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

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

Charles Drew Health Center, Inc (NPI 1255302170)

Key Findings

Field	Value
Entity Type	Organization
Organization	Charles Drew Health Center, Inc
Address	2915 Grant Street
City	Omaha
State	NE
ZIP	68111
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 30, 2006

Payer Source	Total Paid
Medicaid	$14.2M
Medicare	$0

CHARLES DREW HEALTH CENTER, INC is effectively a Medicaid-focused FQHC: the profile shows no Medicare billing on file and $14.2M in total Medicaid revenue, indicating the organization’s commercial scale is concentrated entirely in Medicaid rather than split across both federal payers. Its taxonomy as a Federally Qualified Health Center aligns with the observed code mix driven by primary care and bundled clinic visit billing.

Revenue is highly concentrated in a small set of outpatient visit codes: the precomputed top 3 Medicaid codes by revenue account for 79.1% of this provider's total Medicaid revenue. Those three are T1015 ($4.5M, 33.3%), 99214 ($3.1M, 23.1%), and 99213 ($3.1M, 22.7%), showing that a large majority of dollars come from routine clinic/E/M and all-inclusive visit billing.

The code mix suggests core operations are primary-care oriented and clinic-based: heavy volume in T1015 (31.3K claims, $143 avg paid/claim) and E/M 99214 (16.9K claims, $184 avg) and 99213 (16.5K claims, $185 avg) is consistent with an FQHC delivering high-throughput, longitudinal primary care and bundled clinic services rather than specialty procedural care. The presence of G0467 at lower revenue share (1.9K claims, $31 avg) further supports an FQHC model where per-visit bundled payments coexist with standard E/M reporting.

Competitive standing for the top revenue drivers is strong in absolute percentile terms but described as typical by the dataset: T1015 ranks #5 of 44 providers in-state (91th percentile; typical, unremarkable volume for this code), 99214 ranks #21 of 596 (97th percentile; typical, unremarkable volume), and 99213 ranks #30 of 696 (96th percentile; typical, unremarkable volume). In plain terms, the center is a high-volume Medicaid participant statewide for standard clinic visits but is characterized in the source data as a typical volume performer for those specific codes rather than an extreme outlier.

Secondary service lines visible in the Medicaid mix include dental and behavioral health: dental prevention and treatment codes such as D1206 (13.2K claims, $145.7K), D1120 (6.9K claims, $103K), D7140 (3.9K claims, $96.5K), D0150 and D0210 both rank notably above typical state volume, and vaccine administration is also present via 90686 (7.6K claims, $91.6K). These entries indicate a meaningful pediatric/preventive dental footprint alongside routine immunization and basic dental services delivered through the FQHC.

Behavioral health services are a confirmed adjunct to the clinic footprint: psychotherapy codes 90837 (2.7K claims, $320.2K, 2.4% of Medicaid revenue) and 90832 (2.2K claims, $254.6K, 1.9%) appear in the top codes, and H0046 (1.5K claims, $63K) ranks #2 of 25 providers in-state (96th percentile; typical, unremarkable volume for this code). This spread of mental-health CPT/HCPCS indicates integrated behavioral health capacity and nontrivial revenue from counseling/therapy services within the FQHC model.

Operationally, claim volumes point to high patient throughput: the center reports 31.3K T1015 claims, 16.9K 99214 claims, and 16.5K 99213 claims, suggesting many recurring encounters consistent with longitudinal primary care for Medicaid populations. Average paid-per-claim levels for the top visit codes ($143 for T1015, $184 for 99214, $185 for 99213) further illustrate that revenue is accumulating via high-volume, modestly reimbursed encounters rather than a small number of high-dollar procedures.

The provider has long-standing enrollment: NPI enumerated 2006-01-30 (~20 years ago), which supports interpretation of these patterns as the result of an established clinic operating under the FQHC model with sustained Medicaid orientation rather than a recent entrant or short-lived program.

Medicaid: Complete Services Breakdown

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

125 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	31,320	$140	$4.5M
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…	16,890	$180	$3.1M
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…	16,500	$190	$3.1M
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…	2,740	$120	$320.2K
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…	2,210	$120	$254.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,190	$190	$223.2K
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…	1,230	$180	$222.1K
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…	1,610	$120	$196.7K
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…	1,020	$190	$193.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	13,240	$10	$145.7K

Showing 1–10 of 125

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Charles Drew Health Center, Inc — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

125 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	5	40	1,930	$230	$2.3M
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…	30	700	660	$70	$305.1K
D2930	N/A	17	50	540	$120	$269K
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…	21	600	610	$70	$251.4K
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…	23	70	360	$80	$234.7K
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…	17	70	230	$90	$222.7K
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…	230	510	450	$100	$168.1K
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…	49	510	440	$140	$155.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	21	70	100	$100	$100.9K
D1351	Sealant - per tooth	20	130	460	$30	$84.7K

Showing 1–10 of 125

Charles Drew Health Center, Inc — Billing Profile & Reimbursement Data

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Charles Drew 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

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Drew Health Center Inc	NE	Federally Qualified Health Center (FQHC)	$0	$2.7M
Charles Drew Health Center, Inc	NE	Federally Qualified Health Center (FQHC)	$0	$437.8K
Charles Drew Health Center, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$245.7K
Robert Quaintance	NE	Dentist	$0	$228.1K
Matilda Beaudette	NE	Family Nurse Practitioner	$16.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diane Ochuba	NE	General Practice Dentistry	$0	$374.1K
Charles Drew Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$216.5K
Leontyne Evans	NE	Mental Health Counselor	$0	$214.6K
Amanda Ball	NE	Family Nurse Practitioner	$71.5K	$0
Holly Doerneman	NE	Medical Physician Assistant	$13.5K	$0