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 Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah 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. Utah (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.

Community Health Centers, Inc. (NPI 1073611364)

Community Health Centers, Inc. is a federally qualified health center (fqhc) provider located in Midvale, Utah. This profile covers 0 Medicare and 50 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Community Health Centers, Inc.
Address	220 W 7200 S
City	Midvale
State	UT
ZIP	84047
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,820	$100	$476.7K
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…	4,790	$90	$445.7K
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…	4,050	$60	$226.7K
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…	2,000	$90	$179.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	470	$160	$75K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	410	$80	$34.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	5,290	$10	$26.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	120	$100	$12.5K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	70	$160	$11.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	80	$120	$9.8K

Showing 1–10 of 50

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Community Health Centers, Inc. — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	372	370	690	$140	$704.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	58	240	220	$50	$145.2K
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…	82	1,340	200	$80	$144K
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…	112	1,360	190	$70	$125K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	84	200	240	$90	$85.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	137	160	250	$50	$76.9K
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…	11	220	200	$80	$74K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	7	20	70	$50	$71K
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…	14	190	150	$80	$58.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	142	170	80	$100	$35.2K

Showing 1–10 of 50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Autism Academy	UT	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Jordan School District	UT	Local Education Agency (LEA)	$0	$6.6M
Ihc Health Services Inc	UT	Specialty Pharmacy	$0	$6.5M
National Durable Medical Equipment Inc	UT	Prosthetic/Orthotic Supplier	$0	$3.7M
Next Level Recovery LLC	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Apria Healthcare LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$2.1M
Mg Cottonwood Heights Subtenant LLC	UT	Assisted Living Facility	$0	$1.4M
Canyon Creek Property Management LLC	UT	Assisted Living Facility	$0	$948.9K
Eye Care For Kids	UT	Optometrist	$0	$863.4K
Caregiving Services	UT	In Home Supportive Care Agency	$0	$808.6K

Community Health Centers, Inc. — Billing Profile & Reimbursement Data

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Community Health Centers, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$3.4M
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$1.1M
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$890.8K
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$795.4K
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$533.3K
Eric Hansen	WA	Ophthalmology Physician	$517.4K	$0
John Lelis	UT	Medical Physician Assistant	$2.9K	$0