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

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

Fair Haven Community Health Clinic Inc (NPI 1104803444)

Field	Value
Entity Type	Organization
Organization	Fair Haven Community Health Clinic Inc
Address	374 Grand Ave
City	New Haven
State	CT
ZIP	06513
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 28, 2005

Payer Source	Total Paid
Medicaid	$83.7M
Medicare	$0

Key Findings

FAIR HAVEN COMMUNITY HEALTH CLINIC INC is an FQHC based in NEW HAVEN, CT with an NPI enumerated on 2005-12-28 (~21 years ago). The clinic reports $83.7M in lifetime Medicaid revenue and has no Medicare billing on file, indicating Medicaid is the primary source of reported payer revenue in this dataset.

Revenue is extremely concentrated in a single code family: the precomputed top three Medicaid codes account for 99.9% of the provider's total Medicaid revenue, with T1015 alone representing $83.3M (99.4% of Medicaid revenue). The next two codes are much smaller by comparison: G2025 at $211.1K (0.3%) and G0511 at $176.8K (0.2%), illustrating majority dependence on the all-inclusive clinic encounter payment.

The dominance of T1015 (T1015 – Clinic visit/encounter, all-inclusive) aligns with the provider's FQHC taxonomy and suggests operations are built around bundled, encounter-level reimbursement for primary care and wraparound services rather than itemized fee-for-service billing. The presence of FQHC-specific visit codes such as G0467 and G0470 in the activity mix supports a service model focused on face-to-face clinic encounters and some mental health visits rendered within the FQHC bundle.

This provider is effectively single-payer in the claims record: there is no Medicare revenue on file while Medicaid accounts for $83.7M of reported lifetime revenue. That asymmetric payer mix means changes in Medicaid policy, FQHC payment methodology, or state-level reimbursement could disproportionately impact the organization’s topline.

Competitively, the provider ranks solidly within its state for its top revenue driver: T1015 ranks #6 of 73 providers in-state (93th percentile), which places it among the larger FQHCs generating all-inclusive clinic-visit revenue, though the provided label is “typical, unremarkable volume.” Telehealth and chronic care management codes show more modest statewide positions—G2025 ranks #12 of 27 (58th percentile) and G0511 ranks #6 of 17 (69th percentile)—indicating moderate but not leading participation in those sub-lines.

A notable data pattern is a long list of very high-volume CPTs reported with $0 avg paid/claim (examples include 90686, 99392, 90461, 99213, 85018, 90460 and several preventive and vaccination codes). This suggests many routine services and vaccine administrations are either bundled into the T1015 encounter payment or are recorded in claims without a separate Medicaid payment in this dataset, which inflates procedural volumes without corresponding standalone revenue.

G2025 (telehealth distant site) and G0511 (general care management/behavioral health integration) are present but contribute only a small fraction of total Medicaid revenue ($211.1K and $176.8K respectively). Their existence indicates the clinic offers telehealth and structured care-management activities, but these lines are currently marginal to overall revenue compared with the dominant T1015 claim stream.

From an operational and contracting perspective, the clinic’s heavy dependence on T1015 and the precomputed fact that the top three codes together make up 99.9% of Medicaid revenue highlight a concentration exposure: payment policy changes to FQHC encounter bundles or state Medicaid rules for T1015/G0467-style payments could materially affect reported Medicaid revenue. Analysts should therefore prioritize monitoring FQHC encounter reimbursement policies and the clinic’s billing posture for bundled versus separately reimbursed services.

Medicaid: Complete Services Breakdown

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

143 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	555,060	$150	$83.3M
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	3,580	$60	$211.1K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	14,740	$10	$176.8K
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…	10,320	$10	$61.9K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	1,190	$20	$24.9K
G0444	Annual depression screening, 5 to 15 minutes	400	$1	$1.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$40	$1.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	20	$50	$820
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	50	$1	$180
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	80	$1	$80

Showing 1–10 of 143

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Fair Haven Community Health Clinic Inc — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

143 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	70	830	$150	$24M
S9480	Intensive outpatient psychiatric services, per diem	45	60	5,640	$110	$1.3M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	6	20	6,040	$40	$952.7K
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…	64	1,590	740	$50	$331.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	12	30	2,590	$60	$278.5K
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…	8	1,710	750	$30	$243.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	148	150	290	$80	$206.3K
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…	3	170	850	$80	$203.5K
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…	336	2,180	850	$90	$202.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	29	420	1,230	$20	$199.3K

Showing 1–10 of 143

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fair Haven Community Health Clinic Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fair Haven Community Health Clinic, Inc	CT	Federally Qualified Health Center (FQHC)	$0	$3.1M
George Ramos	CT	Psychiatric/Mental Health Nurse Practitioner	$89K	$0
Kevin O'hara	CT	Medical Physician Assistant	$33.2K	$0
James Seely	CT	Family Medicine Physician	$25.6K	$0
Emily Fine	CT	Gynecology Physician	$23.5K	$0

Nearby Providers

Other providers in the same ZIP code as Fair Haven Community Health Clinic Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Of Connecticut Incorporated	CT	Ambulance	$13.2M	$129.5M
Utopia Home Care Inc	CT	Home Health Agency	$0	$81.4M
Docs Medical Inc	CT	Family Medicine Physician	$0	$33.5M
Utopia Assisted Living Services	CT	Assisted Living Facility	$0	$5.3M
New Haven Family Dental Group LLC	CT	Dentist	$0	$2M
Dr. Dental Of East Haven, PC	CT	General Practice Dentistry	$0	$1.8M
Catholic Charities, Inc. - Archdiocese Of Hartford	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.6M
The Mary Wade Home, Incorporated	CT	Skilled Nursing Facility	$0	$1.5M
Holistic Health & Healing Center LLC	CT	Clinical Social Worker	$0	$1.4M
Connecticut Vision Center, LLC	CT	Optometrist	$0	$1.3M

Fair Haven Community Health Clinic Inc — Billing Profile & Reimbursement Data

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Fair Haven Community Health Clinic Inc — Billing Profile & Reimbursement Data

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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