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

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

Family Healthcare Network (NPI 1225546575)

Key Findings

Field	Value
Entity Type	Organization
Organization	Family Healthcare Network
Address	5166 E Olive Ave
City	Fresno
State	CA
ZIP	93727
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 19, 2018

Payer Source	Total Paid
Medicaid	$218.5M
Medicare	$0

FAMILY HEALTHCARE NETWORK is effectively single-payer in this dataset: there is no Medicare billing on file while reported Medicaid lifetime revenue is $218.5M, indicating its operational footprint in these claims is overwhelmingly Medicaid-focused rather than split between Medicare and Medicaid. The absence of Medicare billing suggests the organization primarily serves populations covered by Medicaid or operates under FQHC arrangements that route revenue through Medicaid in this market context.

Revenue concentration is extremely high on a single code: T1015 accounts for $196.7M or 90.0% of the provider’s total Medicaid revenue, and the precomputation states the top three Medicaid codes together represent 99.3% of Medicaid revenue. This indicates the provider’s Medicaid revenue is highly dependent on bundled clinic encounter payments rather than a diversified mix of discrete procedure or E/M fees.

The code mix and dollar dominance of T1015 alongside significant volumes of G0467 and G0466 (FQHC-specific visit codes) reflect an operational model centered on Federally Qualified Health Center per-diem or all-inclusive clinic encounters. High volumes of encounter-style codes and comparatively low per-claim payments for discrete E/M codes (for example, many 992-series claims with very low average paid/claim) suggest bundled, clinic-level billing is the core service line instead of fee-for-service specialty procedures.

Competitive standing in the state for key FQHC and clinic-encounter codes is dominant: T1015 ranks #4 of 1550 providers in-state and is described as an extreme outlier at the 100th percentile, and G0467 ranks #17 of 1029 providers in-state (98th percentile, extreme outlier). Those rankings indicate FAMILY HEALTHCARE NETWORK is one of the largest Medicaid billers for clinic-visit bundle codes in California, operating at a scale well above typical state peers.

While T1015 dominates revenue, the provider also shows extreme-volume patterns on multiple E/M codes by claim count (for example, 99213 with 474.6K claims and ranking #11 of 14524 providers in-state at the 100th percentile, and 99202/99203/99214 each noted as extreme outliers in their state rank percentiles). This combination suggests high patient throughput for routine ambulatory visits conducted within the FQHC setting; however, these E/M codes contribute a small portion of total dollars relative to the T1015 bundle.

Tenure is established: the NPI was enumerated on 2018-01-19 (~8 years ago), indicating several years of billed activity under this NPI and sufficient time to scale an FQHC-style clinic operation reflected in the large Medicaid encounter volumes. That multi-year presence aligns with the provider’s elevated state rankings for core FQHC codes.

Beyond the top-billed encounter code, other service areas (behavioral health evaluations 90791, psychotherapy 90832/90834, ophthalmology 92014, manipulative therapy 98940) appear as smaller, ancillary components of the practice based on their relatively low revenue contribution. These codes rank variably in-state (from modest to typical percentiles), implying the organization offers a broad primary care and some specialty/behavioral services but does not rely on them for material revenue.

From a payer-strategy viewpoint, the organization’s Medicaid dependence and concentration in encounter-style reimbursement make it sensitive to Medicaid rate changes or policy shifts affecting FQHC bundled payments. Analysts evaluating contracting, network adequacy, or financial risk should consider that changes to T1015 or FQHC encounter reimbursements would disproportionately impact this provider’s revenue base.

Medicaid: Complete Services Breakdown

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

141 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	653,400	$300	$196.7M
00003	N/A	53,590	$360	$19.5M
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…	25,790	$40	$928.4K
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…	474,630	$1	$474.6K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	1,060	$300	$314.6K
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…	87,210	$1	$261.6K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	5,570	$20	$133.8K
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	1,650	$50	$82.4K
99203	The provider sees a new 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 provider…	24,690	$1	$49.4K
99204	The provider sees a new 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 provider…	2,230	$20	$35.7K

Showing 1–10 of 141

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Family Healthcare Network — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

141 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	4	1,550	38,050	$190	$14.1M
00003	N/A	99	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	428	720	1,110	$110	$651.3K
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…	17	1,030	1,050	$70	$219.7K
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…	1,549	1,950	500	$80	$179K
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…	81	13,300	640	$40	$169.6K
J3490	Unclassified drugs	594	1,390	670	$20	$159.5K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	489	1,040	660	$60	$147.7K
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…	1,032	4,230	210	$110	$135K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	56	500	530	$20	$128.1K

Showing 1–10 of 141

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oscar Castillo	CA	Psychiatric/Mental Health Nurse Practitioner	$798.5K	$0
Matthew Muenster	CA	Dermatopathology (Pathology) Physician	$453.7K	$0

Family Healthcare Network — Billing Profile & Reimbursement Data

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Family Healthcare Network — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$93.6M
Adventist Health Clearlake Hospital Inc.	CA	Rural Health Clinic/Center	$0	$78.8M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$76.3M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$57.7M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$53.4M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$48.7M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$34.9M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$31.4M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$31M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$25.2M