Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Community Health Connections, INC.

Community Health Connections, INC. was paid $8.90M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 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 — 33% of everything it billed.

33Billing provider infoCOMMUNITY HEALTH CONNECTIONS, INC.
LEOMINSTER, MA 01453
33aNPI1891953048assigned 05/23/2008
28Total paid$8.90M
24GClaims108,350
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts

Rank by total paid#12 of 56
Median peer was paid$1.51M
This provider vs. median5.9×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201810,179$389K
201912,912$714K
202013,687$1.19M
202125,674$1.44M
202227,558$2.37M
20239,834$1.38M
2024incomplete8,506$1.42M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 33% 15,343 13,787 $2.91M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 25% 12,952 11,250 $2.22M
T1040 Medicaid certified community behavioral health clinic services, per diem 25% 15,999 10,988 $2.21M
D9450 4.5% 14,134 10,644 $402K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 4.4% 4,681 3,550 $393K
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% 3,446 3,016 $114K
D1110 Prophylaxis - adult <1% 3,924 3,483 $75K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 1,326 1,192 $58K
D0140 Limited oral evaluation - problem focused <1% 2,164 1,379 $51K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 1,518 1,021 $46K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 253 253 $45K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 2,095 1,156 $42K
62 more codes
D0120 Dental checkup, returning patient <1% 3,926 $38K
D0210 Intraoral - complete series of radiographic images <1% 1,294 $32K
D7140 Extraction, erupted tooth or exposed root <1% 588 $27K
D0220 Intraoral - periapical first radiographic image <1% 2,753 $26K
D0274 Bitewings - four radiographic images <1% 1,675 $24K
90791 Psychiatric diagnostic evaluation <1% 133 $15K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 247 $12K
D2330 <1% 396 $11K
D2751 Crown - porcelain fused to predominantly base metal <1% 28 $11K
D2331 <1% 246 $11K
D0150 Comprehensive oral evaluation - new or established patient <1% 760 $10K
D1206 Topical application of fluoride varnish <1% 395 $10K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 422 $10K
D1120 Dental cleaning, child <1% 138 $7K
D0330 Panoramic radiographic image <1% 130 $6K
90688 <1% 448 $6K
90686 <1% 557 $6K
D0230 Intraoral - periapical each additional radiographic image <1% 655 $6K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 45 $6K
A0427 Emergency ambulance ride, advanced life support <1% 17 $5K
D2335 <1% 51 $5K
90750 <1% 58 $5K
99214 Doctor's office visit, returning patient (more involved) <1% 4,254 $4K
90853 Group psychotherapy (other than of a multiple-family group) <1% 137 $4K
A0429 Emergency ambulance ride, basic life support <1% 18 $4K
D4341 <1% 100 $4K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 501 $3K
99173 <1% 148 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 450 $3K
D2332 <1% 41 $2K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 489 $2K
D0270 <1% 370 $2K
99213 Doctor's office visit, returning patient (routine) <1% 3,820 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 998 $2K
D0180 <1% 69 $2K
90715 <1% 65 $2K
D4342 <1% 32 $1K
D2140 <1% 202 $1K
D2160 <1% 64 $1K
81002 <1% 437 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 519 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 35 $774.18
90461 <1% 47 $354.24
D0272 Bitewings - two radiographic images <1% 16 $304.00
A0425 Ground mileage, per statute mile <1% 35 $295.93
99442 <1% 102 $291.34
81025 <1% 44 $241.68
99441 <1% 105 $161.55
87275 <1% 12 $109.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 23 $85.47
90472 Immunization administration, each additional vaccine (list separately) <1% 27 $52.98
82962 <1% 384 $10.49
D0603 0% 57 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,562 $0.00
G0008 Administration of influenza virus vaccine 0% 90 $0.00
99406 0% 13 $0.00
A0394 Als specialized service disposable supplies; iv drug therapy 0% 18 $0.00
91300 0% 37 $0.00
D0400 0% 80 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 108 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 12 $0.00
99215 Doctor's office visit, returning patient (complex) 0% 32 $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.
Same official

Other billing entities under DEMALIA, JOHN

Full network →
ProviderLocationPaid
Community Health Connections, INC.Fitchburg, MA$31.73M
Community Health Connections, INC.Gardner, MA$9.05M
Community Health Connections, INC.Fitchburg, MA$3.56M
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.