Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Idaho (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Family Health Services Corporation (NPI 1033165550)

Field	Value
Entity Type	Organization
Organization	Family Health Services Corporation
Address	1309 Bennett Ave
City	Burley
State	ID
ZIP	83318
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

Key Findings

Medicaid is effectively this provider's sole payer: there is no Medicare billing on file and total Medicaid revenue is $10.5M, so operational scale and reimbursement mix are driven almost entirely by Medicaid contracts and fee schedules rather than a split Medicare/Medicaid strategy. This single-payer concentration should orient analyses toward state Medicaid policy and fee changes as the primary financial levers for this entity.

Revenue is extremely concentrated in a small set of encounter/bundle codes: the precomputed top three Medicaid codes account for 98.7% of Medicaid revenue, with T1015 alone generating $8.8M (83.5% of Medicaid revenue) and D0999 adding $1.5M (14.3%). That concentration indicates the clinic derives the vast majority of its receipts from comprehensive clinic/encounter billing rather than a wide mix of procedure-level payments.

The code mix and top revenue drivers point to a classic FQHC operational model focused on bundled clinic visits and comprehensive ambulatory care: T1015 (Clinic visit/encounter, all-inclusive) and G0467 (FQHC visit, established patient) reflect per‑encounter bundled reimbursement, while high-volume vaccine and lab codes (e.g., 90471 with 7.8K claims, 87635, 90686) show preventive and primary care throughput. These patterns are consistent with a federally qualified health center delivering high-volume primary care, vaccinations, chronic disease management, and basic lab services.

Despite T1015 producing the lion's share of revenue, the provider's in-state competitive position on that code is not an extreme outlier: T1015 ranks #10 of 143 providers in-state (94th percentile) and is described as "typical, unremarkable volume for this code," which suggests strong absolute activity but that similar FQHCs statewide commonly generate comparable encounter volumes. By contrast, D0999 ranks #15 of 32 providers in-state (55th percentile; typical, unremarkable volume for this code), indicating a more modest relative standing for that revenue stream within its narrower peer group.

Several encounter and E/M codes show very high claim counts but low per-claim payments, highlighting reimbursement structure effects: 99213 appears with 27.4K claims and $1 avg paid/claim ($27.4K revenue) and 99212 with 1.9K claims at $1 avg. This suggests many visits are being billed under low or zero unit-payment E/M lines while the meaningful revenue is captured by the bundled FQHC encounter codes (T1015/G0467), a pattern typical for clinics operating under alternative encounter-based payment constructs.

Quality and reporting codes are prominently used and, in at least one case, substantially above peers: 2001F shows 8.5K claims and ranks #1 of 17 providers in-state (100th percentile) and is labeled notably above typical state volume for this code, while several other measure codes (1159F, 3074F, 3078F, G8754) rank in high percentiles. High reporting volumes on these zero-dollar or measure-oriented codes indicate systematic participation in Medicaid quality/measure capture, which may be important for value-based programs and pay-for-performance reconciliation.

Provider tenure is long-standing: the NPI was enumerated on 2006-05-26 (~20 years ago), indicating an established presence in the Burley, ID market. Combined with the high-volume T1015 billing and broad preventive service claims, the entity appears to be an enduring local FQHC with entrenched Medicaid patient flow and service offerings.

Concentration risk should be noted for payer or policy analysts: with 98.7% of Medicaid revenue tied to the top three codes and T1015 alone at 83.5%, any changes to Medicaid reimbursement rules, bundled encounter definitions, or audit focus on encounter codes could materially affect revenue. Analysts monitoring contract renegotiations, state FQHC policy updates, or code reclassification should treat this provider as highly sensitive to encounter-level payment adjustments.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

75 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	39,620	$220	$8.8M
D0999	N/A	5,060	$300	$1.5M
G0467	Federally 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…	980	$100	$96.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	7,830	$10	$39.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	27,430	$1	$27.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	520	$40	$21.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	2,540	$10	$15.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,540	$10	$7.7K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	180	$40	$6.8K
0001A	N/A	180	$30	$4.7K

Showing 1–10 of 75

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Family Health Services Corporation — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

75 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	10	140	5,470	$180	$2.6M
D0999	N/A	15	30	3,960	$250	$1.5M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20	670	740	$40	$193.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	207	620	560	$60	$191.8K
99392	Preventive 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…	28	80	450	$80	$171.3K
99391	Preventive 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…	34	80	380	$70	$151.1K
D1120	Prophylaxis–child	78	250	180	$60	$143K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	25	80	130	$80	$91.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	96	320	310	$80	$80.8K
D2392	Post 2 surface resin‑based composite	83	190	280	$60	$72.9K

Showing 1–10 of 75

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$8.1M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$6.4M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$4.3M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$4.3M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$3.5M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$2.3M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$2M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$595.5K
John Urrutia	ID	Medical Physician Assistant	$83.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	ID	General Acute Care Hospital	$0	$5.1M
A Plus Solutions Center	ID	Developmentally Disabled Services Day Training Agency	$0	$4.6M
Smiles 4 Kids Burley	ID	Pediatric Dentistry	$0	$3.4M
Ihc Health Services Inc	ID	Obstetrics & Gynecology Physician	$0	$1.7M
Burley Kids Dental, LLC	ID	Pediatric Dentistry	$0	$1.4M
Anthony J Anderson Md & Assoc LLC	ID	Family Medicine Physician	$0	$1.2M
R Bret Campbell Do & Assoc LLC	ID	Family Medicine Physician	$0	$1.1M
Ambulatory Surgery Center Of Burley, LLC	ID	Ambulatory Surgical Clinic/Center	$504.8K	$560.6K
Burley Physical Therapy And Rehabilitation	ID	Physical Therapy Clinic/Center	$0	$1.1M
River View Urgent Care & Medical Center Inc	ID	Urgent Care Clinic/Center	$0	$799.4K

Family Health Services Corporation — Billing Profile & Reimbursement Data

Sign up for Family Health Services Corporation — Billing Profile & Reimbursement Data policy alerts

Family Health Services Corporation — Billing Profile & Reimbursement Data

Sign up for Family Health Services Corporation — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References