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

⚖️ Compare🖨️ Print Report

COMMUNITY HEALTH SERVICES, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·HARTFORD, CT·NPI: 1730284605Share

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 $59.5M 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

$59.5M

$59,487,695

Total Claims

1.0M

Beneficiaries

906K

1.2 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$9.8M
-1%
2019
$9.7M
-21%
2020
$7.7M
+15%
2021
$8.8M
-5%
2022
$8.3M
-2%
2023
$8.2M
-14%
2024
$7.0M

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 96% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$57.1M

402K claims · 96.0%

Your Cost: $142.02/claim|Median: $121.16
1.2× median
11721Top 5%

$425K

10K claims · 0.7%

Your Cost: $40.79/claim|Median: $8.56
4.8× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$419K

133K claims · 0.7%

Your Cost: $3.15/claim|Median: $37.81
0.1× median
G0467Normal range

Federally qualified health center visit, mental health

$350K

16K claims · 0.6%

Your Cost: $21.53/claim|Median: $21.91
1.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$288K

49K claims · 0.5%

Your Cost: $5.83/claim|Median: $53.41
0.1× median
82962Top 5%

Blood glucose test by monitoring device

$153K

19K claims · 0.3%

Your Cost: $8.14/claim|Median: $1.40
5.8× median
90832Normal range

Psychotherapy, 30 minutes

$131K

20K claims · 0.2%

Your Cost: $6.43/claim|Median: $41.28
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$120K

23K claims · 0.2%

Your Cost: $5.31/claim|Median: $63.65
0.1× median
11720Top 5%

$94K

2,411 claims · 0.2%

Your Cost: $39.03/claim|Median: $4.64
8.4× median
99212Normal range

Office/outpatient visit, low complexity

$82K

17K claims · 0.1%

Your Cost: $4.93/claim|Median: $25.06
0.2× median
G0470Normal range

Chronic care management services, FQHC/RHC

$78K

1,977 claims · 0.1%

Your Cost: $39.57/claim|Median: $45.95
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$78K

12K claims · 0.1%

Your Cost: $6.25/claim|Median: $5.50
1.1× median
G2025Top 10%

$27K

387 claims · 0.0%

Your Cost: $68.81/claim|Median: $15.63
4.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$26K

4,913 claims · 0.0%

Your Cost: $5.30/claim|Median: $22.44
0.2× median
90853Normal range

Group psychotherapy

$17K

1,346 claims · 0.0%

Your Cost: $12.65/claim|Median: $25.02
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$13K

2,012 claims · 0.0%

Your Cost: $6.25/claim|Median: $74.09
0.1× median
11056Normal range

Paring or cutting of benign hyperkeratotic lesions, two to four

$10K

1,566 claims · 0.0%

Your Cost: $6.56/claim|Median: $11.01
0.6× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$8K

2,800 claims · 0.0%

Your Cost: $2.75/claim|Median: $24.33
0.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$7K

2,317 claims · 0.0%

Your Cost: $3.07/claim|Median: $47.08
0.1× median
76856Normal range

Ultrasound, pelvic, complete

$5K

1,850 claims · 0.0%

Your Cost: $2.68/claim|Median: $47.58
0.1× median
G0008Top 25%

$4K

481 claims · 0.0%

Your Cost: $9.10/claim|Median: $2.54
3.6× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$4K

2,023 claims · 0.0%

Your Cost: $1.97/claim|Median: $12.70
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

18K claims · 0.0%

Your Cost: $0.16/claim|Median: $7.18
0.0× median
98968Normal range

$3K

237 claims · 0.0%

Your Cost: $12.10/claim|Median: $28.39
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

2,101 claims · 0.0%

Your Cost: $1.34/claim|Median: $99.21
0.0× median
90471Normal range

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

$3K

22K claims · 0.0%

Your Cost: $0.12/claim|Median: $9.80
0.0× median
92015Normal range

Determination of refractive state

$2K

2,795 claims · 0.0%

Your Cost: $0.60/claim|Median: $10.36
0.1× median
G0108Normal range

Diabetes self-management training, individual

$1K

484 claims · 0.0%

Your Cost: $2.97/claim|Median: $35.89
0.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$1K

612 claims · 0.0%

Your Cost: $2.30/claim|Median: $25.93
0.1× median
11055Normal range

$1K

97 claims · 0.0%

Your Cost: $14.48/claim|Median: $7.46
1.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1K

793 claims · 0.0%

Your Cost: $1.50/claim|Median: $108.91
0.0× median
99443Normal range

Telephone E/M by physician, 21-30 min

$1K

198 claims · 0.0%

Your Cost: $6.01/claim|Median: $32.55
0.2× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1K

627 claims · 0.0%

Your Cost: $1.67/claim|Median: $57.85
0.0× median
98967Normal range

$1K

92 claims · 0.0%

Your Cost: $11.06/claim|Median: $18.97
0.6× median
76830Normal range

Ultrasound, transvaginal

$565

266 claims · 0.0%

Your Cost: $2.12/claim|Median: $57.47
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$466

1,199 claims · 0.0%

Your Cost: $0.39/claim|Median: $12.93
0.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$432

1,073 claims · 0.0%

Your Cost: $0.40/claim|Median: $40.11
0.0× median
0134ANormal range

$417

15 claims · 0.0%

Your Cost: $27.80/claim|Median: $33.54
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$403

8,594 claims · 0.0%

Your Cost: $0.05/claim|Median: $3.67
0.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$374

53 claims · 0.0%

Your Cost: $7.06/claim|Median: $84.03
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$346

9,465 claims · 0.0%

Your Cost: $0.04/claim|Median: $2.00
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$330

1,032 claims · 0.0%

Your Cost: $0.32/claim|Median: $76.06
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$186

1,071 claims · 0.0%

Your Cost: $0.17/claim|Median: $85.66
0.0× median
83986Normal range

$185

721 claims · 0.0%

Your Cost: $0.26/claim|Median: $2.70
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$179

2,394 claims · 0.0%

Your Cost: $0.07/claim|Median: $9.56
0.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$52

1,221 claims · 0.0%

Your Cost: $0.04/claim|Median: $58.16
0.0× median
90739Normal range

$49

30 claims · 0.0%

Your Cost: $1.62/claim|Median: $74.43
0.0× median
81025Normal range

Urine pregnancy test

$49

8,284 claims · 0.0%

Your Cost: $0.01/claim|Median: $4.81
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$40

523 claims · 0.0%

Your Cost: $0.08/claim|Median: $33.85
0.0× median
0064ANormal range

$23

216 claims · 0.0%

Your Cost: $0.10/claim|Median: $34.17
0.0× median

Other Top Providers in Connecticut

View all →

Yale New Haven Hospital

General Acute Care Hospital

$1.08B

Community Health Center INC

Counselor, Addiction (Substance Use Disorder)

$533.3M

New England Home Care Inc.

Home Health

$400.1M

Hartford Hospital

General Acute Care Hospital

$316.3M

Cornell Scott Hill Health Corporation

Psychiatry & Neurology, Child & Adolescent Psychia

$294.2M

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 Connecticut →How we detect fraud →