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

Why is the Medicaid comparison limited to Iowa 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. Iowa (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 Centers Of Southeastern Iowa Inc (NPI 1255339750)

Field	Value
Entity Type	Organization
Organization	Community Health Centers Of Southeastern Iowa Inc
Address	1706 West Agency Road
City	West Burlington
State	IA
ZIP	52655
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 8, 2005

Payer Source	Total Paid
Medicaid	$35.3M
Medicare	$0

Key Findings

COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC is effectively a Medicaid-focused FQHC: there is no Medicare billing on file while total Medicaid revenue is $35.3M, indicating the organization’s reimbursement footprint is concentrated almost entirely in the Medicaid program rather than split across both payers. This makes the center functionally single-payer in the available data and suggests Medicaid policy and rates will drive its financial performance.

Revenue concentration is extremely high: the top three Medicaid codes (T1015, D9999, D0999) together account for 98.5% of the provider’s total Medicaid revenue. This indicates a narrow set of services — dominated by the all-inclusive clinic visit code T1015 — generate nearly all billed Medicaid dollars for the organization.

T1015 is the primary revenue driver: T1015 accounted for $26.5M or 75.0% of the provider’s Medicaid revenue with 126.1K claims and an average paid/claim of $210. The code’s presence at very high volume (ranks #5 of 327 in-state and labeled notably above typical state volume) supports that this entity operates as a high-volume primary care clinic delivering bundled, all-inclusive FQHC clinic encounters.

D9999 and D0999 together represent the remaining bulk of Medicaid revenue: D9999 contributed $5.1M (14.3% of Medicaid revenue) and D0999 contributed $3.3M (9.2% of Medicaid revenue). Both codes rank in the upper deciles of in-state providers for those code families (D9999 rank #5 of 41, D0999 rank #6 of 31) and are described as typical or unremarkable volumes for those specific code populations, suggesting complementary services or ancillary procedures supporting the clinic’s visit volume.

Competitive standing for key codes is strong within Iowa: the provider ranks in the 99th percentile for T1015 and similarly high percentiles on several visit and preventive codes (for example 99213 at the 99th percentile and 99214 at the 98th percentile), indicating it is a major state-level provider for routine and established outpatient visit activity. These rankings indicate market-scale primary care capacity among Iowa FQHCs rather than marginal participation.

The provider demonstrates targeted use of chronic care, behavioral health, and medical-home services: it reports notable relative volume for G0511 (rank #1 of 7, 100th percentile) and has measurable claims for behavioral health/psychotherapy codes (90837, 90834, 90791/90792), as well as chronic care management codes (99490). This mix suggests integrated primary care with behavioral health and care management roles typical of FQHC operations.

Operational tenure is long-standing: the NPI was enumerated on 2005-07-08 (~21 years ago), indicating an established presence in the market and institutional experience that aligns with its high outpatient visit volumes. That longevity supports the interpretation that current billing patterns reflect sustained service lines rather than a short-term anomaly.

Within service detail there are some specialized modalities at modest scale: a small number of telehealth rural-site FQHC claims (G2025) and vaccine administration (90471) are present but account for negligible revenue share, showing limited but existent use of these service channels. These are typical, unremarkable volumes in-state and unlikely to materially change the revenue concentration profile without strategic expansion.

Medicaid: Complete Services Breakdown

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

157 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	126,100	$210	$26.5M
D9999	N/A	37,460	$140	$5.1M
D0999	N/A	15,340	$210	$3.3M
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…	4,130	$60	$252.2K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	5,300	$20	$95.3K
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…	61,210	$1	$61.2K
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…	27,730	$1	$27.7K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	180	$110	$19.6K
D1999	N/A	50	$180	$9.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	7,450	$1	$7.5K

Showing 1–10 of 157

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Community Health Centers Of Southeastern Iowa Inc — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

157 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	43	60	16,120	$150	$3.8M
T1015	Clinic visit/encounter, all-inclusive	5	330	3,960	$170	$2.8M
D9999	N/A	5	40	6,850	$180	$2.7M
D0999	N/A	6	30	6,470	$210	$1.8M
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	62	70	3,810	$130	$1.1M
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…	233	680	670	$70	$343.5K
D2930	N/A	33	80	850	$110	$217.2K
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…	25	1,060	480	$40	$154.5K
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…	17	1,310	760	$20	$153.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	20	140	210	$120	$152.1K

Showing 1–10 of 157

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Health Centers Of Southeastern Iowa Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers Of Southeastern Iowa, Inc	IA	Federally Qualified Health Center (FQHC)	$0	$8.7M
Community Health Center Of Seia, Inc	IA	Dentist	$0	$3.7M
Community Health Centers Of Southeastern Iowa, Inc	IA	Federally Qualified Health Center (FQHC)	$0	$1.8M
Community Health Centers Of Southeastern Iowa, Inc	IA	Federally Qualified Health Center (FQHC)	$0	$1.4M
Jamie Liu	HI	Dentist	$0	$559K
Lisa Prewitt	IA	Women's Health Nurse Practitioner	$28.9K	$89.7K
Mary Welborn	IA	Family Nurse Practitioner	$19.5K	$0

Nearby Providers

Other providers in the same ZIP code as Community Health Centers Of Southeastern Iowa Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeast Iowa Regional Medical Center, Inc.	IA	General Acute Care Hospital	$0	$21.2M
Southeast Iowa Regional Medical Center, Inc.	IA	General Practice Physician	$0	$12.3M
Burlington Pediatric Association, P.C.	IA	Pediatrics Physician	$0	$1.8M
Burlington Neurology And Sleep Clinic, Plc	IA	Neurology Physician	$0	$1.2M
Burlington Ear Nose & Throat Clinic PC	IA	Otolaryngology Physician	$0	$907.7K
Aneesh Neekhra	IA	Neurology Physician	$210.9K	$234.4K
Douglas Henrich	IA	Otolaryngology Physician	$198.1K	$101.9K
Michael Abouassaly	IA	Family Medicine Physician	$275K	$0
Eric O'brien	IA	Optometrist	$45.6K	$204.5K
Louis Kantzavelos	IA	Urology Physician	$213.8K	$0

Community Health Centers Of Southeastern Iowa Inc — Billing Profile & Reimbursement Data

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Community Health Centers Of Southeastern Iowa 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