cleaning, child | <1% | 623 | $7K |
| D0274 | Bitewings - four radiographic images | <1% | 2,436 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 318 | $7K |
| 96127 | <1% | 4,044 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 236 | $6K |
| 59430 | <1% | 195 | $6K | |
| 82962 | <1% | 5,926 | $5K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,336 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 141 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,748 | $3K |
| D2140 | <1% | 230 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 215 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 67 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 217 | $2K |
| 90670 | <1% | 439 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 182 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 441 | $2K |
| 90715 | <1% | 163 | $2K | |
| 99441 | <1% | 335 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 158 | $2K |
| H1000 | Prenatal care, at-risk assessment | <1% | 52 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 33 | $1K |
| 99385 | <1% | 138 | $957.84 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 48 | $895.40 |
| 92551 | <1% | 323 | $888.79 | |
| 99454 | <1% | 43 | $780.26 | |
| D2160 | <1% | 33 | $715.00 | |
| 99386 | <1% | 22 | $449.35 | |
| 90656 | <1% | 39 | $436.68 | |
| 99173 | <1% | 353 | $342.18 | |
| 99406 | <1% | 60 | $292.14 | |
| D0272 | Bitewings - two radiographic images | <1% | 74 | $280.00 |
| 92133 | <1% | 48 | $255.36 | |
| 80305 | <1% | 32 | $162.62 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | $72.00 |
| 90633 | <1% | 43 | $60.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 16 | $29.76 |
| 3044F | <1% | 585 | $20.45 | |
| 86580 | <1% | 19 | $18.60 | |
| 3074F | <1% | 1,638 | $14.38 | |
| 3078F | <1% | 1,683 | $3.63 | |
| 3079F | <1% | 1,061 | $2.14 | |
| 3075F | <1% | 708 | $1.43 | |
| 3077F | <1% | 432 | $0.77 | |
| 3080F | <1% | 192 | $0.36 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 10,918 | $0.00 |
| 1036F | 0% | 1,828 | $0.00 | |
| 3008F | 0% | 203 | $0.00 | |
| 90688 | 0% | 91 | $0.00 | |
| 4000F | 0% | 299 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 2,610 | $0.00 |
| 90723 | 0% | 67 | $0.00 | |
| 90647 | 0% | 137 | $0.00 | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 0% | 12 | $0.00 |
| D1330 | 0% | 46 | $0.00 | |
| 90716 | 0% | 22 | $0.00 | |
| D3120 | 0% | 50 | $0.00 | |
| 90697 | 0% | 21 | $0.00 | |
| 2023F | 0% | 87 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 10,065 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 3,473 | $0.00 |
| 99071 | 0% | 6,288 | $0.00 | |
| 4004F | 0% | 1,374 | $0.00 | |
| 2022F | 0% | 181 | $0.00 | |
| D0190 | 0% | 674 | $0.00 | |
| 3045F | 0% | 70 | $0.00 | |
| 90700 | 0% | 38 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 23 | $0.00 |
| 90681 | 0% | 24 | $0.00 | |
| 90707 | 0% | 21 | $0.00 | |
| 2028F | 0% | 49 | $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 officialTAVARES, CHARLETA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Columbus Neighborhood Health Center, INC. | Columbus, OH | $6.70M |
| Columbus Neighborhood Health Center, INC. | Columbus, OH | $5.36M |
| Columbus Neighborhood Health Center, INC. | Circleville, OH | $3.22M |
| Columbus Neighborhood Health Center, INC. | Columbus, OH | $2.54M |
| Columbus Neighborhood Health Center, INC. | Columbus, OH | $937K |
| Columbus Neighborhood Health Center, INC. | Columbus, OH | $909K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.