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

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

South Central Missouri Community Health Center (NPI 1164669172)

Field	Value
Entity Type	Organization
Organization	South Central Missouri Community Health Center
Address	1081 E 18th St
City	Rolla
State	MO
ZIP	65401
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 13, 2009

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 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…	21,620	$80	$1.8M
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…	11,180	$120	$1.3M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	3,680	$190	$714.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,690	$150	$258.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,720	$90	$157.9K
D0274	N/A	2,180	$70	$141.8K
D0140	Limited oral evaluation – problem focused	1,840	$70	$136.1K
D0330	N/A	950	$110	$99.8K
D0220	Intraoral - periapical first radiographic image	3,160	$30	$88.3K
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…	1,270	$70	$85K

Showing 1–10 of 44

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

South Central Missouri Community Health Center — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	96	3,170	230	$70	$128.1K
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…	72	4,310	300	$60	$110.8K
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…	177	440	250	$70	$71.8K
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…	639	680	280	$90	$65.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	2	50	170	$110	$62.1K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	31	260	180	$60	$61.6K
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…	423	640	210	$90	$59.5K
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…	204	1,060	250	$40	$57.7K
D2392	Post 2 surface resin‑based composite	292	360	230	$90	$45.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	19	340	140	$80	$42.5K

Showing 1–10 of 44

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Central Missouri Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids First Dental, LLC	SC	Dentist	$0	$20.6M
Robert Blair	HI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Arthur Kalfus	HI	General Practice Dentistry	$0	$631.1K
Elaine Briggs	MO	Family Nurse Practitioner	$183.1K	$21.6K
Matthew Porter	MO	Family Medicine Physician	$320	$67.1K

Nearby Providers

Other providers in the same ZIP code as South Central Missouri Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$46.9M
Choices For People Center For Citizens With Disabilities Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$44.2M
Tnmo Healthcare, LLC	MO	Home Health Agency	$0	$38.7M
Mi Serenity	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$38.7M
Phelps County Regional Medical Center	MO	General Acute Care Hospital	$0	$38.3M
Future Care, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.2M
Addus Health Care Inc	MO	In Home Supportive Care Agency	$0	$15.8M
Tri-county Center For Independent Living	MO	Voluntary or Charitable Agency	$0	$13.2M
Pcrmc Medical Group, Inc	MO	Clinic/Center	$0	$11.4M
Tnmo Healthcare, LLC	MO	In Home Supportive Care Agency	$0	$10.8M

South Central Missouri Community Health Center — Billing Profile & Reimbursement Data

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South Central Missouri Community Health Center — 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