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

Why is the Medicaid comparison limited to Florida 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. Florida (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 Center, Inc. (NPI 1275602476)

Community Health Center, Inc. is a federally qualified health center (fqhc) provider located in Winter Garden, Florida. This profile covers 0 Medicare and 125 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	Community Health Center, Inc.
Address	110 S Woodland St
City	Winter Garden
State	FL
ZIP	34787
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 6, 2006

Payer Source	Total Paid
Medicaid	$15.7M
Medicare	$0

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
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…	127,140	$30	$3.8M
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…	28,570	$80	$2.4M
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…	27,880	$80	$2.3M
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…	49,800	$40	$1.9M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	16,050	$80	$1.2M
H1000	Prenatal care, at-risk assessment	27,190	$40	$1.1M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	8,620	$80	$663.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	67,310	$10	$336.6K
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…	5,520	$60	$303.6K
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,…	9,380	$30	$262.5K

Showing 1–10 of 125

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Community Health Center, Inc. — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

125 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H1000	Prenatal care, at-risk assessment	20	610	1,580	$60	$329.2K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	40	120	80	$890	$277.5K
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…	3	1,130	780	$90	$210.4K
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…	4	1,050	640	$80	$183.6K
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…	10	5,930	460	$40	$169.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4	1,120	520	$80	$141.7K
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…	38	6,380	430	$50	$139.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	82	90	240	$70	$125.9K
99403	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	44	60	230	$30	$125.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	8	980	360	$80	$97.2K

Showing 1–10 of 125

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banji Awosika	FL	Specialist	$515K	$0
John Cappleman	FL	Geriatric Medicine (Internal Medicine) Physician	$404.9K	$0
Muhammad Malik	FL	Nephrology Physician	$397.9K	$0
Steven Vold	FL	Glaucoma Specialist (Ophthalmology) Physician	$287.4K	$0
Shiva Prasad Shashidharan	FL	Cardiovascular Disease Physician	$126.5K	$87K
Andrew Pepper	FL	Orthopaedic Surgery Physician	$181.2K	$0
Saul Estrada-vazquez	FL	Hospitalist Physician	$98.4K	$0
Pedro Garcia	FL	Internal Medicine Physician	$83.3K	$0
Ismael Acevedo	FL	Hospitalist Physician	$63.6K	$0
Basher Atiquzzaman	FL	Gastroenterology Physician	$56.2K	$0

Community Health Center, Inc. — Billing Profile & Reimbursement Data

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Community Health 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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Frequently Asked Questions

References