Clinic
Fenway Community Health Center, INC
Fenway Community Health Center, INC was paid $2.09M by Medicaid between Jan 2018 and Aug 2024, across 29 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoFENWAY COMMUNITY HEALTH CENTER, INC
BOSTON, MA 02116
BOSTON, MA 02116
33aNPI1982995197assigned 04/21/2011
33bProvider typeCommunity Health Clinic/Center
28Total paid$2.09M
24GClaims26,965
24DCodes billed29
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Massachusetts
Rank by total paid#21 of 36
Median peer was paid$3.62M
This provider vs. median0.6×
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 | 3,587 | $87K | |
| 2019 | 2,479 | $42K | |
| 2020 | 4,281 | $350K | |
| 2021 | 6,339 | $626K | |
| 2022 | 6,129 | $743K | |
| 2023 | 3,533 | $228K | |
| 2024incomplete | 617 | $13K |
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 | 84% | 10,375 | 9,284 | $1.75M |
| 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 | 4.4% | 2,551 | 2,257 | $91K |
| 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 | 3.6% | 2,455 | 1,228 | $76K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 2.6% | 3,937 | 2,342 | $54K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 230 | 230 | $36K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.4% | 266 | 214 | $28K |
| 90682 | 1.3% | 466 | 466 | $28K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,262 | 1,245 | $7K |
| 90651 | <1% | 51 | 51 | $4K | |
| 0134A | <1% | 92 | 91 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 323 | 246 | $4K |
| 90750 | <1% | 12 | 12 | $2K |
17 more codes
| 99050 | <1% | 20 | $995.22 | |
| 90715 | <1% | 24 | $764.78 | |
| 90734 | <1% | 12 | $736.45 | |
| 90686 | <1% | 33 | $589.93 | |
| 0011A | <1% | 15 | $508.20 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 133 | $463.14 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $331.49 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,397 | $114.39 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 91313 | 0% | 50 | $0.00 | |
| 91300 | 0% | 17 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 17 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 2,103 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 575 | $0.00 |
| 91306 | 0% | 179 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 14 | $0.00 |
| 91301 | 0% | 328 | $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 officialLIEBERMAN, JEFFREY (VP FINANCE & ADMINISTRATION)
Parent organizationFENWAY COMMUNITY HEALTH CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| Fenway Community Health Center, INC | Boston, MA | $488K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.