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

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

Community Health Net (NPI 1245209170)

Field	Value
Entity Type	Organization
Organization	Community Health Net
Address	1202 State St
City	Erie
State	PA
ZIP	16501
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	47,540	$150	$7.1M
0012A	N/A	470	$30	$15.6K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	890	$10	$10.7K
0011A	N/A	490	$20	$9.9K
S0621	Routine ophthalmological examination including refraction; established patient	80	$30	$2.4K
0064A	N/A	170	$10	$1.6K
3078F	No Summary found for this code	100	$10	$820
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…	30	$20	$580
3044F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	140	$1	$420
3074F	No Summary found for this code	140	$1	$410

Showing 1–10 of 58

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Community Health Net — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	70	1,690	760	$170	$1.2M
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…	337	820	230	$80	$71.7K
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…	131	8,160	210	$60	$68.4K
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…	465	660	180	$70	$63.7K
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…	213	8,870	240	$40	$56.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	144	870	160	$70	$48.2K
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…	322	1,210	100	$90	$45K
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…	704	860	240	$40	$37K
D2392	Post 2 surface resin‑based composite	946	960	190	$70	$35.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	110	730	90	$70	$31.5K

Showing 1–10 of 58

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Erie County Care Management	PA	Case Management Agency	$0	$43.5M
Associated Clinical Laboratories	PA	Clinical Medical Laboratory	$3.8M	$25.9M
New Directions Healthcare LLC	PA	Methadone Clinic	$83.3K	$14.2M
Erie County Care Management	PA	Case Management Agency	$0	$5.5M
Luis Aparicio	PA	Endocrinology, Diabetes & Metabolism Physician	$44.2K	$644.9K
Nicholas Sala	PA	Ophthalmology Physician	$17.5K	$549.2K
Michelle Mioduszewski	PA	Occupational Therapist	$102.1K	$0
Baron Denniston	PA	Psychiatry Physician	$25.6K	$0

Community Health Net — Billing Profile & Reimbursement Data

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Community Health Net — Billing Profile & Reimbursement Data

Sign up for Community Health Net — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References