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.

Keystone Rural Health Center (NPI 1255793105)

Field	Value
Entity Type	Organization
Organization	Keystone Rural Health Center
Address	111 Chambers Hill Dr Ste 101
City	Chambersburg
State	PA
ZIP	17201
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 22, 2016

Payer Source	Total Paid
Medicaid	$20.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	83,130	$250	$20.9M
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	2,280	$1	$2.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	34,460	$0	$0
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	2,190	$0	$0
92555	The provider measures a patient’s speech reception/awareness threshold (the lowest volume at which the patient can recognize speech).	1,250	$0	$0
92556	The provider measures a patient’s ability to recognize familiar words and repeat them to diagnose hearing disorders.	410	$0	$0
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	550	$0	$0
92558	In this procedure, the provider passes low intensity sounds through the ear and measures the reflected sound to analyze hearing deficiencies in newborn babies and small children who are not able to…	80	$0	$0
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	3,400	$0	$0
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	380	$0	$0

Showing 1–10 of 13

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

Keystone Rural Health Center — 1 of 2 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	30	1,690	760	$170	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	6	410	1,130	$60	$455.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	8	710	320	$40	$241.4K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	3	40	170	$50	$31.9K
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	5	10	180	$50	$23.2K
92555	The provider measures a patient’s speech reception/awareness threshold (the lowest volume at which the patient can recognize speech).	4	20	120	$10	$14.4K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	11	160	110	$20	$14.3K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	28	140	80	$30	$13.3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	9	30	140	$10	$10.4K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	12	190	100	$10	$7.1K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Keystone Rural Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$35.7M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$22.8M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$14.3M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$14.1M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$13.7M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$9M
Ekezie Francis	PA	Infectious Disease Physician	$84.6K	$3.3K

Nearby Providers

Other providers in the same ZIP code as Keystone Rural Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andventure, LLC	PA	Home Health Agency	$0	$31.5M
The Chambersburg Hospital	PA	General Acute Care Hospital	$0	$10.3M
Ludwick Laser & Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$1.4M	$520
Borough Of Chambersburg	PA	Basic Emergency Medical Technician	$432.4K	$746.7K
Kevin Clawson	PA	Rheumatology Physician	$1.1M	$0
Kevin Lorentsen	PA	Hematology & Oncology Physician	$959.5K	$0
Scott Massey	PA	Hospitalist Physician	$868.8K	$290
Kibem Kim	PA	Radiation Oncology Physician	$845.4K	$0
Wellspan Chambersburg Endoscopy Center LLC	PA	Endoscopy Clinic/Center	$706.2K	$0
Summit Surgery Center, L.P.	PA	Ambulatory Surgical Clinic/Center	$457.6K	$158.5K

Keystone Rural Health Center — Billing Profile & Reimbursement Data

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Keystone Rural Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References