Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY HEALTH PROGRAMS, INC

NPI: 1912272899 · ADAMS, MA 01220 · Clinic/Center · NPI assigned 03/12/2012

$154K
Total Medicaid Paid
8,656
Total Claims
7,454
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialPALACIOS, HARRY (MANAGER, CREDENTIALING)
NPI Enumeration Date03/12/2012

Related Entities

Other providers sharing the same authorized official: PALACIOS, HARRY

ProviderCityStateTotal Paid
COMMUNITY HEALTH PROGRAMS, INC. GREAT BARRINGTON MA $24.97M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,454 $69K
2019 2,809 $46K
2020 2,393 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 4,487 3,645 $137K
T1015 Clinic visit/encounter, all-inclusive 137 114 $15K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 177 161 $2K
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 170 170 $57.65
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,144 1,037 $0.00
99308 Subsequent nursing facility care, per day, straightforward 293 218 $0.00
99309 Subsequent nursing facility care, per day, low to moderate complexity 65 57 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,984 1,854 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 154 154 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 45 44 $0.00