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.

Winn Community Health Center, Inc. (NPI 1275769119)

Field	Value
Entity Type	Organization
Organization	Winn Community Health Center, Inc.
Address	407 W Court St
City	Winnfield
State	LA
ZIP	71483
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 5, 2009

Payer Source	Total Paid
Medicaid	$28.6M
Medicare	$0

Key Findings

WINN COMMUNITY HEALTH CENTER, INC. is effectively a single-payer Medicaid provider in the available data: Medicare revenue is listed as none (no Medicare billing on file) while total Medicaid revenue is $28.6M. This payer mix indicates the organization operates primarily in the Medicaid safety-net space rather than serving a meaningful Medicare population.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 99.8% of this provider's total Medicaid revenue, with T1015 alone producing $25.6M (89.4% of Medicaid revenue). That level of concentration around a single bundled clinic/encounter code suggests the bulk of Medicaid payments flow through encounter-based FQHC reimbursement rather than diversified fee-for-service procedures.

The code mix points to an FQHC operating model focused on comprehensive clinic encounters and behavioral health. T1015 (Clinic visit/encounter, all-inclusive) is the dominant revenue driver (202.9K claims, $126 avg paid/claim, ranks #4 of 806 in-state and is described as an extreme outlier at the 100th percentile), while H2020 (Therapeutic behavioral services, per diem) contributes $2.9M (10.2%) and ranks #16 of 319 (95th percentile), indicating a substantial behavioral health service line alongside primary care.

Competitive standing within Louisiana is strong on core visit volume: T1015 ranks #4 of 806 providers statewide (100th percentile; extreme outlier), signaling that WINN is a major state-level provider of FQHC-style clinic encounters. H2020 is also well above typical state volume (#16 of 319, 95th percentile; notably above typical), which supports a reputation as a significant regional provider of therapeutic behavioral services.

Operational and reimbursement implications follow from the T1015 dominance: as an FQHC, the center captures most of its Medicaid revenue through an all-inclusive clinic encounter code, making overall revenue sensitive to changes in FQHC encounter rates, visit mix, and state Medicaid payment policy for bundled clinic payments. This concentration suggests limited revenue diversification into high-revenue procedures and a business model centered on high-volume, lower-margin encounters.

There are many high-volume claim lines that report $0 average paid/claim, which merits attention from analysts reconciling service activity with revenue. Examples include 99213 (138.6K claims, $0 avg paid/claim), 96160 (103.6K claims, $0 avg paid/claim), 3074F (55.3K claims, $0 avg paid/claim), 3079F (29.2K claims, $0 avg paid/claim), 87811 (25.7K claims, $0 avg paid/claim), and 81003 (19.9K claims, $0 avg paid/claim); these volumes indicate extensive use of reporting, screening, or lab-related codes that do not independently drive Medicaid dollars in the file.

While smaller in dollar impact, the provider also reports significant utilization of off-hours visit codes and minor services: 99051 generated 11.6K claims and $81.5K in revenue (0.3% of Medicaid revenue) and ranks #16 of 269 in-state (94th percentile), a typical but notable volume that underscores evening/weekend availability. These patterns, combined with the T1015/H2020 mix, portray a community health center offering broad access including extended hours and behavioral health supports.

The provider is long-established on federal enrollment rolls, with NPI enumerated on 2009-06-05 (~17 years ago), which supports interpretation of these patterns as stable operational behavior rather than a short-lived reporting artifact. Given the concentrated Medicaid revenue base ($28.6M) and no Medicare billing on file, payers and partners should treat WINN as a Medicaid-centric FQHC with pronounced exposure to clinic encounter payment policy and behavioral health service demand.

Medicaid: Complete Services Breakdown

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

158 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	202,920	$130	$25.6M
H2020	Therapeutic behavioral services, per diem	35,040	$80	$2.9M
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	11,640	$10	$81.5K
D0999	N/A	1,830	$20	$38.5K
0002A	N/A	450	$10	$2.3K
0001A	N/A	500	$1	$2K
0011A	N/A	1,080	$1	$1.1K
0012A	N/A	930	$1	$930
0064A	N/A	290	$1	$880
0031A	N/A	210	$1	$210

Showing 1–10 of 158

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

Winn Community Health Center, Inc. — 5 of 12 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

158 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	4	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	16	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…	94	100	620	$40	$560K
D0999	N/A	68	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…	103	2,890	980	$40	$246.8K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	29	60	250	$80	$220.7K
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…	23	3,230	1,120	$30	$204.3K
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…	171	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…	149	420	740	$50	$137.3K
D0120	Periodic oral evaluation - established patient	600	730	990	$30	$104.7K

Showing 1–10 of 158

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winn Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$7.3M
Winn Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$4.8M
David Dies	LA	Transplant Hepatology Physician	$633.7K	$0
George Waterfallen	LA	General Practice Physician	$259.3K	$0
David Philips	LA	Gastroenterology Physician	$241.6K	$0
Thomas Greer	LA	Family Nurse Practitioner	$181.1K	$0
Douglas Rimmer	LA	Gastroenterology Physician	$153.3K	$0
Arthur Poch	LA	Gastroenterology Physician	$127.3K	$0
James Hobley	LA	Gastroenterology Physician	$119.3K	$0
Gentry Haughton	LA	Foot & Ankle Surgery Podiatrist	$55.3K	$37.8K

Nearby Providers

Other providers in the same ZIP code as Winn Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Specialists 2 LLC	LA	Clinical Child & Adolescent Psychologist	$0	$8.4M
Future Expectation Community Care Services	LA	Community/Behavioral Health Agency	$0	$7.4M
Julio Iglesias	LA	General Practice Physician	$144K	$41.6K
Mark Shelton	LA	Internal Medicine Physician	$80.3K	$13.6K

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

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Winn Community Health Center, 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