Fenway Community Health Center, Inc — Billing Profile & Reimbursement Data
NPI 1003804725 · Boston, MA · Federally Qualified Health Center (FQHC)
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Fenway Community Health Center, Inc is a federally qualified health center (fqhc) provider located in Boston, Massachusetts. This profile covers 0 Medicare and 122 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Fenway Community Health Center, Inc |
| Address | 1340 Boylston St |
| City | Boston |
| State | MA |
| ZIP | 02215 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | October 6, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $22.5M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
122 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 70,070 | $140 | $9.9M |
| 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… | 15,090 | $150 | $2.2M |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 27,010 | $70 | $2M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 15,730 | $130 | $2M |
| D9450 | N/A | 43,990 | $30 | $1.4M |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 18,010 | $30 | $486.4K |
| D2740 | N/A | 950 | $490 | $464.5K |
| G0467 | Federally 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… | 11,570 | $40 | $404.8K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 2,710 | $140 | $387.5K |
| D0210 | Intraoral - complete series of radiographic images | 5,110 | $40 | $189.1K |
Showing 1–10 of 122
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
122 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 24 | 170 | 950 | $200 | $1.8M |
| T1015 | Clinic visit/encounter, all-inclusive | 22 | 550 | 90 | $140 | $1.5M |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 6 | 10 | 330 | $1,520 | $1.3M |
| 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… | 9 | 80 | 1,720 | $150 | $800.5K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 288 | 410 | 140 | $110 | $742.2K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 77 | 1,620 | 580 | $80 | $599.6K |
| D9450 | N/A | 22 | 150 | 2,450 | $30 | $506.8K |
| D2740 | N/A | 72 | 410 | 280 | $660 | $338.1K |
| G0467 | Federally 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… | 24 | 110 | 3,490 | $40 | $309.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 268 | 5,040 | 200 | $70 | $209.5K |
Showing 1–10 of 122
Nearby Providers
Other providers in the same ZIP code as Fenway Community Health Center, Inc, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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