Clinic
Community Health Net
Community Health Net was paid $871K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH NET
ERIE, PA 16511
ERIE, PA 16511
33aNPI1972826626assigned 03/09/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$871K
24GClaims8,942
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#123 of 240
Median peer was paid$909K
This provider vs. median1.0×
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 | 437 | $24K | |
| 2019 | 477 | $36K | |
| 2020 | 428 | $46K | |
| 2021 | 2,234 | $219K | |
| 2022 | 1,909 | $187K | |
| 2023 | 1,822 | $179K | |
| 2024incomplete | 1,635 | $181K |
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 | 100% | 6,323 | 5,423 | $871K |
| 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% | 2,091 | 1,884 | $622.86 |
| 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% | 393 | 348 | $35.00 |
| 99173 | 0% | 32 | 31 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 46 | 43 | $0.00 |
| 99442 | 0% | 14 | 12 | $0.00 | |
| 90656 | 0% | 13 | 13 | $0.00 | |
| 92551 | 0% | 14 | 14 | $0.00 | |
| 99441 | 0% | 16 | 12 | $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 officialULMER, CRAIG (CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Health Net | Erie, PA | $7.19M |
| Community Health Net | Erie, PA | $738K |
| Community Health Net | Erie, PA | $445K |
| Community Health Net | Girard, PA | $17K |
| Community Health Net | Harborcreek, PA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.