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

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

Healthpoint (NPI 1104819788)

Field	Value
Entity Type	Organization
Organization	Healthpoint
Address	33431-13th Place South
City	Federal Way
State	WA
ZIP	98003
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 29, 2005

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	25,710	$220	$5.6M
D2392	Post 2 surface resin‑based composite	2,630	$60	$168.5K
D0120	Periodic oral evaluation - established patient	6,060	$30	$151.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	8,460	$20	$143.8K
D2391	Resin‑based composite – one surface, posterior	2,620	$50	$138.9K
D1120	Prophylaxis–child	5,340	$20	$122.8K
D0150	Comprehensive oral evaluation – new or established patient	2,450	$40	$85.9K
D0220	Intraoral - periapical first radiographic image	10,040	$10	$80.4K
D0274	N/A	5,660	$10	$62.3K
D0140	Limited oral evaluation – problem focused	2,460	$20	$59.1K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Healthpoint — 0 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	131	650	4,110	$250	$4.9M
D2392	Post 2 surface resin‑based composite	162	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	173	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	124	480	670	$50	$119.5K
D1120	Prophylaxis–child	148	730	690	$20	$112.8K
D1351	Sealant - per tooth	176	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	314	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	126	730	730	$20	$98.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	238	660	620	$30	$76.1K
D0150	Comprehensive oral evaluation – new or established patient	168	710	600	$30	$65.7K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$20.2M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$18.6M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$14.5M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$13.6M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$10.1M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$10M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$8M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$3M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$2.9M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$2.8M

Nearby Providers

Other providers in the same ZIP code as Healthpoint, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashley House	WA	Nursing Care Agency	$0	$46.5M
St Francis Community Hospital	WA	General Acute Care Hospital	$0	$44.7M
Wei Guo, Dmd,md,pllc	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$8.3M
Multicare Health System	WA	Pediatrics Physician	$0	$6.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$6.8M
Bridging Care, LLC	WA	Community/Behavioral Health Agency	$0	$6.5M
Ellen Polsky Dds And Bobby Virk Dmd, Ps	WA	Pediatric Dentistry	$0	$5.8M
Eid, Jaber, Jassar, PLLC	WA	Dental Clinic/Center	$0	$4.2M
Pediatric Specialty Practices, PLLC	WA	Pediatrics Physician	$0	$3.7M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M

Healthpoint — Billing Profile & Reimbursement Data

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Healthpoint — 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