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

Why is the Medicaid comparison limited to North 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. North 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.

Gaston Family Health Services, Inc. (NPI 1154662369)

Field	Value
Entity Type	Organization
Organization	Gaston Family Health Services, Inc.
Address	991 W Hudson Blvd
City	Gastonia
State	NC
ZIP	28052
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 13, 2013

Payer Source	Total Paid
Medicaid	$15.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	18,100	$100	$1.7M
D1120	Prophylaxis–child	66,500	$30	$1.7M
D0120	Periodic oral evaluation - established patient	66,170	$20	$1.6M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	96,210	$10	$1.3M
D1351	Sealant - per tooth	93,100	$10	$1.2M
D2391	Resin‑based composite – one surface, posterior	15,540	$70	$1.1M
D2930	N/A	7,580	$110	$818.2K
D0150	Comprehensive oral evaluation – new or established patient	22,510	$40	$810.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	23,320	$30	$792.8K
D0330	N/A	19,290	$40	$771.7K

Showing 1–10 of 41

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Gaston Family Health Services, Inc. — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	32	260	710	$140	$426.8K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1,770	2,850	10,910	$10	$330.3K
D2392	Post 2 surface resin‑based composite	9	940	660	$100	$205.2K
D9230	N/A	33	460	800	$40	$127.7K
D0120	Periodic oral evaluation - established patient	11	1,440	1,210	$30	$116.6K
D1120	Prophylaxis–child	6	1,140	780	$30	$116.3K
D2391	Resin‑based composite – one surface, posterior	8	790	410	$80	$114.6K
D1351	Sealant - per tooth	2	540	980	$30	$114.4K
D2393	Resin-based composite, three surfaces, posterior	245	530	200	$120	$91.8K
D3220	N/A	72	140	350	$70	$91.1K

Showing 1–10 of 41

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaston Family Health Services, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$9.3M
Wagner Santiago	NC	Primary Podiatric Medicine Podiatrist	$133.7K	$0
Colin Moffett	NC	Primary Podiatric Medicine Podiatrist	$66.5K	$0
Jermaine Joefield	NC	Family Medicine Physician	$25.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Support Incorporated	NC	Community/Behavioral Health Agency	$0	$37.8M
Steps For Success Family Services	NC	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$14.9M
Gaston County	NC	Land Ambulance	$2.4M	$10.4M
Billing Specialists Inc	NC	Durable Medical Equipment & Medical Supplies	$0	$11.8M
Gaston Skills, Inc	NC	Community/Behavioral Health Agency	$0	$7.4M
William Anthony	NC	Family Medicine Physician	$201.3K	$0

Gaston Family Health Services, Inc. — Billing Profile & Reimbursement Data

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Gaston Family Health Services, 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