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

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

Tyler Family Circle Of Care (NPI 1144575820)

Field	Value
Entity Type	Organization
Organization	Tyler Family Circle Of Care
Address	13172 State Highway 64 E
City	Tyler
State	TX
ZIP	75707
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 18, 2012

Payer Source	Total Paid
Medicaid	$48.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	229,360	$150	$33.3M
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…	100,530	$40	$4.2M
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…	20,230	$90	$1.9M
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…	18,970	$70	$1.4M
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…	25,150	$50	$1.3M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	15,080	$70	$1.1M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	10,790	$80	$831.1K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1,230	$510	$630.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	90,780	$10	$544.7K
99381	The provider performs a well–baby visit for a child under the age of one.	4,330	$110	$475.9K

Showing 1–10 of 124

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Tyler Family Circle Of Care — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	5	770	2,990	$170	$2.6M
D0999	N/A	122	180	390	$190	$405.3K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	29	270	130	$570	$318.8K
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…	43	6,040	710	$40	$232.8K
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…	18	1,500	880	$80	$185.8K
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…	15	1,360	800	$80	$185.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	56	220	130	$80	$180.8K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	99	160	80	$550	$173.7K
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…	128	5,810	540	$50	$155.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	18	1,540	650	$80	$150.4K

Showing 1–10 of 124

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tyler Family Circle Of Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mother Frances Hospital Regional Health Care Center	TX	General Acute Care Hospital	$0	$32.9M
Christus Trinity Clinic Texas	TX	Family Medicine Physician	$0	$22.2M
Christus Health Ark-la-tex	TX	General Acute Care Hospital	$0	$15.6M
Natalie Alphonse Sullivan	LA	Radiation Oncology Physician	$1.9M	$0
Christopher Jordan	CO	Hematology & Oncology Physician	$970.8K	$0
Apryl Mensah	TX	Radiation Oncology Physician	$916.7K	$0
Alaa Younes	LA	Interventional Cardiology Physician	$872.9K	$0
Jose Ortiz	TX	Endocrinology, Diabetes & Metabolism Physician	$691.3K	$0
Jared Petty	TX	Internal Medicine Physician	$609K	$0
Robert Mcginnis	TX	Diagnostic Radiology Physician	$576.3K	$0

Nearby Providers

Other providers in the same ZIP code as Tyler Family Circle Of Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pharmscript Of Texas, LLC	TX	Long Term Care Pharmacy	$17.7K	$0
Jordan Johnson	TX	Certified Registered Nurse Anesthetist	$16.9K	$0

Tyler Family Circle Of Care — Billing Profile & Reimbursement Data

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Tyler Family Circle Of Care — 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