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

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

David Raines Community Health Center, Inc (NPI 1215933254)

Field	Value
Entity Type	Organization
Organization	David Raines Community Health Center, Inc
Address	1625 David Raines Rd
City	Shreveport
State	LA
ZIP	71107
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 23, 2005

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

92 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	73,400	$120	$9M
D0999	N/A	24,930	$90	$2.2M
H2020	Therapeutic behavioral services, per diem	4,830	$90	$449.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8,900	$10	$71.2K
D0210	Intraoral - complete series of radiographic images	3,600	$10	$28.8K
D0150	Comprehensive oral evaluation – new or established patient	4,500	$10	$27K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,950	$10	$9.8K
D0140	Limited oral evaluation – problem focused	2,720	$1	$8.2K
D0220	Intraoral - periapical first radiographic image	3,730	$1	$3.7K
D0330	N/A	220	$10	$1.3K

Showing 1–10 of 92

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

David Raines Community Health Center, Inc — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

92 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	40	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	96	320	2,270	$90	$637.8K
D0999	N/A	9	170	1,120	$90	$447K
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…	237	2,890	980	$40	$246.8K
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…	155	3,230	1,120	$30	$204.3K
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…	265	360	780	$50	$141.5K
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…	195	420	740	$50	$137.3K
D2392	Post 2 surface resin‑based composite	390	400	470	$90	$135.5K
D1120	Prophylaxis–child	516	610	750	$30	$125.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	226	270	3,140	$10	$111K

Showing 1–10 of 92

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Raines Community Health Center, Inc	LA	Federally Qualified Health Center (FQHC)	$0	$10.5M
Lawrence Counts	LA	Nephrology Physician	$1K	$0

Nearby Providers

Other providers in the same ZIP code as David Raines Community Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brighter Future Counseling Services, LLC	LA	Community/Behavioral Health Agency	$0	$8M
Cbs Act Center LLC	LA	Community/Behavioral Health Agency	$0	$5.9M
Ema-chanel Johnson	LA	Family Nurse Practitioner	$224.9K	$0
Elvin Hardy	LA	Gastroenterology Physician	$102K	$0
Wal-mart Stores East , LP	LA	Pharmacy	$42.3K	$0

David Raines Community Health Center, Inc — Billing Profile & Reimbursement Data

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David Raines Community Health Center, 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