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    OpenPayerNPI Medicare & MedicaidLynn Community Health, Inc.
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    Lynn Community Health, Inc. — Billing Profile & Reimbursement Data

    NPI 1013997691 · Lynn, MA · Federally Qualified Health Center (FQHC)

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    Lynn Community Health, Inc. is a federally qualified health center (fqhc) provider located in Lynn, Massachusetts. This profile covers 0 Medicare and 211 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLynn Community Health, Inc.
    Address269 Union Street
    CityLynn
    StateMA
    ZIP01901
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJanuary 19, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$138.3M
    Medicare$0

    Key Findings

    LYNN COMMUNITY HEALTH, INC. is effectively a single-payer Medicaid provider at scale: there is no Medicare billing on file and total Medicaid revenue is $138.3M, indicating operations are overwhelmingly dependent on Medicaid reimbursements rather than dual Medicare/Medicaid payor mix. This concentration in one payer should shape contract, compliance, and risk analyses for partnerships or rate changes.

    Revenue concentration is high: the precomputed top 3 Medicaid codes account for 66.3% of the provider's Medicaid revenue, driven by T1015 ($60.9M, 48.5% of Medicaid revenue), G0470 ($12.5M, 9.9%), and T1040 ($9.9M, 7.9%). Those three codes dominate the revenue picture and explain most of the provider's financial footprint in Medicaid billing.

    The code mix and FQHC taxonomy indicate a primary-care and behavioral-health-centered ambulatory operation: T1015 (Clinic visit/encounter, all-inclusive) is the single largest revenue line at $60.9M and 397.8K claims, and high-volume behavioral-health codes such as G0470 ($12.5M, 84.4K claims) and T1040 ($9.9M, 73.7K claims) plus psychotherapy codes 90834 ($7.9M) and 90832 ($1.6M) show integrated mental-health service delivery within the FQHC bundle. This pattern is consistent with an FQHC that provides bundled primary care and substantial community behavioral health services.

    Preventive care and pediatric/adolescent services are a notable secondary service line: multiple well-visit codes appear in the top claims by revenue — 99391 ($2.7M), 99392 ($2.3M), 99393 ($1.8M), 99394 ($1.5M), and 99395 ($1.2M) — which signals sustained volume in age-stratified preventive medicine and well-child care across infancy, childhood, adolescence, and young adulthood. These preventive services complement the high T1015 volume and reflect a broad primary-care footprint.

    The provider delivers significant dental, telehealth, and ancillary services alongside medical and behavioral health care: D9450 ($5.3M, 190.6K claims) ranks #1 in-state and is listed as an extreme outlier, and additional dental codes D0140 ($1.3M) and D7140 ($1.0M) are also high-volume. Ancillary/telehealth lines like G2025 ($1.6M; #1 of 65, 100th percentile) and COVID testing 87811 ($756.2K; #1 of 109, 100th percentile) demonstrate diversified in-house capabilities beyond traditional office visits.

    Competitive standing within Massachusetts is strong and concentrated: several top codes place the provider at or near the top statewide (T1015 ranks #2 of 553, 100th percentile extreme outlier; G0470 ranks #1 of 77, 100th percentile extreme outlier; D9450 and G2025 both rank #1 with 100th percentile labels). These rank positions indicate LYNN COMMUNITY HEALTH is a dominant or major statewide provider for multiple FQHC-related and ancillary services, not a modest participant.

    The high concentration in a few bundled and behavioral-health codes creates material operational sensitivity to FQHC reimbursement policy and behavioral-health per-diem rules: with 66.3% of Medicaid revenue coming from the top three codes, any regulatory or reimbursement change affecting T1015, G0470, or T1040 could disproportionately impact overall revenue. Analysts should flag these codes for monitoring in contract negotiations and rate-change scenarios.

    LYNN COMMUNITY HEALTH has long-tenure market presence: the NPI was enumerated on 2006-01-19 (~20 years ago), and the sustained, high-volume billing across primary care, behavioral health, preventive care, dental, and telehealth — combined with top statewide ranks — supports the conclusion of an established, large-scale FQHC operation in Lynn, MA.

    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.

    211 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive397,840$150$60.9M
    G0470Federally 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…84,400$150$12.5M
    T1040Medicaid certified community behavioral health clinic services, per diem73,720$130$9.9M
    90834In 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…104,940$80$7.9M
    D9450N/A190,620$30$5.3M
    G0467Federally 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…73,950$70$4.9M
    59400In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…1,500$2,120$3.2M
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…17,420$150$2.7M
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…15,460$150$2.3M
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.12,340$150$1.8M

    Showing 1–10 of 211

    • More pages

    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

    211 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2022Case management, per month65807,230$50$2.6M
    T1040Medicaid certified community behavioral health clinic services, per diem7170950$200$1.8M
    T1015Clinic visit/encounter, all-inclusive255090$140$1.5M
    G0470Federally 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…1801,720$150$800.5K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.77410140$110$742.2K
    90834In 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…311,620580$80$599.6K
    59400In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…22070$2,130$586.8K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies520480$640$583.9K
    D9450N/A11502,450$30$506.8K
    J7298Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg1310480$880$485.2K

    Showing 1–10 of 211

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lynn Community Health, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Medical Center, Inc.MAGeneral Acute Care Hospital$0$137.7M
    Christine GrossMAPhysician Assistant$17.3K$0
    Michael ReichMAObstetrics & Gynecology Physician$16.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Lynn Community Health, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greater Lynn Senior Services IncMACase Management Agency$0$78.7M
    Patient Care Solutions LLCMAHome Health Agency$0$26.6M
    Multicultural Home Care, Inc.MAHome Health Agency$0$22.4M
    All Care Resources, Inc.MAHome Health Aide$0$15.8M
    Lynn AdhcMAAdult Day Care Clinic/Center$0$15.2M
    Lynn Zabota Adult Day Care, Inc.MAAdult Day Care Clinic/Center$0$14.2M
    New England Family Dentistry ,PCMAPoint of Service$0$14M
    Rainbow Adhc Of Lynn, LLCMAAdult Day Care Clinic/Center$0$9.3M
    Commonwealth Of MassachusettsMACase Management Agency$0$8.9M
    J ReimherrMASpecialist$105.4K$3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Massachusetts Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Lynn Community Health, Inc. — 21 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts