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    v1.0.28
    OpenPayerNPI Medicare & MedicaidInternational Community Health Services
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    International Community Health Services — Billing Profile & Reimbursement Data

    NPI 1003252636 · Bellevue, WA · Federally Qualified Health Center (FQHC)

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    International Community Health Services is a federally qualified health center (fqhc) provider located in Bellevue, Washington. This profile covers 0 Medicare and 29 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
    OrganizationInternational Community Health Services
    Address1050 140th Ave Ne
    CityBellevue
    StateWA
    ZIP98005
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMay 22, 2013

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

    Payer SourceTotal Paid
    Medicaid$12.7M
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive44,540$250$11.1M
    D0120Periodic oral evaluation - established patient10,260$30$266.7K
    D2392Post 2 surface resin‑based composite3,820$60$236.8K
    D0210Intraoral - complete series of radiographic images3,340$40$136.8K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth3,030$40$127.3K
    D0150Comprehensive oral evaluation – new or established patient3,580$30$121.9K
    D2391Resin‑based composite – one surface, posterior2,250$50$116.9K
    D4341Periodontal scaling and root planing - four or more teeth per quadrant3,510$30$108.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients5,450$20$98.1K
    D0140Limited oral evaluation – problem focused3,960$20$91.1K

    Showing 1–10 of 29

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Washington median

    29 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive726504,110$250$4.9M
    D2392Post 2 surface resin‑based composite129540990$60$188.6K
    D0120Periodic oral evaluation - established patient129920690$20$131.3K
    D2391Resin‑based composite – one surface, posterior144480670$50$119.5K
    D1120Prophylaxis–child247730690$20$112.8K
    D1351Sealant - per tooth3534001,120$20$103.9K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)296390640$50$98.8K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients164730730$20$98.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth137660620$30$76.1K
    D9999N/A269290690$30$75.9K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    International Community Health ServicesWADentist$0$16M
    International Community Health ServicesWADentist$0$14M
    International Community Health ServicesWAFederally Qualified Health Center (FQHC)$0$11.5M
    International Community Health ServicesWAFederally Qualified Health Center (FQHC)$0$2.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anesthesiology For Outpatients P.C.WASpecialist$0$4.6M
    John WalshWADermatology Physician$773.9K$0
    Altius Diagnostics Laboratory LLCWAClinical Medical Laboratory$344.8K$297.9K
    Kyle GartonWADermatopathology Physician$509.9K$0
    Caitlin MayWADermatopathology Physician$411.7K$0
    Dan LantzWADermatology Physician$376.3K$0
    Michael PiepkornWADermatopathology Physician$321.3K$0
    Michael GilbertWAOphthalmology Physician$304.4K$0
    Northwest Vision Institute, PLLCWAAmbulatory Surgical Clinic/Center$273.9K$0
    Michael GilbertWARetina Specialist (Ophthalmology) Physician$221.2K$0

    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. Washington Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    International Community Health Services — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington