Clinic
Charter Oak Health Center, INC.
Charter Oak Health Center, INC. was paid $42.52M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoCHARTER OAK HEALTH CENTER, INC.
HARTFORD, CT 06106
HARTFORD, CT 06106
33aNPI1992750855assigned 05/22/2006
28Total paid$42.52M
24GClaims795,026
24DCodes billed120
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Connecticut
Rank by total paid#2 of 103
Median peer was paid$184K
This provider vs. median231×
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 | 130,643 | $6.96M | |
| 2019 | 133,376 | $6.78M | |
| 2020 | 111,204 | $5.91M | |
| 2021 | 110,314 | $5.80M | |
| 2022 | 104,651 | $5.46M | |
| 2023 | 105,545 | $5.81M | |
| 2024incomplete | 99,293 | $5.80M |
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 | 99% | 338,617 | 253,846 | $42.00M |
| 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% | 14,686 | 11,414 | $304K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 3,797 | 2,192 | $95K |
| 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% | 16,060 | 12,133 | $64K |
| 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% | 175,389 | 144,459 | $37K |
| 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% | 1,601 | 1,173 | $4K |
| 11720 | <1% | 6,328 | 4,752 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,857 | 2,300 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18,174 | 15,838 | $2K |
| 98940 | <1% | 19,425 | 6,573 | $2K | |
| 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% | 13,423 | 11,641 | $1K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 9,618 | 2,999 | $797.86 |
108 more codes
| 11721 | <1% | 3,663 | $707.90 | |
| 97803 | <1% | 3,612 | $667.48 | |
| 92015 | Determination of refractive state | <1% | 1,002 | $558.47 |
| 81002 | <1% | 4,114 | $354.96 | |
| 97802 | <1% | 1,537 | $200.82 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,934 | $181.34 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 247 | $120.74 |
| G0127 | Trimming of dystrophic nails, any number | <1% | 14 | $95.90 |
| 0031A | <1% | 413 | $78.81 | |
| 0012A | <1% | 872 | $53.23 | |
| 0064A | <1% | 404 | $40.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19,422 | $32.55 |
| 0011A | <1% | 956 | $30.17 | |
| 99442 | <1% | 25,129 | $23.28 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,474 | $18.64 |
| 90734 | 0% | 890 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,409 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 658 | $0.00 |
| 82947 | 0% | 113 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,426 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 1,649 | $0.00 |
| 90633 | 0% | 1,036 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 3,897 | $0.00 |
| 90685 | 0% | 408 | $0.00 | |
| 99408 | 0% | 1,133 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,477 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,036 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12,552 | $0.00 |
| 96160 | 0% | 2,495 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 260 | $0.00 |
| 11056 | 0% | 815 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,253 | $0.00 |
| 90658 | 0% | 1,287 | $0.00 | |
| 2028F | 0% | 12,803 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 570 | $0.00 |
| 90670 | 0% | 861 | $0.00 | |
| 90648 | 0% | 132 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 197 | $0.00 |
| 72100 | 0% | 12 | $0.00 | |
| 0071A | 0% | 303 | $0.00 | |
| 91313 | 0% | 34 | $0.00 | |
| 90681 | 0% | 99 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 506 | $0.00 |
| 90715 | 0% | 881 | $0.00 | |
| 0002A | 0% | 150 | $0.00 | |
| 91300 | 0% | 437 | $0.00 | |
| 59426 | 0% | 229 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 142 | $0.00 |
| 91322 | 0% | 35 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 302 | $0.00 |
| 99397 | 0% | 42 | $0.00 | |
| 91321 | 0% | 61 | $0.00 | |
| 0054A | 0% | 48 | $0.00 | |
| 90655 | 0% | 29 | $0.00 | |
| 11057 | 0% | 40 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| Q2034 | Influenza virus vaccine, split virus, for intramuscular use (agriflu) | 0% | 20 | $0.00 |
| 1000F | 0% | 2,646 | $0.00 | |
| 96127 | 0% | 4,363 | $0.00 | |
| 90651 | 0% | 1,708 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 54 | $0.00 |
| 4000F | 0% | 1,204 | $0.00 | |
| 4450F | 0% | 716 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 4,967 | $0.00 |
| 90686 | 0% | 7,826 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 446 | $0.00 |
| 85018 | 0% | 10,263 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 4,469 | $0.00 |
| 90656 | 0% | 1,734 | $0.00 | |
| 93000 | 0% | 2,214 | $0.00 | |
| 91301 | 0% | 2,193 | $0.00 | |
| 84703 | 0% | 1,939 | $0.00 | |
| 0072A | 0% | 198 | $0.00 | |
| 99000 | 0% | 299 | $0.00 | |
| 90619 | 0% | 278 | $0.00 | |
| 91307 | 0% | 616 | $0.00 | |
| 91303 | 0% | 411 | $0.00 | |
| 90480 | 0% | 121 | $0.00 | |
| 72040 | 0% | 25 | $0.00 | |
| 90654 | 0% | 52 | $0.00 | |
| 91305 | 0% | 101 | $0.00 | |
| 97804 | 0% | 1,188 | $0.00 | |
| 91306 | 0% | 404 | $0.00 | |
| 90739 | 0% | 94 | $0.00 | |
| 90620 | 0% | 535 | $0.00 | |
| 90716 | 0% | 109 | $0.00 | |
| 0134A | 0% | 34 | $0.00 | |
| 90697 | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 301 | $0.00 |
| 90723 | 0% | 203 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 541 | $0.00 |
| 90677 | 0% | 139 | $0.00 | |
| 99443 | 0% | 1,192 | $0.00 | |
| 81001 | 0% | 83 | $0.00 | |
| 90657 | 0% | 42 | $0.00 | |
| 11055 | 0% | 77 | $0.00 | |
| 99441 | 0% | 60 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 90 | $0.00 |
| 11730 | 0% | 38 | $0.00 | |
| 0001A | 0% | 161 | $0.00 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 121 | $0.00 |
| 90732 | 0% | 60 | $0.00 | |
| 99386 | 0% | 18 | $0.00 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 15 | $0.00 |
| 90747 | 0% | 100 | $0.00 | |
| 3514F | 0% | 16 | $0.00 | |
| 90698 | 0% | 24 | $0.00 | |
| 92227 | 0% | 17 | $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 officialSEMPLE, DAVID (CEO)