Clinic
Star Community Health, INC
Star Community Health, INC was paid $45.57M by Medicaid between Feb 2020 and Dec 2024, across 129 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoSTAR COMMUNITY HEALTH, INC
BETHLEHEM, PA 18015
BETHLEHEM, PA 18015
33aNPI1942832720assigned 02/10/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$45.57M
24GClaims643,815
24DCodes billed129
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#2 of 240
Median peer was paid$909K
This provider vs. median50×
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 | |
|---|---|---|---|
| 2020 | 158,831 | $8.53M | |
| 2021 | 219,643 | $15.76M | |
| 2022 | 192,220 | $15.07M | |
| 2023 | 48,469 | $4.07M | |
| 2024incomplete | 24,652 | $2.14M |
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 | 99% | 229,966 | 209,190 | $45.28M |
| 99499 | <1% | 12,037 | 11,423 | $175K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 86,003 | 79,423 | $49K |
| 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 | <1% | 30,420 | 28,931 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30,184 | 29,413 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 9,507 | 9,283 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 5,956 | 5,811 | $3K |
| 3074F | <1% | 1,822 | 1,764 | $3K | |
| 92551 | <1% | 16,748 | 16,204 | $2K | |
| 3078F | <1% | 1,287 | 1,248 | $2K | |
| 3079F | <1% | 1,405 | 1,355 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14,244 | 13,911 | $2K |
117 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 8,003 | $2K |
| 3077F | <1% | 706 | $1K | |
| 3075F | <1% | 594 | $880.00 | |
| 3080F | <1% | 351 | $680.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 10,733 | $501.02 |
| D0120 | Dental checkup, returning patient | <1% | 4,165 | $455.06 |
| D1206 | Topical application of fluoride varnish | <1% | 3,471 | $371.61 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 947 | $336.32 |
| 90651 | <1% | 3,392 | $323.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,601 | $286.09 |
| 90715 | <1% | 1,730 | $233.73 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,042 | $216.46 |
| 96127 | <1% | 7,767 | $215.44 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,330 | $213.57 |
| D1120 | Dental cleaning, child | <1% | 2,258 | $196.52 |
| 99383 | <1% | 38 | $163.04 | |
| 90698 | <1% | 7,262 | $139.33 | |
| 3044F | <1% | 56 | $130.00 | |
| 90686 | <1% | 15,884 | $119.73 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 396 | $115.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,269 | $106.53 |
| D1110 | Prophylaxis - adult | <1% | 2,618 | $98.36 |
| 2022F | <1% | 27 | $90.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 1,800 | $89.14 |
| 87210 | <1% | 1,351 | $75.66 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,664 | $70.94 |
| 4010F | <1% | 27 | $60.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 349 | $54.25 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,481 | $52.48 |
| 83655 | <1% | 3,276 | $40.00 | |
| 3046F | <1% | 13 | $40.00 | |
| 81025 | <1% | 1,782 | $38.00 | |
| 99173 | <1% | 20,666 | $26.23 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,605 | $22.15 |
| D0272 | Bitewings - two radiographic images | <1% | 933 | $21.72 |
| 92552 | <1% | 1,650 | $21.29 | |
| 96161 | <1% | 4,552 | $20.87 | |
| 99188 | <1% | 3,004 | $16.46 | |
| 90474 | <1% | 2,512 | $11.50 | |
| 90734 | <1% | 1,750 | $10.00 | |
| 90633 | <1% | 5,113 | $10.00 | |
| 85018 | <1% | 3,801 | $9.69 | |
| 93000 | <1% | 26 | $8.50 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,232 | $7.04 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 3,242 | $6.03 |
| 81002 | <1% | 1,676 | $3.57 | |
| 3008F | 0% | 5,126 | $0.00 | |
| 90680 | 0% | 3,420 | $0.00 | |
| 90744 | 0% | 2,752 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 403 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,506 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 1,555 | $0.00 |
| 1036F | 0% | 5,953 | $0.00 | |
| 86580 | 0% | 131 | $0.00 | |
| 90656 | 0% | 194 | $0.00 | |
| D1330 | 0% | 3,215 | $0.00 | |
| 90619 | 0% | 870 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 1,196 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 181 | $0.00 |
| D1310 | 0% | 388 | $0.00 | |
| 90716 | 0% | 997 | $0.00 | |
| 90677 | 0% | 457 | $0.00 | |
| D9995 | 0% | 442 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 2,531 | $0.00 |
| D0601 | 0% | 353 | $0.00 | |
| D0602 | 0% | 257 | $0.00 | |
| 90696 | 0% | 1,174 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 571 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 81 | $0.00 |
| 90732 | 0% | 25 | $0.00 | |
| D0603 | 0% | 292 | $0.00 | |
| 99441 | 0% | 14 | $0.00 | |
| 99381 | 0% | 472 | $0.00 | |
| 99385 | 0% | 266 | $0.00 | |
| D2330 | 0% | 22 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 49 | $0.00 |
| 1111F | 0% | 14 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 34 | $0.00 |
| 99406 | 0% | 78 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 90 | $0.00 |
| 58300 | 0% | 13 | $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% | 33 | $0.00 |
| D2331 | 0% | 32 | $0.00 | |
| D5899 | 0% | 23 | $0.00 | |
| 76801 | 0% | 15 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,273 | $0.00 |
| 90710 | 0% | 1,336 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 1,380 | $0.00 |
| 90670 | 0% | 7,197 | $0.00 | |
| 90707 | 0% | 989 | $0.00 | |
| 90682 | 0% | 1,236 | $0.00 | |
| 99051 | 0% | 665 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 151 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,044 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 759 | $0.00 |
| 91312 | 0% | 27 | $0.00 | |
| 0124A | 0% | 107 | $0.00 | |
| D0190 | 0% | 74 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 16 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 320 | $0.00 |
| D0270 | 0% | 57 | $0.00 | |
| 3725F | 0% | 1,014 | $0.00 | |
| 90461 | 0% | 1,418 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 146 | $0.00 |
| T1001 | Nursing assessment / evaluation | 0% | 214 | $0.00 |
| D0191 | 0% | 27 | $0.00 | |
| D1354 | 0% | 128 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 127 | $0.00 |
| D9110 | 0% | 130 | $0.00 | |
| 90621 | 0% | 324 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 107 | $0.00 |
| 4004F | 0% | 381 | $0.00 | |
| 99442 | 0% | 164 | $0.00 | |
| 90662 | 0% | 17 | $0.00 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 12 | $0.00 |
| G9920 | Screening performed and negative | 0% | 13 | $0.00 |
| 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 | 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 officialHICKS, QUYNH (EXECUTIVE DIRECTOR)