Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

COMMUNITY HEALTH PROGRAMS, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·GREAT BARRINGTON, MA·NPI: 1013953009Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.0M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.0M

$24,968,135

Total Claims

333K

Beneficiaries

276K

1.2 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+20%
2019
$3.8M
-20%
2020
$3.1M
+16%
2021
$3.5M
+61%
2022
$5.7M
-33%
2023
$3.9M
-55%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 75% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$18.6M

140K claims · 74.6%

Your Cost: $133.40/claim|Median: $121.16
1.1× median
D9450Top 10%

$1.5M

34K claims · 6.1%

Your Cost: $44.91/claim|Median: $21.95
2.0× median
G0470Top 5%

Chronic care management services, FQHC/RHC

$714K

3,383 claims · 2.9%

Your Cost: $211.04/claim|Median: $45.95
4.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$419K

17K claims · 1.7%

Your Cost: $24.89/claim|Median: $17.85
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$264K

8,296 claims · 1.1%

Your Cost: $31.80/claim|Median: $43.38
0.7× median
T1040Normal range

Medicaid certified CCBHC services

$230K

1,663 claims · 0.9%

Your Cost: $138.34/claim|Median: $130.29
1.1× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$217K

1,387 claims · 0.9%

Your Cost: $156.40/claim|Median: $74.82
2.1× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$198K

1,346 claims · 0.8%

Your Cost: $146.97/claim|Median: $75.18
2.0× median
G0467Normal range

Federally qualified health center visit, mental health

$196K

6,695 claims · 0.8%

Your Cost: $29.27/claim|Median: $21.91
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$183K

3,655 claims · 0.7%

Your Cost: $50.06/claim|Median: $71.00
0.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$176K

4,010 claims · 0.7%

Your Cost: $43.97/claim|Median: $46.33
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$154K

6,266 claims · 0.6%

Your Cost: $24.52/claim|Median: $27.07
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$147K

9,654 claims · 0.6%

Your Cost: $15.25/claim|Median: $24.34
0.6× median
D2391Normal range

Resin-based composite, one surface, posterior

$128K

3,313 claims · 0.5%

Your Cost: $38.49/claim|Median: $54.60
0.7× median
96110Normal range

Developmental screening, per standardized instrument

$124K

12K claims · 0.5%

Your Cost: $10.10/claim|Median: $9.10
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$114K

2,348 claims · 0.5%

Your Cost: $48.48/claim|Median: $39.70
1.2× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$111K

813 claims · 0.4%

Your Cost: $136.19/claim|Median: $69.35
2.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$109K

3,559 claims · 0.4%

Your Cost: $30.62/claim|Median: $32.07
1.0× median
D1120Top 10%

Prophylaxis, adult

$107K

2,296 claims · 0.4%

Your Cost: $46.49/claim|Median: $33.86
1.4× median
D2740Normal range

Crown, porcelain/ceramic substrate

$102K

172 claims · 0.4%

Your Cost: $595.82/claim|Median: $509.58
1.2× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$98K

607 claims · 0.4%

Your Cost: $161.82/claim|Median: $80.15
2.0× median
D0274Normal range

Bitewings, four radiographic images

$97K

4,018 claims · 0.4%

Your Cost: $24.15/claim|Median: $22.54
1.1× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$81K

3,100 claims · 0.3%

Your Cost: $26.07/claim|Median: $6.93
3.8× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$71K

1,187 claims · 0.3%

Your Cost: $59.74/claim|Median: $24.33
2.5× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$71K

7,793 claims · 0.3%

Your Cost: $9.09/claim|Median: $3.67
2.5× median
D1206Normal range

Topical application of fluoride varnish

$59K

2,450 claims · 0.2%

Your Cost: $24.08/claim|Median: $18.12
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$52K

5,752 claims · 0.2%

Your Cost: $9.10/claim|Median: $10.51
0.9× median
99381Top 5%

Preventive visit, new patient, infant (<1 yr)

$50K

234 claims · 0.2%

Your Cost: $214.69/claim|Median: $73.46
2.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$48K

1,324 claims · 0.2%

Your Cost: $36.36/claim|Median: $57.39
0.6× median
G0512Top 25%

Comprehensive care management services, each additional thirty minutes

$46K

378 claims · 0.2%

Your Cost: $121.59/claim|Median: $72.26
1.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$42K

668 claims · 0.2%

Your Cost: $63.44/claim|Median: $84.26
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$36K

735 claims · 0.1%

Your Cost: $48.38/claim|Median: $66.63
0.7× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$34K

585 claims · 0.1%

Your Cost: $57.38/claim|Median: $73.58
0.8× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$28K

1,989 claims · 0.1%

Your Cost: $14.03/claim|Median: $9.80
1.4× median
D0330Top 25%

Panoramic radiographic image

$28K

537 claims · 0.1%

Your Cost: $51.37/claim|Median: $37.36
1.4× median
91320Normal range

$27K

267 claims · 0.1%

Your Cost: $99.86/claim|Median: $72.65
1.4× median
D2332Normal range

$26K

262 claims · 0.1%

Your Cost: $98.92/claim|Median: $87.21
1.1× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$20K

957 claims · 0.1%

Your Cost: $21.42/claim|Median: $14.34
1.5× median
G2025Normal range

$17K

1,278 claims · 0.1%

Your Cost: $13.49/claim|Median: $15.63
0.9× median
97802Top 5%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$17K

135 claims · 0.1%

Your Cost: $125.66/claim|Median: $12.70
9.9× median
D5110Normal range

$17K

27 claims · 0.1%

Your Cost: $621.85/claim|Median: $472.15
1.3× median
G0511Top 10%

RHC/FQHC visit, psychiatric collaborative care model

$13K

233 claims · 0.1%

Your Cost: $54.14/claim|Median: $11.35
4.8× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$12K

95 claims · 0.0%

Your Cost: $127.05/claim|Median: $109.42
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$12K

596 claims · 0.0%

Your Cost: $19.96/claim|Median: $17.15
1.2× median
D0272Top 5%

Bitewings, two radiographic images

$10K

336 claims · 0.0%

Your Cost: $28.48/claim|Median: $15.81
1.8× median
D9110Normal range

$9K

292 claims · 0.0%

Your Cost: $29.73/claim|Median: $38.08
0.8× median
90480Normal range

$8K

256 claims · 0.0%

Your Cost: $32.93/claim|Median: $25.29
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$7K

1,077 claims · 0.0%

Your Cost: $6.81/claim|Median: $7.33
0.9× median
D7250Normal range

$7K

51 claims · 0.0%

Your Cost: $135.53/claim|Median: $112.26
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$7K

659 claims · 0.0%

Your Cost: $10.18/claim|Median: $11.48
0.9× median

Other Top Providers in Massachusetts

View all →

Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in Massachusetts →How we detect fraud →