Clinic
Community Health and Social Services Center, INC
Community Health and Social Services Center, INC was paid $8.84M by Medicaid between Jan 2018 and Dec 2024, across 111 billing codes. Its largest line is G0467, community health center visit, returning patient — 32% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC
DETROIT, MI 48209
DETROIT, MI 48209
33aNPI1982694196assigned 10/27/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.84M
24GClaims255,238
24DCodes billed111
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#13 of 241
Median peer was paid$477K
This provider vs. median19×
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 | 38,530 | $1.22M | |
| 2019 | 42,083 | $1.34M | |
| 2020 | 24,145 | $914K | |
| 2021 | 32,640 | $1.11M | |
| 2022 | 37,966 | $1.28M | |
| 2023 | 43,573 | $1.53M | |
| 2024incomplete | 36,301 | $1.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 35,150 | 31,729 | $2.86M |
| 59426 | 31% | 1,596 | 1,583 | $2.75M | |
| 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 | 15% | 16,981 | 16,922 | $1.35M |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face 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 fqhc visit | 4.7% | 3,808 | 3,792 | $414K |
| 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 | 4.2% | 5,624 | 3,415 | $376K |
| D1110 | Prophylaxis - adult | 2.0% | 1,942 | 1,940 | $173K |
| 59425 | 1.4% | 144 | 144 | $124K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 1,657 | 1,629 | $104K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,026 | 1,012 | $97K |
| 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% | 21,915 | 20,612 | $70K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 1,409 | 1,376 | $56K |
| D1206 | Topical application of fluoride varnish | <1% | 1,876 | 1,835 | $48K |
99 more codes
| D0274 | Bitewings - four radiographic images | <1% | 1,840 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14,711 | $28K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 8,235 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,606 | $27K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,833 | $24K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 2,295 | $23K |
| D0120 | Dental checkup, returning patient | <1% | 451 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 243 | $21K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 8,481 | $17K |
| 92015 | Determination of refractive state | <1% | 2,718 | $13K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,856 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,796 | $11K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 12 | $11K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 140 | $11K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,194 | $10K |
| 90651 | <1% | 632 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,490 | $8K |
| 90688 | <1% | 874 | $7K | |
| 83655 | <1% | 1,448 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 663 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 994 | $6K |
| 83718 | <1% | 725 | $5K | |
| 90715 | <1% | 896 | $5K | |
| 81025 | <1% | 2,588 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,307 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 653 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 961 | $4K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 182 | $4K |
| 85018 | <1% | 6,048 | $4K | |
| 84478 | <1% | 725 | $4K | |
| 92587 | <1% | 3,138 | $4K | |
| 90656 | <1% | 329 | $3K | |
| 82465 | <1% | 725 | $3K | |
| 90686 | <1% | 5,368 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 783 | $3K |
| 90670 | <1% | 4,214 | $2K | |
| 59430 | <1% | 249 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 2,329 | $2K |
| H0031 | Mental health assessment, by non-physician | <1% | 55 | $2K |
| 82274 | <1% | 218 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 87 | $2K |
| 90474 | <1% | 2,752 | $2K | |
| 99442 | <1% | 138 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,624 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 187 | $1K |
| 80061 | Lipid panel | <1% | 3,792 | $979.49 |
| 90677 | <1% | 1,104 | $881.08 | |
| 90707 | <1% | 1,008 | $844.35 | |
| 90716 | <1% | 1,016 | $817.56 | |
| 82962 | <1% | 510 | $786.25 | |
| 81003 | <1% | 1,944 | $744.94 | |
| 99385 | <1% | 270 | $695.59 | |
| 90674 | <1% | 67 | $652.15 | |
| 11981 | <1% | 25 | $641.84 | |
| 80305 | <1% | 1,073 | $580.22 | |
| 59025 | Fetal non-stress test | <1% | 916 | $450.86 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 226 | $373.75 |
| 86580 | <1% | 393 | $372.47 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 261 | $370.85 |
| 81002 | <1% | 215 | $360.58 | |
| 99381 | <1% | 483 | $346.88 | |
| 90480 | <1% | 19 | $332.96 | |
| 90734 | <1% | 142 | $257.70 | |
| 90619 | <1% | 58 | $152.00 | |
| 90750 | <1% | 185 | $148.40 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 19 | $127.44 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 319 | $126.98 |
| 90685 | <1% | 509 | $43.62 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 122 | $35.66 |
| 99201 | <1% | 273 | $25.55 | |
| 36416 | <1% | 5,215 | $3.75 | |
| 0502F | <1% | 6,352 | $0.05 | |
| 0500F | <1% | 926 | $0.01 | |
| 90697 | 0% | 2,134 | $0.00 | |
| 90723 | 0% | 2,143 | $0.00 | |
| 3048F | 0% | 2,265 | $0.00 | |
| 3049F | 0% | 1,063 | $0.00 | |
| 90647 | 0% | 2,248 | $0.00 | |
| 3044F | 0% | 5,456 | $0.00 | |
| 88150 | 0% | 407 | $0.00 | |
| 0503F | 0% | 88 | $0.00 | |
| 99386 | 0% | 52 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| 90696 | 0% | 134 | $0.00 | |
| 3052F | 0% | 64 | $0.00 | |
| 88720 | 0% | 42 | $0.00 | |
| 87390 | 0% | 14 | $0.00 | |
| 90710 | 0% | 147 | $0.00 | |
| 90633 | 0% | 2,146 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 97 | $0.00 |
| 90700 | 0% | 708 | $0.00 | |
| 3045F | 0% | 428 | $0.00 | |
| 90681 | 0% | 2,775 | $0.00 | |
| 3046F | 0% | 1,057 | $0.00 | |
| 3050F | 0% | 954 | $0.00 | |
| 3051F | 0% | 375 | $0.00 | |
| 90746 | 0% | 30 | $0.00 | |
| 90671 | 0% | 23 | $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 officialVALBUENA, FELIX (CEO)