Clinic
Community Health Care Systems, INC.
Community Health Care Systems, INC. was paid $7.43M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CARE SYSTEMS, INC.
WRIGHTSVILLE, GA 31096
WRIGHTSVILLE, GA 31096
33aNPI1932150422assigned 05/12/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.43M
24GClaims344,038
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Georgia
Rank by total paid#3 of 13
Median peer was paid$30K
This provider vs. median244×
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 | 58,717 | $940K | |
| 2019 | 50,495 | $953K | |
| 2020 | 44,959 | $985K | |
| 2021 | 42,208 | $1.19M | |
| 2022 | 44,850 | $1.13M | |
| 2023 | 59,198 | $1.30M | |
| 2024incomplete | 43,611 | $931K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 75% | 75,242 | 65,838 | $5.54M |
| 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 | 11% | 11,967 | 10,782 | $782K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.0% | 7,384 | 6,504 | $595K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 2,415 | 2,226 | $205K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.7% | 5,940 | 5,741 | $129K |
| 96127 | <1% | 17,464 | 15,877 | $48K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 703 | 664 | $43K |
| 99342 | <1% | 76 | 76 | $28K | |
| 87428 | <1% | 559 | 508 | $12K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 494 | 486 | $10K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 110 | 99 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 943 | 804 | $10K |
76 more codes
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 53 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 70 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 16,429 | $2K |
| 99429 | <1% | 289 | $1K | |
| 99406 | <1% | 7,684 | $1K | |
| 0002A | <1% | 34 | $940.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,992 | $799.25 |
| 0001A | <1% | 41 | $721.20 | |
| 11721 | <1% | 3,358 | $677.34 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 9,114 | $672.23 |
| 2000F | <1% | 56,944 | $636.92 | |
| 99307 | <1% | 39 | $473.24 | |
| 3079F | <1% | 5,072 | $275.00 | |
| 99348 | <1% | 13 | $251.10 | |
| 81003 | <1% | 5,885 | $223.78 | |
| 81025 | <1% | 570 | $173.13 | |
| 96160 | <1% | 2,566 | $98.80 | |
| 11055 | <1% | 13 | $56.85 | |
| 3074F | <1% | 5,173 | $50.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 15 | $47.08 |
| 3044F | <1% | 2,446 | $25.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 683 | $15.08 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 472 | $13.60 |
| 3078F | 0% | 5,641 | $0.00 | |
| 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 | 0% | 7,014 | $0.00 |
| 82947 | 0% | 3,899 | $0.00 | |
| 3077F | 0% | 5,269 | $0.00 | |
| 2028F | 0% | 1,012 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,366 | $0.00 |
| 82570 | 0% | 1,292 | $0.00 | |
| 1160F | 0% | 4,356 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,301 | $0.00 |
| G9920 | Screening performed and negative | 0% | 101 | $0.00 |
| 3046F | 0% | 553 | $0.00 | |
| 0521F | 0% | 975 | $0.00 | |
| 99334 | 0% | 24 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 513 | $0.00 |
| 90662 | 0% | 355 | $0.00 | |
| 87210 | 0% | 19 | $0.00 | |
| 3045F | 0% | 410 | $0.00 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 18 | $0.00 |
| 99347 | 0% | 13 | $0.00 | |
| 3051F | 0% | 26 | $0.00 | |
| 3050F | 0% | 56 | $0.00 | |
| 11056 | 0% | 17 | $0.00 | |
| 1100F | 0% | 13 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 42 | $0.00 |
| 2001F | 0% | 7,463 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 915 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 87 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 24,967 | $0.00 |
| 3075F | 0% | 3,161 | $0.00 | |
| 3008F | 0% | 11,170 | $0.00 | |
| 82044 | 0% | 1,214 | $0.00 | |
| 93000 | 0% | 585 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 32 | $0.00 |
| 3080F | 0% | 2,950 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 1,851 | $0.00 |
| 90686 | 0% | 175 | $0.00 | |
| 1125F | 0% | 2,611 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 440 | $0.00 |
| 99070 | 0% | 1,124 | $0.00 | |
| 1126F | 0% | 2,292 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 629 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 2,173 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 403 | $0.00 |
| 3048F | 0% | 373 | $0.00 | |
| 85018 | 0% | 305 | $0.00 | |
| 1170F | 0% | 25 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 73 | $0.00 |
| 90694 | 0% | 13 | $0.00 | |
| 3049F | 0% | 90 | $0.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 280 | $0.00 |
| 96125 | 0% | 57 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 30 | $0.00 |
| 90674 | 0% | 13 | $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 officialPRICE, LYNN (INSURANCE SUPERVISOR)