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

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

Dap Health, Inc. (NPI 1154480069)

Field	Value
Entity Type	Organization
Organization	Dap Health, Inc.
Address	133 W Main St
City	El Cajon
State	CA
ZIP	92020
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$270.6M
Medicare	$0

Key Findings

DAP HEALTH, INC. is effectively a Medicaid-centric organization: there is no Medicare billing on file and Total Medicaid revenue is $270.6M, indicating that Medicaid is the dominant — effectively sole — public payer on this profile. This concentration in a single public program exposes the provider's revenue base to Medicaid policy and rate changes more than to Medicare dynamics.

Revenue is extremely concentrated in a very small set of codes: the precomputed top 3 codes account for 99.9% of the provider's Medicaid revenue. Specifically, 00003 accounts for 69.1% of Medicaid revenue ($187.1M), T1015 accounts for 30.7% ($83M), and 99213 accounts for 0.1% ($147.5K); this concentration means a few encounter-type codes drive nearly the entire Medicaid top line.

00003 is the single largest revenue driver and is an operational outlier: 00003 generated $187.1M from 716.7K claims with an average paid/claim of $261, and it ranks #2 of 688 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). Even without a description for 00003, the combination of very high claim volume and high average paid/claim signals a core, high-throughput, high-dollar service line that defines the provider's Medicaid footprint.

T1015 (Clinic visit/encounter, all-inclusive) is the other principal revenue source and aligns with the FQHC taxonomy: T1015 produced $83M from 367.3K claims with an average paid/claim of $226, representing 30.7% of Medicaid revenue and ranking #40 of 1550 in-state (97th percentile; notably above typical state volume for this code). This pattern is consistent with bundled, per‑encounter FQHC payments and indicates the organization operates high-volume clinic encounters that are core to its business model.

The relationship between encounter codes and traditional E/M codes is distinctive here: 99213 shows 147.5K claims but only $147.5K revenue ($1 avg paid/claim) and is listed as #151 of 14524 in-state (99th percentile; extreme outlier, far above typical state volume for this code). The very low per‑claim payment for 99213 compared with high per‑claim averages for 00003 and T1015 suggests that standard E/M codes are not the primary revenue mechanism for this provider and may be recorded in addition to, or bundled with, higher-value encounter payments.

Competitive standing is mixed by code: DAP HEALTH is a dominant statewide player for 00003 (rank #2, 100th percentile; extreme outlier) and a strong, above-typical performer for T1015 (rank #40, 97th percentile; notably above typical). For many other common primary-care and preventive codes (for example, G0467, 90670, 90651, 99391, 90832) the provider reports typical or unremarkable volumes, indicating that while the organization dominates a small set of encounter payments, its activity across other primary-care and preventive services is consistent with peer FQHC behavior.

The provider's service mix shows breadth consistent with a comprehensive FQHC: in addition to high-volume encounter codes, the claims list includes vaccines (90670, 90651, 90715), preventive visits (99391, 99395, 99396, 99394), behavioral health (90832, 96156), and FQHC-specific visit codes (G0467, G2025). Many of these codes are reported at typical state volumes (labels such as "typical, unremarkable volume" or mid-to-high percentiles), suggesting integrated primary care, preventive, immunization, and behavioral health services alongside the large encounter-based billing.

DAP HEALTH has a long-established NPI (enumerated 2006-12-06, ~20 years ago), and the scale metrics (e.g., 716.7K claims for 00003 and 367.3K claims for T1015) point to substantial operational throughput consistent with multi-site or high-visit FQHC operations. That tenure plus the high claim volumes indicate an entrenched provider in the state Medicaid market whose financial performance is tightly linked to a small number of high-volume encounter codes.

Medicaid: Complete Services Breakdown

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

170 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00003	N/A	716,740	$260	$187.1M
T1015	Clinic visit/encounter, all-inclusive	367,340	$230	$83M
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…	147,520	$1	$147.5K
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…	6,140	$10	$85.9K
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…	10,430	$1	$31.3K
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,…	26,720	$1	$26.7K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	810	$30	$25.1K
99203	The provider sees a new 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 provider…	5,240	$1	$20.9K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1,070	$20	$18.1K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	4,350	$1	$13K

Showing 1–10 of 170

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Dap Health, Inc. — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

170 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	40	1,550	38,050	$190	$14.1M
00003	N/A	2	690	14,940	$260	$7.7M
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…	3,707	4,290	780	$140	$400.1K
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…	144	1,030	1,050	$70	$219.7K
90834	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…	922	1,950	500	$80	$179K
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…	1,248	13,300	640	$40	$169.6K
H0033	Oral medication administration, direct observation	119	130	340	$70	$159.7K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	479	1,040	660	$60	$147.7K
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…	2,912	4,230	210	$110	$135K
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…	151	14,520	760	$10	$122.8K

Showing 1–10 of 170

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dap Health, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$463.3M
Dap Health, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$70.4M
Dap Health, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$28.6M
Hubert Greenway	CA	MOHS-Micrographic Surgery Physician	$941.9K	$0
Joel Mccoy	CA	Family Nurse Practitioner	$163.7K	$0
David Morris	CA	Family Medicine Physician	$6.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Centers Of San Diego, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$97.1M
Centro De Salud De La Comunidad De San Ysidro, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$64.2M
Neighborhood Healthcare	CA	Federally Qualified Health Center (FQHC)	$0	$46.7M
Family Health Centers Of San Diego, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$26.4M
Inglewood Community Adhc	CA	Adult Day Care Clinic/Center	$0	$24.3M
Tailun Zhao	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$139.9K
San Diego Health Alliance	CA	Methadone Clinic	$232.7K	$1M
Dimitri Sherev	CA	Interventional Cardiology Physician	$1.1M	$4.3K
Rana Mansour	CA	Podiatrist	$663.5K	$5.5K
Fereshteh Jahanpanah	CA	Internal Medicine Physician	$475.2K	$0

Dap Health, 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