Clinic
Lowell Community Health Center, INC.
Lowell Community Health Center, INC. was paid $86.80M by Medicaid between Jan 2018 and Dec 2024, across 190 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoLOWELL COMMUNITY HEALTH CENTER, INC.
LOWELL, MA 01852
LOWELL, MA 01852
33aNPI1952307530assigned 06/28/2005
33bProvider typeCommunity Health Clinic/Center
28Total paid$86.80M
24GClaims1,208,753
24DCodes billed190
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#3 of 36
Median peer was paid$3.62M
This provider vs. median24×
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 | 179,982 | $11.32M | |
| 2019 | 184,656 | $12.12M | |
| 2020 | 185,232 | $15.96M | |
| 2021 | 165,491 | $13.87M | |
| 2022 | 157,792 | $17.08M | |
| 2023 | 165,877 | $9.75M | |
| 2024incomplete | 169,723 | $6.71M |
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 | 66% | 393,410 | 343,252 | $57.06M |
| 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 | 7.5% | 39,791 | 37,028 | $6.48M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 3.5% | 22,688 | 15,018 | $3.03M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.1% | 24,067 | 17,548 | $1.83M |
| 99050 | 2.0% | 37,998 | 36,262 | $1.76M | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 12,093 | 11,715 | $1.68M |
| 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 | 1.8% | 35,970 | 29,733 | $1.54M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 9,613 | 9,208 | $1.38M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 33,930 | 33,538 | $1.27M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 7,001 | 6,865 | $954K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 10,188 | 9,944 | $826K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 19,091 | 14,806 | $754K |
178 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,356 | $647K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 73,937 | $610K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 9,686 | $475K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 45,260 | $462K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 16,123 | $449K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,503 | $418K |
| 90461 | <1% | 11,996 | $355K | |
| 99381 | <1% | 1,646 | $338K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25,437 | $328K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 38,852 | $309K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 29,795 | $267K |
| 99173 | <1% | 9,152 | $184K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 2,277 | $172K |
| 90686 | <1% | 25,749 | $153K | |
| 92015 | Determination of refractive state | <1% | 12,673 | $151K |
| 97802 | <1% | 2,952 | $148K | |
| 97803 | <1% | 4,091 | $145K | |
| 92551 | <1% | 14,676 | $140K | |
| 99188 | <1% | 5,402 | $138K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 10,611 | $130K |
| H2016 | Community support for mental illness or disability, billed per day | <1% | 2,341 | $127K |
| 90677 | <1% | 1,436 | $120K | |
| 99607 | <1% | 2,643 | $106K | |
| 92341 | <1% | 3,150 | $105K | |
| 90746 | <1% | 1,590 | $102K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 857 | $98K |
| 90715 | <1% | 3,325 | $87K | |
| 99606 | <1% | 2,095 | $86K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 4,996 | $85K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,812 | $79K |
| 0012A | <1% | 1,755 | $78K | |
| 90651 | <1% | 2,080 | $69K | |
| 81025 | <1% | 10,298 | $68K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 719 | $64K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 28 | $55K |
| 90837 | Psychotherapy session, about an hour | <1% | 554 | $53K |
| 0011A | <1% | 1,186 | $50K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,191 | $44K |
| 96127 | <1% | 4,004 | $39K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,252 | $37K |
| 90662 | <1% | 2,300 | $36K | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 613 | $36K |
| 0001A | <1% | 729 | $33K | |
| 59025 | Fetal non-stress test | <1% | 1,276 | $33K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,187 | $32K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 750 | $30K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,384 | $28K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,962 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,095 | $27K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 822 | $25K |
| 0002A | <1% | 524 | $24K | |
| 90688 | <1% | 4,860 | $22K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 519 | $22K |
| 90670 | <1% | 5,540 | $19K | |
| 99402 | <1% | 455 | $19K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 639 | $18K |
| 90480 | <1% | 426 | $15K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,802 | $13K |
| 90713 | <1% | 621 | $13K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 26 | $10K |
| 93000 | <1% | 680 | $10K | |
| G0469 | Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 | <1% | 36 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 138 | $8K |
| 90707 | <1% | 448 | $7K | |
| 91322 | <1% | 145 | $7K | |
| 90785 | <1% | 1,465 | $7K | |
| 99383 | <1% | 42 | $7K | |
| 99397 | <1% | 293 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,222 | $6K |
| G0466 | Community health center visit, new patient | <1% | 136 | $6K |
| 99384 | <1% | 39 | $6K | |
| 82947 | <1% | 2,013 | $5K | |
| 90714 | <1% | 240 | $5K | |
| 99385 | <1% | 26 | $5K | |
| 99051 | <1% | 5,110 | $5K | |
| 90732 | <1% | 76 | $5K | |
| 90716 | <1% | 303 | $5K | |
| 81002 | <1% | 1,794 | $5K | |
| 92134 | <1% | 187 | $4K | |
| 81000 | <1% | 1,293 | $4K | |
| 80305 | <1% | 481 | $4K | |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 52 | $4K |
| 90882 | <1% | 109 | $4K | |
| 97810 | <1% | 139 | $4K | |
| 0031A | <1% | 79 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,028 | $4K |
| 99605 | <1% | 58 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 227 | $3K |
| 91320 | <1% | 29 | $3K | |
| 97811 | <1% | 139 | $3K | |
| H0046 | Mental health services, not otherwise specified | <1% | 82 | $3K |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 254 | $3K |
| 87634 | <1% | 34 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 283 | $2K |
| 99024 | <1% | 10,076 | $2K | |
| 11976 | <1% | 13 | $1K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 12 | $1K |
| 92133 | <1% | 69 | $1K | |
| 90674 | <1% | 285 | $1K | |
| 58300 | <1% | 12 | $810.30 | |
| 87808 | <1% | 67 | $779.46 | |
| 99000 | <1% | 38,489 | $740.65 | |
| 90621 | <1% | 198 | $657.64 | |
| G0008 | Administration of influenza virus vaccine | <1% | 2,535 | $649.00 |
| 0054A | <1% | 14 | $640.69 | |
| 92250 | <1% | 16 | $502.51 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 159 | $498.25 |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,367 | $432.00 |
| 99401 | <1% | 14 | $420.01 | |
| 86580 | <1% | 55 | $332.88 | |
| 90734 | <1% | 910 | $320.45 | |
| 87905 | <1% | 38 | $315.00 | |
| 99406 | <1% | 924 | $310.24 | |
| 90656 | <1% | 1,394 | $285.33 | |
| 92370 | <1% | 25 | $279.75 | |
| 99442 | <1% | 12 | $249.72 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | <1% | 247 | $248.74 |
| 88142 | <1% | 12 | $214.44 | |
| D9110 | <1% | 2,757 | $204.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $181.18 |
| D1110 | Prophylaxis - adult | <1% | 786 | $151.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,499 | $142.00 |
| 82951 | <1% | 12 | $136.20 | |
| 91321 | <1% | 70 | $111.84 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 45 | $70.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 122 | $55.00 |
| 90633 | <1% | 2,227 | $49.88 | |
| D0120 | Dental checkup, returning patient | <1% | 232 | $46.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 582 | $37.00 |
| 90474 | <1% | 25 | $19.68 | |
| 90691 | <1% | 19 | $18.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 755 | $12.00 |
| 36416 | <1% | 3,183 | $4.40 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 61 | $4.33 |
| 90648 | <1% | 4,661 | $2.00 | |
| 90697 | <1% | 840 | $1.30 | |
| 90723 | <1% | 2,505 | $1.00 | |
| 90750 | <1% | 38 | $0.65 | |
| 90685 | <1% | 922 | $0.30 | |
| 91301 | <1% | 5,366 | $0.01 | |
| D9450 | 0% | 7,420 | $0.00 | |
| D1330 | 0% | 3,486 | $0.00 | |
| D0603 | 0% | 851 | $0.00 | |
| D1310 | 0% | 1,650 | $0.00 | |
| 90680 | 0% | 662 | $0.00 | |
| 91303 | 0% | 203 | $0.00 | |
| 90619 | 0% | 237 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 381 | $0.00 |
| 91305 | 0% | 771 | $0.00 | |
| D9995 | 0% | 605 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 38 | $0.00 |
| A9150 | Non-prescription drugs | 0% | 244 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 411 | $0.00 |
| 91307 | 0% | 323 | $0.00 | |
| 90696 | 0% | 73 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 152 | $0.00 |
| D0602 | 0% | 47 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 48 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 24 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 16 | $0.00 |
| 90744 | 0% | 12 | $0.00 | |
| 90869 | 0% | 50 | $0.00 | |
| 90718 | 0% | 12 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 12 | $0.00 |
| 91300 | 0% | 2,385 | $0.00 | |
| V2020 | Frames, purchases | 0% | 45 | $0.00 |
| D0270 | 0% | 57 | $0.00 | |
| 90700 | 0% | 117 | $0.00 | |
| 90681 | 0% | 696 | $0.00 | |
| 90710 | 0% | 81 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 41 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 53 | $0.00 |
| 0004A | 0% | 17 | $0.00 | |
| 91312 | 0% | 175 | $0.00 | |
| D0191 | 0% | 18 | $0.00 | |
| 90687 | 0% | 28 | $0.00 | |
| V2760 | Scratch resistant coating, per lens | 0% | 90 | $0.00 |
| 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 | 0% | 22 | $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 officialLEVINE, SUSAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Lowell Community Health Center, INC. | Lowell, MA | $2.97M |
| Hillside Family Dental Care, P.C. | Bellerose, NY | $16K |
| Lowell Community Health Center, INC. | Lowell, MA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.