Clinic
Community Health Programs, INC
Community Health Programs, INC was paid $154K by Medicaid between Jan 2018 and Dec 2020, across 10 billing codes. Its largest line is G0467, community health center visit, returning patient — 89% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH PROGRAMS, INC
ADAMS, MA 01220
ADAMS, MA 01220
33aNPI1912272899assigned 03/12/2012
33bProvider typeClinic/Center
28Total paid$154K
24GClaims8,656
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Clinic/Center providers in Massachusetts
Rank by total paid#27 of 53
Median peer was paid$154K
This provider vs. median1.0×
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 | 3,454 | $69K | |
| 2019 | 2,809 | $46K | |
| 2020 | 2,393 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 89% | 4,487 | 3,645 | $137K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 9.7% | 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 | 1.5% | 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 | <1% | 170 | 170 | $57.65 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 1,144 | 1,037 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 293 | 218 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 65 | 57 | $0.00 |
| 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 | 0% | 1,984 | 1,854 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 154 | 154 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 45 | 44 | $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 officialPALACIOS, HARRY (MANAGER, CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Community Health Programs, INC. | Great Barrington, MA | $24.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.