Behavioral
Community Health Center INC
Community Health Center INC was paid $533.31M by Medicaid between Jan 2018 and Dec 2024, across 194 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH CENTER INC
MIDDLETOWN, CT 06457
MIDDLETOWN, CT 06457
33aNPI1952591851assigned 07/26/2007
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$533.31M
24GClaims7,332,545
24DCodes billed194
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Connecticut
Rank by total paid#1 of 144
Median peer was paid$96K
This provider vs. median5,571×
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 | 1,049,018 | $66.72M | |
| 2019 | 1,096,070 | $72.62M | |
| 2020 | 931,657 | $71.45M | |
| 2021 | 1,123,272 | $81.08M | |
| 2022 | 1,137,097 | $82.71M | |
| 2023 | 1,072,852 | $83.00M | |
| 2024incomplete | 922,579 | $75.72M |
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 | 96% | 3,083,650 | 2,167,246 | $511.77M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 1,086,914 | 930,218 | $6.68M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 595,293 | 301,863 | $4.63M |
| 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% | 77,963 | 66,809 | $2.72M |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 22,598 | 19,078 | $2.12M |
| 99442 | <1% | 189,220 | 167,826 | $1.26M | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 90,767 | 55,522 | $839K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 97,842 | 78,423 | $734K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 105,856 | 42,400 | $678K |
| 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 | <1% | 4,857 | 3,195 | $533K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100,387 | 85,320 | $418K |
| 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% | 38,960 | 35,275 | $225K |
182 more codes
| 98967 | <1% | 10,985 | $183K | |
| 98940 | <1% | 43,238 | $106K | |
| 99443 | <1% | 12,507 | $60K | |
| 98968 | <1% | 3,327 | $49K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 11,437 | $45K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 11,278 | $43K |
| 90686 | <1% | 123,965 | $28K | |
| 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 | <1% | 428 | $26K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18,715 | $24K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 53,240 | $22K |
| G0008 | Administration of influenza virus vaccine | <1% | 488 | $14K |
| 0064A | <1% | 3,799 | $13K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 4,231 | $10K |
| 0134A | <1% | 808 | $9K | |
| 90656 | <1% | 10,150 | $6K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,326 | $5K |
| 96153 | <1% | 404 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 10,463 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,191 | $4K |
| 97803 | <1% | 2,702 | $4K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 692 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 615 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 259 | $3K |
| 0054A | <1% | 225 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,816 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 17,121 | $3K |
| 91320 | <1% | 2,224 | $2K | |
| 91306 | <1% | 3,761 | $2K | |
| 0124A | <1% | 551 | $2K | |
| 0004A | <1% | 2,055 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,389 | $2K |
| 96160 | <1% | 25,996 | $2K | |
| 0012A | <1% | 8,894 | $1K | |
| 91313 | <1% | 805 | $846.98 | |
| 0011A | <1% | 9,211 | $596.12 | |
| 0002A | <1% | 6,268 | $540.75 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 34,771 | $538.37 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 163,070 | $519.19 |
| 0001A | <1% | 6,731 | $416.94 | |
| 99201 | <1% | 183 | $371.06 | |
| 97802 | <1% | 1,787 | $287.69 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 22,153 | $197.36 |
| 85018 | <1% | 57,421 | $188.39 | |
| 90715 | <1% | 2,312 | $184.05 | |
| 90688 | <1% | 86 | $183.64 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 34,236 | $181.90 |
| 96127 | <1% | 113,038 | $179.70 | |
| 91300 | <1% | 19,579 | $162.16 | |
| 90677 | <1% | 3,052 | $161.04 | |
| 99385 | <1% | 467 | $160.64 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 5,453 | $152.88 |
| 99407 | <1% | 961 | $144.18 | |
| 99497 | <1% | 198 | $142.68 | |
| 81000 | <1% | 3,178 | $139.68 | |
| 0034A | <1% | 29 | $138.07 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 35,779 | $88.46 |
| 90732 | <1% | 45 | $84.89 | |
| 90480 | <1% | 4,745 | $55.72 | |
| 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% | 53 | $54.01 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 21,850 | $51.60 |
| 82948 | <1% | 3,972 | $37.56 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 195 | $31.04 |
| 90611 | <1% | 169 | $3.37 | |
| 90674 | 0% | 6,912 | $0.00 | |
| 92551 | 0% | 86,839 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 26,522 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 53,483 | $0.00 |
| 90716 | 0% | 6,629 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 26,270 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 22,060 | $0.00 |
| D0602 | 0% | 35,467 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 60,987 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 9,094 | $0.00 |
| 99172 | 0% | 44,890 | $0.00 | |
| 90723 | 0% | 6,446 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 3,099 | $0.00 |
| 96161 | 0% | 10,888 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 11,641 | $0.00 |
| 91301 | 0% | 19,531 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 9,287 | $0.00 |
| 90697 | 0% | 4,480 | $0.00 | |
| 91307 | 0% | 5,998 | $0.00 | |
| 90651 | 0% | 5,089 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 6,756 | $0.00 |
| 90647 | 0% | 6,405 | $0.00 | |
| D0601 | 0% | 3,923 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 20,155 | $0.00 |
| 90619 | 0% | 1,876 | $0.00 | |
| D0603 | 0% | 17,809 | $0.00 | |
| 91315 | 0% | 61 | $0.00 | |
| 0072A | 0% | 1,804 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 37,814 | $0.00 |
| 99000 | 0% | 144 | $0.00 | |
| 86580 | 0% | 274 | $0.00 | |
| 91317 | 0% | 12 | $0.00 | |
| 90696 | 0% | 191 | $0.00 | |
| 0074A | 0% | 71 | $0.00 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 2,644 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 1,169 | $0.00 |
| 99381 | 0% | 193 | $0.00 | |
| 90743 | 0% | 181 | $0.00 | |
| D5899 | 0% | 854 | $0.00 | |
| 91318 | 0% | 175 | $0.00 | |
| 88720 | 0% | 55 | $0.00 | |
| 99384 | 0% | 54 | $0.00 | |
| 94760 | 0% | 27 | $0.00 | |
| 82043 | 0% | 98 | $0.00 | |
| 98943 | 0% | 328 | $0.00 | |
| 0081A | 0% | 12 | $0.00 | |
| 91305 | 0% | 566 | $0.00 | |
| 94010 | 0% | 94 | $0.00 | |
| 0031A | 0% | 237 | $0.00 | |
| 91319 | 0% | 128 | $0.00 | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 265 | $0.00 |
| 90739 | 0% | 40 | $0.00 | |
| 91303 | 0% | 292 | $0.00 | |
| 94761 | 0% | 89 | $0.00 | |
| 99386 | 0% | 24 | $0.00 | |
| D2330 | 0% | 13 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 66 | $0.00 |
| 0154A | 0% | 59 | $0.00 | |
| 97804 | 0% | 23 | $0.00 | |
| 93000 | 0% | 45 | $0.00 | |
| 90381 | 0% | 29 | $0.00 | |
| 88142 | 0% | 27 | $0.00 | |
| 0111A | 0% | 30 | $0.00 | |
| 90681 | 0% | 2,875 | $0.00 | |
| 90670 | 0% | 14,838 | $0.00 | |
| 90461 | 0% | 53,585 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 10,700 | $0.00 |
| D0270 | 0% | 552 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 30,574 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 55,051 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 27,767 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 24,989 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 25,995 | $0.00 |
| 81025 | 0% | 4,517 | $0.00 | |
| 90707 | 0% | 5,476 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 9,032 | $0.00 |
| 90633 | 0% | 7,405 | $0.00 | |
| 90734 | 0% | 2,062 | $0.00 | |
| 99173 | 0% | 42,170 | $0.00 | |
| 90671 | 0% | 1,859 | $0.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 431 | $0.00 |
| 90649 | 0% | 2,622 | $0.00 | |
| 90685 | 0% | 809 | $0.00 | |
| 91312 | 0% | 576 | $0.00 | |
| 99411 | 0% | 452 | $0.00 | |
| D1354 | 0% | 1,200 | $0.00 | |
| D2940 | 0% | 228 | $0.00 | |
| 90714 | 0% | 72 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 458 | $0.00 |
| 90648 | 0% | 90 | $0.00 | |
| 90700 | 0% | 231 | $0.00 | |
| 83655 | 0% | 764 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 31 | $0.00 |
| 0071A | 0% | 2,284 | $0.00 | |
| 90661 | 0% | 69 | $0.00 | |
| 91321 | 0% | 113 | $0.00 | |
| D9110 | 0% | 104 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 875 | $0.00 |
| D0190 | 0% | 2,239 | $0.00 | |
| 87806 | 0% | 12 | $0.00 | |
| 1160F | 0% | 193 | $0.00 | |
| 90746 | 0% | 172 | $0.00 | |
| D2140 | 0% | 209 | $0.00 | |
| 97810 | 0% | 362 | $0.00 | |
| 90785 | 0% | 162 | $0.00 | |
| 91308 | 0% | 130 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 109 | $0.00 |
| 90713 | 0% | 174 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 198 | $0.00 |
| 91311 | 0% | 132 | $0.00 | |
| 91322 | 0% | 14 | $0.00 | |
| 3288F | 0% | 193 | $0.00 | |
| 0003A | 0% | 14 | $0.00 | |
| 3720F | 0% | 193 | $0.00 | |
| 94664 | 0% | 12 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 17 | $0.00 |
| 99408 | 0% | 16 | $0.00 | |
| D0191 | 0% | 15 | $0.00 | |
| D2999 | 0% | 15 | $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 officialPATRIE, BAIN (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Community Health Center INC. | Middletown, CT | $396K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.