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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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 Centers, Inc (NPI 1144248451)

Field	Value
Entity Type	Organization
Organization	Family Health Centers, Inc
Address	3310 Magnolia St
City	Orangeburg
State	SC
ZIP	29115
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

Medicaid: Complete Services Breakdown

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

90 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	29,620	$180	$5.2M
T1015	Clinic visit/encounter, all-inclusive	26,780	$90	$2.4M
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,…	11,170	$170	$1.9M
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…	3,660	$170	$629K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,650	$190	$493.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,530	$180	$449.4K
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	$180	$350.4K
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…	1,320	$170	$221.1K
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…	820	$170	$137.1K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	130	$170	$21.4K

Showing 1–10 of 90

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Family Health Centers, Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

90 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	54	350	3,560	$30	$525.5K
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…	105	280	600	$90	$299K
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…	52	160	270	$70	$268.1K
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…	83	2,770	210	$60	$254.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	413	710	350	$60	$247.2K
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…	409	2,480	350	$80	$246K
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…	91	380	160	$100	$226.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	61	120	1,100	$30	$170.4K
D1120	Prophylaxis–child	316	470	600	$30	$156.7K
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…	192	410	330	$50	$152.6K

Showing 1–10 of 90

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Center, Inc	MS	Clinic/Center	$0	$4M
Family Health Center, Inc	MS	Obstetrics & Gynecology Physician	$0	$1.6M
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Nicole Edwards	SC	Family Medicine Physician	$300.4K	$0
Jon Carmain	SC	Diagnostic Radiology Physician	$275.2K	$0
Brian Burke	SC	Diagnostic Radiology Physician	$207.4K	$100
Joshua Macatol	SC	Diagnostic Radiology Physician	$203.6K	$100
Naveen Selvam	PA	Diagnostic Radiology Physician	$190.6K	$80
Sameul Hanif	IL	Vascular & Interventional Radiology Physician	$87.5K	$86.4K
Fantasia Chandler	SC	Family Nurse Practitioner	$151.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orangeburg Co. Dsn Board	SC	Public Health or Welfare Agency	$0	$29.6M
The Pediatric Clinic, P.A.	SC	Pediatrics Physician	$0	$5M
Orange Cut Rate Drug Store, Inc.	SC	Durable Medical Equipment & Medical Supplies	$222.8K	$3.7M
Kool Smiles Sc-2, PC	SC	General Practice Dentistry	$0	$3M
Audrey Gordon	SC	Pediatric Dentistry	$0	$2.4M
Guardian Angels Medical Transportation LLC	SC	Ambulance	$384.8K	$0
Sabina Abbasova	SC	Foot & Ankle Surgery Podiatrist	$207K	$0
Willie Louis	SC	Family Medicine Physician	$108.4K	$0
Gregory Singleton	SC	Family Medicine Physician	$86.9K	$0
Ibn Ansari	SC	Foot & Ankle Surgery Podiatrist	$67.1K	$0

Family Health Centers, Inc — Billing Profile & Reimbursement Data

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Family 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