Physician
Community Health Systems INC
Community Health Systems INC was paid $17.02M by Medicaid between Jan 2018 and Dec 2024, across 115 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH SYSTEMS INC
FALLBROOK, CA 92028
FALLBROOK, CA 92028
33aNPI1982756086assigned 01/17/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$17.02M
24GClaims242,266
24DCodes billed115
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#5 of 791
Median peer was paid$67K
This provider vs. median255×
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 | 35,537 | $4.08M | |
| 2019 | 30,641 | $3.15M | |
| 2020 | 40,391 | $2.75M | |
| 2021 | 60,117 | $3.65M | |
| 2022 | 49,989 | $2.82M | |
| 2023 | 12,807 | $64K | |
| 2024incomplete | 12,784 | $503K |
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 | 64% | 71,534 | 52,575 | $10.95M |
| 00003 | Internal/system code - not a standard HCPCS code | 29% | 24,219 | 15,392 | $4.88M |
| G9012 | Other specified case management service not elsewhere classified | 2.5% | 2,353 | 1,848 | $424K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 1.9% | 1,100 | 936 | $316K |
| 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% | 22,672 | 17,579 | $145K |
| 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% | 14,502 | 11,756 | $67K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 11,708 | 9,421 | $58K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 11,117 | 5,820 | $43K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 259 | 259 | $20K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 3,316 | 2,678 | $15K |
| 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% | 3,155 | 2,723 | $14K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 54 | 41 | $10K |
103 more codes
| 0012A | <1% | 250 | $9K | |
| V2020 | Frames, purchases | <1% | 1,408 | $8K |
| 0011A | <1% | 233 | $8K | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,336 | $8K |
| 0002A | <1% | 172 | $7K | |
| J3490 | Unclassified drugs | <1% | 51 | $6K |
| 0001A | <1% | 147 | $6K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,111 | $5K |
| 0013A | <1% | 71 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 556 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 208 | $2K |
| 0072A | <1% | 53 | $2K | |
| 0031A | <1% | 52 | $2K | |
| 59425 | <1% | 111 | $2K | |
| 0071A | <1% | 44 | $2K | |
| 81025 | <1% | 1,093 | $877.71 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 95 | $754.06 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 93 | $751.64 |
| 0004A | <1% | 18 | $680.00 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 105 | $672.42 |
| 81002 | <1% | 2,464 | $493.43 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 82 | $309.75 |
| 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% | 126 | $301.35 |
| 92002 | <1% | 102 | $239.11 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 18 | $201.48 |
| 96156 | <1% | 1,492 | $193.46 | |
| 90620 | <1% | 34 | $175.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 398 | $141.18 |
| 90686 | <1% | 2,372 | $138.06 | |
| 99000 | <1% | 677 | $136.99 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 304 | $108.56 |
| 93000 | <1% | 13 | $86.10 | |
| 92551 | <1% | 787 | $84.18 | |
| 90670 | <1% | 272 | $56.00 | |
| 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% | 882 | $52.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 320 | $37.02 |
| 90715 | <1% | 50 | $36.93 | |
| 90647 | <1% | 50 | $29.65 | |
| 86703 | <1% | 12 | $28.71 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,104 | $20.00 |
| 80053 | Comprehensive metabolic panel | <1% | 75 | $18.47 |
| 85018 | <1% | 920 | $16.06 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 41 | $14.61 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 33 | $13.43 |
| 99173 | <1% | 847 | $12.90 | |
| 80061 | Lipid panel | <1% | 31 | $11.54 |
| 90633 | <1% | 159 | $9.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 44 | $8.76 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 35 | $8.54 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 240 | $8.21 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 26 | $3.96 |
| 82962 | <1% | 23 | $1.98 | |
| 3074F | 0% | 13,836 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,517 | $0.00 |
| 3044F | 0% | 726 | $0.00 | |
| 36416 | 0% | 27 | $0.00 | |
| 3075F | 0% | 3,186 | $0.00 | |
| 3079F | 0% | 4,133 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 2,613 | $0.00 |
| Z1034 | 0% | 1,077 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,081 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 1,419 | $0.00 |
| 3080F | 0% | 945 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 681 | $0.00 |
| 90651 | 0% | 174 | $0.00 | |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 0% | 317 | $0.00 |
| 90723 | 0% | 158 | $0.00 | |
| Z6406 | 0% | 184 | $0.00 | |
| Z6204 | 0% | 417 | $0.00 | |
| 90656 | 0% | 114 | $0.00 | |
| 3008F | 0% | 30 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 34 | $0.00 |
| 85027 | 0% | 12 | $0.00 | |
| 82105 | 0% | 26 | $0.00 | |
| 96161 | 0% | 197 | $0.00 | |
| 88142 | 0% | 15 | $0.00 | |
| 1220F | 0% | 333 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 14 | $0.00 |
| Z1032 | 0% | 12 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 338 | $0.00 |
| 3078F | 0% | 14,372 | $0.00 | |
| 3077F | 0% | 2,701 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 276 | $0.00 |
| Z6304 | 0% | 149 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 61 | $0.00 |
| 4004F | 0% | 12 | $0.00 | |
| 90681 | 0% | 43 | $0.00 | |
| Z6400 | 0% | 38 | $0.00 | |
| 96160 | 0% | 362 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 364 | $0.00 |
| 90648 | 0% | 195 | $0.00 | |
| Z6202 | 0% | 50 | $0.00 | |
| 90734 | 0% | 74 | $0.00 | |
| 90461 | 0% | 63 | $0.00 | |
| Z6208 | 0% | 15 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 147 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 261 | $0.00 |
| Z6300 | 0% | 27 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 67 | $0.00 |
| 59426 | 0% | 106 | $0.00 | |
| Z6414 | 0% | 12 | $0.00 | |
| Z6308 | 0% | 13 | $0.00 | |
| 90473 | 0% | 13 | $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 officialJOHNS, JACK (CHIEF EXECUTIVE OFFICER)