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

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

Partnership Community Health Center, Inc (NPI 1225074008)

Field	Value
Entity Type	Organization
Organization	Partnership Community Health Center, Inc
Address	5337 W Grande Market Dr
City	Appleton
State	WI
ZIP	54913
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$41.6M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only billing organization: there is no Medicare billing on file for this provider and all recorded lifetime fee-for-service revenue is from Medicaid ($41.6M). The NPI was enumerated on 2006-06-21 (~20 years ago), indicating a long-tenured FQHC operation in APPLETON, WI.

Revenue is extremely concentrated in a single bundled FQHC visit code: T1015 accounts for $40.3M of the $41.6M total Medicaid revenue (96.9% of this provider's total Medicaid revenue), and the top 3 Medicaid codes together account for 98.2% of Medicaid revenue. This concentration means the practice’s financial performance is driven overwhelmingly by FQHC encounter payments rather than a broad mix of high-dollar procedures.

The code mix and taxonomy align with a visit-based Federally Qualified Health Center model: T1015 (clinic visit/encounter, all-inclusive) dominates revenue, and G0467 appears in the profile as an FQHC visit code as well. This pattern suggests core operations focus on bundled, per-encounter primary care services typical of FQHC reimbursement rather than procedure-driven ambulatory specialties.

PARTNERSHIP COMMUNITY HEALTH CENTER is a statewide outlier on its primary revenue driver: T1015 ranks #1 of 60 providers in-state (100th percentile; extreme outlier), indicating it is a dominant provider of the bundled FQHC visit in Wisconsin and far above typical state volume for this code. That single-code dominance positions the organization as a leading FQHC visit claimant within the state.

Common office E/M codes 99213 and 99214 appear at nontrivial volumes but contribute only small amounts of revenue ($297.9K and $262.6K respectively, 0.7% and 0.6% of Medicaid revenue). Both codes rank in high percentiles statewide (99213 at the 95th and 99214 at the 91st), which shows solid E/M throughput relative to many peers even though they are not the primary revenue drivers.

Dental service volumes are unusually large relative to peers across many codes (for example, D0210 21.4K claims, D7140 21.1K claims, D1206 48.3K claims, D1110 24K claims) and several dental codes rank at or near the top in-state (multiple codes at 99th–100th percentile; labeled extreme outlier or notably above typical). While these dental lines generate limited revenue relative to T1015 due to low per-claim payments, the claim volumes indicate substantial dental throughput and a meaningful operational dental footprint.

Behavioral health services are also present: psychotherapy codes 90832 (4.4K claims, ranks #12 of 262, 96th percentile) and 90834 (959 claims) plus group psychotherapy 90853 (2K claims) appear in the top code list. The mix and percentiles show behavioral health is an established service line with above-typical volume for some codes, supporting a multi-service FQHC model that includes mental health care.

From a risk and monitoring perspective, the provider’s heavy dependence on a single Medicaid bundled encounter code (T1015) makes its revenue profile sensitive to state FQHC reimbursement policy, edits to bundled encounter rules, or changes in Medicaid enrollment/contracting. For competitive or contracting teams, the combination of statewide dominance on T1015 and large dental and behavioral-health claim volumes suggests the provider is a major Medicaid access point in its market, but one whose financial stability is tightly linked to Medicaid FQHC payment policies.

Medicaid: Complete Services Breakdown

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	204,490	$200	$40.3M
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…	14,190	$20	$297.9K
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…	8,750	$30	$262.6K
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…	4,350	$20	$87K
D0210	Intraoral - complete series of radiographic images	21,370	$1	$64.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	21,080	$1	$63.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	48,300	$1	$48.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	24,010	$1	$48K
D2392	Post 2 surface resin‑based composite	23,390	$1	$46.8K
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…	1,940	$20	$44.6K

Showing 1–10 of 78

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Partnership Community Health Center, Inc — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	60	4,880	$230	$4.9M
D2930	N/A	29	80	410	$150	$427.7K
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…	142	1,630	270	$40	$205.3K
D7240	N/A	19	20	130	$220	$203.5K
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…	55	120	490	$100	$179.5K
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…	93	1,760	250	$40	$173.2K
D7230	N/A	15	30	110	$180	$163.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	186	350	300	$50	$157.9K
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…	737	900	410	$70	$130.4K
D2392	Post 2 surface resin‑based composite	3	270	510	$60	$123.3K

Showing 1–10 of 78

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Expressive Therapies LLC	WI	Clinical Social Worker	$0	$5.2M
Steven Klein	WI	Psychologist	$0	$1.8M
Brooke Penoske	WI	Health & Wellness Coach	$0	$1.3M
Peter John Jacques	WI	Physical Therapist	$0	$1.3M
Carrie Chapman	WI	Cardiovascular Disease Physician	$432.8K	$0
Patrick Mannebach	WI	Cardiovascular Disease Physician	$373.8K	$0
Noah Smith	WI	Dermatology Physician	$364K	$0
Simon Roselaar	WI	Cardiovascular Disease Physician	$328.7K	$0
Woodland Surgery Center LLC	WI	Ambulatory Surgical Clinic/Center	$160.3K	$0
Peter Katz	WI	Dermatology Physician	$147.3K	$0

Partnership Community Health Center, Inc — Billing Profile & Reimbursement Data

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Partnership Community Health Center, 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

Nearby Providers

Frequently Asked Questions

References