Clinic
City of Springfield
City of Springfield was paid $3.81M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoCITY OF SPRINGFIELD
SPRINGFIELD, MA 01105
SPRINGFIELD, MA 01105
33aNPI1962531004assigned 03/05/2007
33bProvider typeCommunity Health Clinic/Center
28Total paid$3.81M
24GClaims44,252
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#18 of 36
Median peer was paid$3.62M
This provider vs. median1.1×
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 | 7,845 | $710K | |
| 2019 | 11,299 | $896K | |
| 2020 | 7,237 | $822K | |
| 2021 | 6,100 | $559K | |
| 2022 | 5,282 | $591K | |
| 2023 | 3,965 | $152K | |
| 2024incomplete | 2,524 | $77K |
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 | 93% | 22,462 | 14,285 | $3.56M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.4% | 393 | 326 | $55K |
| D9450 | 1.2% | 4,460 | 2,221 | $47K | |
| 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% | 864 | 688 | $32K |
| D1110 | Prophylaxis - adult | <1% | 852 | 526 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 687 | 418 | $14K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 329 | 184 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 322 | 75 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 542 | 276 | $10K |
| 90746 | <1% | 182 | 179 | $9K | |
| 90658 | <1% | 648 | 643 | $7K | |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 52 | 16 | $5K |
29 more codes
| 90632 | <1% | 116 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,706 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 492 | $4K |
| D0120 | Dental checkup, returning patient | <1% | 261 | $4K |
| 82948 | <1% | 887 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 78 | $1K |
| D9110 | <1% | 65 | $1K | |
| 80305 | <1% | 149 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 22 | $910.36 |
| 86580 | <1% | 131 | $774.94 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 32 | $714.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 13 | $618.15 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 21 | $513.47 |
| 90715 | <1% | 14 | $414.05 | |
| 99000 | <1% | 3,893 | $152.73 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 14 | $100.52 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 433 | $54.29 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 91 | $52.98 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 287 | $52.78 |
| 99050 | <1% | 27 | $52.38 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,928 | $39.39 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $4.80 |
| 90732 | <1% | 12 | $0.10 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 512 | $0.00 |
| D0603 | 0% | 28 | $0.00 | |
| D1330 | 0% | 93 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 96 | $0.00 |
| 90734 | 0% | 20 | $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% | 21 | $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 officialCAULTON-HARRIS, HELEN (CEO/DIRECTOR)