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

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

First Choice Health Centers, Inc. (NPI 1215923131)

Key Findings

Field	Value
Entity Type	Organization
Organization	First Choice Health Centers, Inc.
Address	110 Connecticut Boulevard
City	East Hartford
State	CT
ZIP	06108
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 26, 2005

Payer Source	Total Paid
Medicaid	$51.4M
Medicare	$0

FIRST CHOICE HEALTH CENTERS, INC. is effectively a Medicaid-focused provider: it reports $51.4M in lifetime Medicaid revenue and has no Medicare billing on file. This makes its financial footprint single-payer in practice and means Medicaid reimbursement patterns will drive most operational and contracting decisions.

Revenue is extremely concentrated in a single bundled clinic code: T1015 accounts for $49.4M and 96.0% of the provider’s total Medicaid revenue, and the precomputed top-three codes together account for 98.3% of Medicaid revenue. This concentration indicates the organization’s finances are highly dependent on per-encounter, all-inclusive FQHC-style clinic payments.

The top code mix (T1015, 99213, G2025) points to an FQHC operating model built around high-volume, bundled clinic encounters with supplemental telehealth and standard E/M visits. T1015’s dominance signals routine delivery of the FQHC “all-inclusive” bundle, while G2025 (telehealth distant site) and 99213 (established patient E/M) show the center also bills for virtual services and conventional outpatient visits.

Competitive standing for the primary revenue driver is solid but not dominant: T1015 ranks #11 of 73 providers in-state (86th percentile), indicating above-average volume for this FQHC visit code but not at the very top of state peers. By contrast, 99213 is an extreme outlier in volume (rank #15 of 1714, 99th percentile), meaning the provider’s use of that conventional E/M code is far higher than typical in-state.

Telehealth and remote-contact services are unusually prominent relative to many peers: G2025 ranks #6 of 27 (81st percentile) and codes without descriptions that map to remote/telephone contacts (99442, 99443) rank high — 99442 at #5 of 223 (98th percentile, notably above typical) and 99443 at #3 of 152 (99th percentile, extreme outlier). These ranks suggest an operational emphasis on virtual or remote access channels in addition to in-person FQHC visits.

Behavioral health and care-management services are present across the billing mix: psychotherapy codes 90832/90834/90837 and mental-health FQHC code G0470 appear in the top codes list, and G0511 (general care management) also posts material revenue. Collectively these codes indicate embedded behavioral health and chronic care management capabilities, even though they contribute modestly to total revenue compared with the T1015 bundle.

The per-claim payment profile is low-to-modest, requiring high throughput to generate the reported revenue: example averages include $126 avg paid/claim for T1015, $5 avg paid/claim for 99213, and $44 avg paid/claim for G2025. This payment pattern aligns with an FQHC reimbursement structure where bundled encounter payments and high visit volume, rather than high per-claim rates, drive total revenue.

The practice has a long-enough tenure to be considered established in the region: the NPI was enumerated on 2005-09-26 (~21 years ago). That longevity supports the observed high volume of routine visits and telehealth activity and suggests an entrenched patient panel and operational stability as an FQHC in East Hartford, CT.

Medicaid: Complete Services Breakdown

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

150 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	391,820	$130	$49.4M
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…	151,160	$10	$755.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	9,300	$40	$409.3K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	6,040	$60	$386.2K
99442	N/A	43,090	$1	$86.2K
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…	20,430	$1	$81.7K
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…	12,640	$1	$50.6K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	3,500	$10	$48.9K
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…	8,930	$10	$44.7K
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…	10,600	$1	$42.4K

Showing 1–10 of 150

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

First Choice Health Centers, Inc. — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

150 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	11	70	830	$150	$24M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	9	20	6,040	$40	$952.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	99	350	1,820	$40	$537.3K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	21	50	1,420	$20	$338.6K
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…	178	1,590	740	$50	$331.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	6	30	2,590	$60	$278.5K
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…	15	1,710	750	$30	$243.3K
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…	19	170	850	$80	$203.5K
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…	78	2,180	850	$90	$202.1K
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…	63	420	1,230	$20	$199.3K

Showing 1–10 of 150

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tina Gardner	CT	Family Medicine Physician	$95.9K	$0
Georgina Twumasi	CT	Psychiatric/Mental Health Nurse Practitioner	$13K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Prevention Home Care LLC	CT	Home Health Agency	$0	$19.5M
East Hartford Elder Care, LLC.	CT	Adult Day Care Clinic/Center	$0	$11.1M
Sovereign Home Healthcare LLC	CT	Preferred Provider Organization	$0	$3.8M
Connectident, LLC	CT	Pediatric Dentistry	$0	$3.7M
East Hartford Board Of Education	CT	Local Education Agency (LEA)	$0	$2.8M
Bio-medical Applications Of Connecticut, Inc.	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Tuyen Nguyen	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
East Hartford Orthodontics	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.5M
Town Of East Hartford	CT	Ambulance	$0	$1.4M
Community Matters, LLC	CT	Professional Counselor	$0	$1.2M

First Choice Health Centers, 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