Clinic
Edward M. Kennedy Community Health Center, INC
Edward M. Kennedy Community Health Center, INC was paid $636K by Medicaid between Jan 2024 and Dec 2024, across 52 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 infoEDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
MILFORD, MA 01757
MILFORD, MA 01757
33aNPI1992137426assigned 08/07/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$636K
24GClaims18,350
24DCodes billed52
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Massachusetts
Rank by total paid#36 of 56
Median peer was paid$1.51M
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2024incomplete | 18,350 | $636K |
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% | 3,978 | 3,566 | $406K |
| D9450 | 15% | 4,091 | 1,960 | $92K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 472 | 428 | $28K |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 653 | 275 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 953 | 510 | $9K |
| 99381 | 1.2% | 34 | 34 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 73 | 73 | $6K |
| 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% | 163 | 149 | $6K |
| D1110 | Prophylaxis - adult | <1% | 1,038 | 667 | $6K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 100 | 96 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 753 | 431 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 65 | 65 | $4K |
40 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 333 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 302 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 576 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 139 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 93 | $3K |
| D4341 | <1% | 187 | $3K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 288 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 174 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 636 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 67 | $2K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 14 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 466 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 192 | $2K |
| D0180 | <1% | 545 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 188 | $2K |
| 92015 | Determination of refractive state | <1% | 130 | $1K |
| 81025 | <1% | 168 | $1K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 45 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 34 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 18 | $900.54 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 380 | $883.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 43 | $627.80 |
| 90686 | <1% | 79 | $304.48 | |
| 93000 | <1% | 13 | $199.55 | |
| 90707 | <1% | 43 | $188.28 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $174.96 |
| 90474 | <1% | 60 | $105.96 | |
| D0270 | <1% | 14 | $28.00 | |
| 81003 | <1% | 12 | $21.78 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 71 | $0.00 |
| 90677 | 0% | 193 | $0.00 | |
| 90697 | 0% | 86 | $0.00 | |
| 90680 | 0% | 62 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 13 | $0.00 |
| 90716 | 0% | 39 | $0.00 | |
| 90633 | 0% | 119 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 24 | $0.00 |
| 90700 | 0% | 26 | $0.00 | |
| 90661 | 0% | 81 | $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 officialKERRIGAN, STEPHEN (PRESIDENT/CEO)
Parent organizationEDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
| Provider | Location | Paid |
|---|---|---|
| Edward M. Kennedy Community Health Center, INC | Worcester, MA | $55.25M |
| Edward M. Kennedy Community Health Center, INC | Worcester, MA | $3.09M |
| Edward M. Kennedy Community Health Center, INC | Framingham, MA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.