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

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

North Central Texas Community Health Care Center, Inc (NPI 1255324141)

North Central Texas Community Health Care Center, Inc is a federally qualified health center (fqhc) provider located in Wichita Falls, Texas. This profile covers 0 Medicare and 78 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	North Central Texas Community Health Care Center, Inc
Address	200 Mlk Jr Blvd
City	Wichita Falls
State	TX
ZIP	76301
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 25, 2005

Payer Source	Total Paid
Medicaid	$12.3M
Medicare	$0

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	56,620	$170	$9.7M
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…	24,240	$30	$775.6K
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,…	15,580	$40	$545.3K
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…	3,640	$50	$178.1K
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…	4,560	$30	$155K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	270	$580	$152.9K
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…	4,200	$30	$142.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,860	$70	$135.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,840	$60	$115.7K
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…	1,200	$60	$75.3K

Showing 1–10 of 78

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

North Central Texas Community Health Care Center, Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	43	770	2,990	$170	$2.6M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	97	270	130	$570	$318.8K
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…	311	6,040	710	$40	$232.8K
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…	641	1,500	880	$80	$185.8K
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…	745	1,360	800	$80	$185.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	55	220	130	$80	$180.8K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	86	160	80	$550	$173.7K
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…	821	5,810	540	$50	$155.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	419	1,540	650	$80	$150.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	290	1,540	360	$80	$110.6K

Showing 1–10 of 78

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Central Texas Community Health Care Center Inc.	TX	Federally Qualified Health Center (FQHC)	$0	$17.6M
North Central Texas Community Health Care Center Inc	TX	Federally Qualified Health Center (FQHC)	$0	$14M
Palashkumar Jaiswal	TX	Gastroenterology Physician	$174.3K	$0
Joshua Stagg	TX	Gastroenterology Physician	$128.3K	$0
Louis Wilson	TX	Gastroenterology Physician	$124.1K	$0
Lee Ackley	TX	Medical Physician Assistant	$37.3K	$0
Ellaheh Ebrahim	TX	Family Medicine Physician	$7.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Regional Health Care System Inc	TX	General Acute Care Hospital	$0	$21.1M
Danny Bartel	TX	Neurology Physician	$4.4M	$0
Praveen Reddy	TX	Hematology & Oncology Physician	$1.8M	$0
Shehzadi Nagra	TX	Infectious Disease Physician	$1.4M	$770
Texoma Outpatient Surgery Center, Inc.	TX	Ambulatory Surgical Clinic/Center	$1.1M	$650
Wichita Falls Endoscopy Center	TX	Ambulatory Surgical Clinic/Center	$788.2K	$58K
Ashvinkumar Patel	TX	Nephrology Physician	$792.6K	$0
Sanjoy Sundaresan	TX	Neurological Surgery Physician	$779.8K	$0
Venkat Thota	TX	Cardiovascular Disease Physician	$580K	$0
Jordan Terasaki	TX	Pulmonary Disease Physician	$526.6K	$0

North Central Texas Community Health Care Center, Inc — Billing Profile & Reimbursement Data

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North Central Texas Community Health Care 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

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