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

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

Health Services Inc (NPI 1205844719)

Field	Value
Entity Type	Organization
Organization	Health Services Inc
Address	1845 Cherry St
City	Montgomery
State	AL
ZIP	36107
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicaid	$78.5M
Medicare	$0

Key Findings

HEALTH SERVICES INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $78.5M, so the organization’s reported activity is dominated by Medicaid rather than a mixed Medicare/Medicaid payer mix. This concentration means analysis of its financial and operational footprint should focus on Medicaid program rules and state-level reimbursement patterns.

Revenue is extremely concentrated in a handful of codes: the precomputed top 3 codes account for 99.0% of this provider’s total Medicaid revenue, with T1015 alone accounting for $73.2M (93.4% of Medicaid revenue). D9430 contributes $4.2M (5.4%) and 99213 contributes $183.8K (0.2%), indicating that a single bundled clinic-visit code drives nearly the entire revenue base.

The code mix and dollar amounts are consistent with an FQHC operating model: T1015 (Clinic visit/encounter, all-inclusive) shows 409.2K claims at $179 avg paid/claim, which aligns with a high-volume, bundled primary-care encounter payment structure typical of federally qualified health centers. This pattern suggests the organization delivers broad primary care and receives all-inclusive visit payments rather than relying on many discrete fee-for-service line items.

Evaluation-and-management activity is present in volume but not revenue: 99213 appears as 183.8K claims but only $1 avg paid/claim for $183.8K total revenue, which strongly suggests that E/M encounters are being captured under the T1015 all-inclusive payment for Medicaid rather than generating standalone E/M revenue. Analysts should treat 99213 volumes as operational activity signals (visit frequency) rather than as material fee-for-service revenue.

The second-largest code, D9430, is a material revenue contributor with 32.3K claims, $130 avg paid/claim, and $4.2M revenue; the file notes no description available for D9430, but its statewide rank (#2 of 25, 96th percentile; labeled an extreme outlier) indicates this provider offers a specialty or ancillary service line at volumes far above typical peers. This makes D9430 a distinct secondary business line worth investigating for service capacity and resource allocation.

Vaccine and preventive-services volumes are substantial and consistent with a strong pediatric/immunization program: multiple vaccine codes (for example 90670 15.7K claims, 90686 13.4K claims, 90723 14.3K claims, and many others) appear among the top 25 codes and consistently rank at or near the 100th percentile in-state (many labeled as extreme outliers). These high counts across a broad set of immunization codes point to a large-scale vaccination effort that complements the FQHC primary-care model and contributes operational scale even if each vaccine line yields relatively small dollars per claim.

State-level competitive standing is dominant for core FQHC services: T1015 ranks #1 of 243 providers in-state (100th percentile; extreme outlier), and many vaccine codes also rank at the 100th percentile, which together characterize HEALTH SERVICES INC as a major Medicaid provider in Alabama for clinic visits and immunizations rather than a modest or typical participant. Peers and network planners should treat this entity as a top-tier volume source for those service lines.

This provider has long tenure in the NPI file (NPI enumerated 2006-08-03, ~20 years), indicating an established presence in the state Medicaid market; combined with the revenue and volume patterns, the long enrollment supports interpretation that the high volumes and bundled-payment reliance are enduring operational characteristics rather than short-term anomalies.

Medicaid: Complete Services Breakdown

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

134 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	409,160	$180	$73.2M
D9430	N/A	32,310	$130	$4.2M
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…	183,810	$1	$183.8K
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…	15,680	$10	$109.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	13,410	$10	$107.3K
90723	The provider administers a combination inactivated vaccine intramuscularly to prevent multiple diseases, including diphtheria, tetanus, acellular pertussis, hepatitis B, and polio.	14,290	$10	$100K
90647	This code represents a Haemophilus influenzae type b (Hib) vaccine product administered into the muscle to protect against Hib disease. This formulation uses a PRP–OMP conjugate and follows a…	13,780	$10	$96.4K
90680	This code represents a live pentavalent rotavirus vaccine given by mouth in a three–dose schedule to protect against rotavirus infection.	10,630	$10	$74.4K
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	10,140	$10	$71K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	6,880	$10	$55.1K

Showing 1–10 of 134

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Health Services Inc — 23 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

134 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	240	6,820	$120	$2.9M
D9430	N/A	2	30	230	$130	$533.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	91	180	100	$120	$381.8K
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…	200	380	440	$90	$362K
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…	98	120	500	$50	$317.7K
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…	38	1,990	680	$60	$201.7K
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…	290	330	140	$240	$197.4K
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…	3	1,990	560	$40	$185.6K
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…	104	110	240	$60	$175.6K
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…	3	270	1,360	$60	$159.7K

Showing 1–10 of 134

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elmer Roque	AL	Pediatrics Physician	$0	$1.3M
Rodney Smith	AL	Nephrology Physician	$183.6K	$0
Tania Edwards	FL	Family Medicine Physician	$34.1K	$0
Chavona Moore	AL	Family Nurse Practitioner	$15.4K	$0
Chen-wen Heh	OR	Psychiatry Physician	$10.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Haynes Ambulance Of Alabama, Inc	AL	Land Ambulance	$1.2M	$6.6M
Lifestar Response Of Alabama, Inc.	AL	Land Ambulance	$0	$2.5M
Kendra Mills	AL	Optometrist	$143.9K	$0

Health Services Inc — Billing Profile & Reimbursement Data

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Health Services 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