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    OpenPayerNPI Medicare & MedicaidLowell Community Health Center, Inc.
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    Lowell Community Health Center, Inc. — Billing Profile & Reimbursement Data

    NPI 1952307530 · Lowell, MA · Federally Qualified Health Center (FQHC)

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    Lowell Community Health Center, Inc. is a federally qualified health center (fqhc) provider located in Lowell, Massachusetts. This profile covers 0 Medicare and 190 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLowell Community Health Center, Inc.
    Address161 Jackson St
    CityLowell
    StateMA
    ZIP01852
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJune 28, 2005

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

    Payer SourceTotal Paid
    Medicaid$86.8M
    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.

    190 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive393,410$150$57M
    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…39,790$160$6.5M
    T1040Medicaid certified community behavioral health clinic services, per diem22,690$130$3M
    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…24,070$80$1.8M
    99050In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.38,000$50$1.7M
    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…12,090$140$1.7M
    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…35,970$40$1.5M
    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…9,610$140$1.4M
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.33,930$40$1.3M
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.7,000$140$952.1K

    Showing 1–10 of 190

    • 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

    190 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit9813034,780$60$7.4M
    T1040Medicaid certified community behavioral health clinic services, per diem15170950$200$1.8M
    H2016Comprehensive community support services, per diem45804,550$30$1.6M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes2913108,710$40$1.6M
    T1015Clinic visit/encounter, all-inclusive355090$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…2801,720$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.63410140$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…811,620580$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…142070$2,130$586.8K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies1720480$640$583.9K

    Showing 1–10 of 190

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zaheer AhmedMAInternal Medicine Physician$158.1K$668.6K
    Gregory McnamaraMAPodiatrist$187.2K$85.2K
    Hilary HamerNHOptometrist$86.6K$135.8K
    Jennifer WolfMAFamily Medicine Physician$180$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Douglas A. Thom Clinic, Inc.MADevelopmental Disabilities Clinic/Center$0$132.9M
    Bridgewell, IncMACommunity/Behavioral Health Agency$0$43.3M
    Lowell House, Inc.MACommunity/Behavioral Health Agency$0$20.7M
    Tufts Medicine Care At Home, Inc.MACommunity Based Hospice Care Agency$0$11.9M
    Merrimack Valley Oral Surgeons, Inc.MAOral and Maxillofacial Surgery (Dentist)$0$10.6M
    Md ConsultantsMADental Clinic/Center$0$10.5M
    Accucare, Inc.MAHome Health Agency$0$8.9M
    Home Away From HomeMAAdult Day Care Clinic/Center$0$7.4M
    Trinity Care AssociateMAMulti-Specialty Clinic/Center$0$7.2M
    Bio-medical Applications Of Massachusetts, Inc.MAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.3M

    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
    Lowell Community Health Center, Inc. — 20 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts