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

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

Capitol City Family Health Center Incorporated (NPI 1265548614)

Field	Value
Entity Type	Organization
Organization	Capitol City Family Health Center Incorporated
Address	3140 Florida Street
City	Baton Rouge
State	LA
ZIP	70806
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicaid	$21.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	130,550	$120	$15.7M
H2020	Therapeutic behavioral services, per diem	36,190	$100	$3.7M
D0999	N/A	26,170	$80	$2.1M
D0330	N/A	10,070	$1	$40.3K
D0150	Comprehensive oral evaluation – new or established patient	6,920	$1	$20.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,450	$1	$17.8K
D0140	Limited oral evaluation – problem focused	2,460	$1	$7.4K
D0274	N/A	5,680	$1	$5.7K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	660	$10	$3.9K
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…	3,500	$1	$3.5K

Showing 1–10 of 124

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Capitol City Family Health Center Incorporated — 8 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	10	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	14	320	2,270	$90	$637.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	84	100	620	$40	$560K
D0999	N/A	8	170	1,120	$90	$447K
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…	95	2,890	980	$40	$246.8K
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…	86	3,230	1,120	$30	$204.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	131	170	1,360	$30	$190K
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…	222	360	780	$50	$141.5K
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…	189	420	740	$50	$137.3K
D2392	Post 2 surface resin‑based composite	264	400	470	$90	$135.5K

Showing 1–10 of 124

Related Providers

Other providers that share a Tax Identification Number (TIN) with Capitol City Family Health Center Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jack Saux	LA	Hematology & Oncology Physician	$2.8M	$0
Manish Dhawan	LA	Hematology & Oncology Physician	$870.9K	$24.3K
David Dies	LA	Transplant Hepatology Physician	$633.7K	$0
Genevieve Maronge	LA	Internal Medicine Physician	$590.6K	$0
James Carinder	LA	Hematology & Oncology Physician	$355K	$0
Humberto Aguilar	LA	Gastroenterology Physician	$293.5K	$0
Faizan Malik	LA	Hematology & Oncology Physician	$286.3K	$0
Kyla Lokitz	LA	Rheumatology Physician	$243.1K	$700
David Philips	LA	Gastroenterology Physician	$241.6K	$0
Justin Creel	LA	Dermatology Physician	$230.4K	$0

Nearby Providers

Other providers in the same ZIP code as Capitol City Family Health Center Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Services Of Louisiana, L.L.C.	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$41.1M
Merakey Pennsylvania	LA	Community/Behavioral Health Agency	$0	$23.8M
P & L Medical Service	LA	Home Health Agency	$0	$16.5M
Independent Living Inc	LA	Home Health Agency	$0	$15.3M
Association For Retarded Citizens Baton Rouge	LA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$14.5M
Louisiana Health & Rehabilitation Coptions	LA	Intellectual & Developmental Disabilities Psychologist	$0	$13.6M
Hiv-aids Alliance For Region Two	LA	Federally Qualified Health Center (FQHC)	$0	$12.7M
One Life Health Care, LLC	LA	Community Based Hospice Care Agency	$0	$12.1M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$11.4M
4ever Caring,llc	LA	In Home Supportive Care Agency	$0	$11.4M

Capitol City Family Health Center Incorporated — Billing Profile & Reimbursement Data

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Capitol City Family Health Center Incorporated — 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