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.

Advocates For A Healthy Community, Inc. (NPI 1215233630)

Field	Value
Entity Type	Organization
Organization	Advocates For A Healthy Community, Inc.
Address	440 E Tampa St
City	Springfield
State	MO
ZIP	65806
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 2, 2011

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	13,440	$100	$1.3M
D0274	N/A	12,110	$50	$581K
D0230	Intraoral - periapical each additional radiographic image	31,360	$20	$533.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,990	$70	$489.4K
D0140	Limited oral evaluation – problem focused	7,450	$50	$380.1K
D0330	N/A	4,700	$80	$361.8K
D0220	Intraoral - periapical first radiographic image	17,050	$20	$358K
D4910	Periodontal maintenance procedures	1,900	$110	$209.4K
D2392	Post 2 surface resin‑based composite	1,070	$150	$163.2K
D0150	Comprehensive oral evaluation – new or established patient	3,180	$50	$162.3K

Showing 1–10 of 26

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

Advocates For A Healthy Community, Inc. — 9 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	27	50	170	$110	$62.1K
D2392	Post 2 surface resin‑based composite	43	360	230	$90	$45.4K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	13	10	120	$150	$42.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	340	140	$80	$42.5K
D1120	Prophylaxis–child	87	520	500	$30	$30K
D2391	Resin‑based composite – one surface, posterior	44	330	170	$80	$28.2K
D4910	Periodontal maintenance procedures	1	10	70	$110	$26.1K
D0120	Periodic oral evaluation - established patient	80	590	450	$30	$25.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	91	520	490	$20	$21.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1	520	220	$50	$20.8K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Advocates For A Healthy Community, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advocates For A Healthy Community Inc	MO	Federally Qualified Health Center (FQHC)	$0	$23.2M
Lester E Cox Medical Centers	MO	General Practice Physician	$0	$9.2M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$3.8M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$3.6M
Ronald Pritchard	OK	Diagnostic Radiology Physician	$166.5K	$5K
Patrick Cabrera	MO	Diagnostic Radiology Physician	$94.5K	$11.7K
David Owens	GA	Diagnostic Radiology Physician	$86.3K	$230
Jose Padilla	MO	Surgery Physician	$34.6K	$0
Angela Limpus	MO	Nurse Practitioner	$31.8K	$2K
Louis Delcampo	MO	Anesthesiology Physician	$7.5K	$0

Nearby Providers

Other providers in the same ZIP code as Advocates For A Healthy Community, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
K And C Stepping Stones, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$54M
K And C Stepping Stones, LLC	MO	Personal Care Attendant	$0	$6.9M
Ashley Popejoy	MO	Pediatric Dentistry	$0	$5.3M
Great Circle	MO	Psychiatric Residential Treatment Facility	$0	$3.8M
Sarah Young	MO	Medical Physician Assistant	$101.6K	$0
Kia Washington	MO	Women's Health Nurse Practitioner	$130	$42.9K

Advocates For A Healthy Community, Inc. — Billing Profile & Reimbursement Data

Sign up for Advocates For A Healthy Community, Inc. — Billing Profile & Reimbursement Data policy alerts

Advocates For A Healthy Community, Inc. — Billing Profile & Reimbursement Data

Sign up for Advocates For A Healthy Community, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References