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

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

Dap Health, Inc. (NPI 1275849283)

Field	Value
Entity Type	Organization
Organization	Dap Health, Inc.
Address	66675 Pierson Blvd
City	Desert Hot Springs
State	CA
ZIP	92240
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 27, 2010

Payer Source	Total Paid
Medicaid	$463.3M
Medicare	$0

Key Findings

DAP HEALTH, INC. reports no Medicare billing on file and $463.3M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) billing organization in the available data. The absence of Medicare activity means analysis and competitive comparisons should focus on Medicaid dynamics and state-level positioning rather than dual-payer mix effects.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue. Those three codes are 00003 ($410.4M, 88.6%), T1015 ($52.8M, 11.4%), and 99213 ($77.6K, 0.0%); this concentration implies that a very small set of billing lines drives virtually all reported Medicaid receipts.

The FQHC taxonomy and a large T1015 volume (194.1K claims, $272 avg paid/claim, $52.8M revenue) point to operation as a Federally Qualified Health Center providing high-volume, all-inclusive clinic encounters. T1015’s description (Clinic visit/encounter, all-inclusive) aligns with bundled or encounter-based payment models commonly used by FQHCs, indicating that a significant share of clinical activity is billed as comprehensive clinic encounters rather than itemized fee-for-service visits.

Code 00003 (no description available) dominates the Medicaid revenue base at $410.4M and is labeled an extreme outlier, ranking #1 of 688 providers in-state (100th percentile). This ranking establishes DAP HEALTH as the statewide leader for that code’s payment line and suggests programmatic or Medicaid-managed-payment work that other providers do not match in scale.

Despite the dominance of two massive codes, DAP HEALTH also shows above-typical activity for standard E/M volume: 99213 has 77.6K claims and ranks #370 of 14524 providers in-state (97th percentile, described as notably above typical). However, 99213 contributes $77.6K in revenue (0.0% of total), reinforcing that E/M encounters may be captured under bundled encounter codes (like T1015) for payment purposes rather than generating standalone fee-for-service revenue.

Several high-volume codes report $0 or near-zero average paid/claim (examples: G8510 13.7K claims $0 avg, 90832 10.9K claims $0 avg, 90471 7.4K claims $0 avg, 99214 7.6K claims $0 avg). This pattern is consistent with an FQHC reimbursement pattern where many preventive, behavioral-health, and vaccine services are covered within an all-inclusive encounter payment rather than as individually paid line items, and it underscores the operational emphasis on bundled visits.

Service mix indicators beyond primary care are present: psychotherapy codes (90834 with 379 claims, $3 avg; 90832 with 10.9K claims, $0 avg) and preventive codes (99392 3.1K claims, $0 avg; multiple immunization codes 90471/90472 with thousands of claims) show that behavioral health and preventive services are being delivered at scale even if they do not generate discrete Medicaid fee-for-service revenue. These claim counts corroborate a comprehensive primary care plus integrated behavioral-health service model.

The provider’s NPI was enumerated on 2010-08-27 (~16 years ago), indicating sustained presence in the market; combined with $463.3M in Medicaid revenue and an extreme outlier status on code 00003, DAP HEALTH is a large, long-established Medicaid-focused FQHC with concentrated revenue exposure to a very small set of Medicaid payment lines. That concentration represents both a competitive advantage in the specific Medicaid program(s) tied to 00003 and a potential vulnerability if policy or payment definition for that code changes.

Medicaid: Complete Services Breakdown

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

136 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00003	N/A	1,465,620	$280	$410.4M
T1015	Clinic visit/encounter, all-inclusive	194,100	$270	$52.8M
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…	77,580	$1	$77.6K
0012A	N/A	280	$30	$8.4K
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,…	7,410	$1	$7.4K
0011A	N/A	240	$20	$5.9K
99203	The provider sees a new 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 provider…	1,910	$1	$3.8K
0064A	N/A	30	$40	$1.3K
0071A	N/A	40	$30	$1.2K
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…	380	$1	$1.1K

Showing 1–10 of 136

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Dap Health, Inc. — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

136 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	152	1,550	38,050	$190	$14.1M
00003	N/A	1	690	14,940	$260	$7.7M
G9008	Coordinated care fee, physician coordinated care oversight services	449	490	660	$70	$396.7K
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…	1,086	1,950	500	$80	$179K
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…	1,642	13,300	640	$40	$169.6K
H0033	Oral medication administration, direct observation	102	130	340	$70	$159.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,008	4,230	210	$110	$135K
S9441	Asthma education, non-physician provider, per session	3	10	100	$150	$123.2K
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…	370	14,520	760	$10	$122.8K
90832	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…	103	1,430	640	$30	$93.9K

Showing 1–10 of 136

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dap Health, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$270.6M
Dap Health, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$70.4M
Dap Health, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$28.6M
Hubert Greenway	CA	MOHS-Micrographic Surgery Physician	$941.9K	$0
Joel Mccoy	CA	Family Nurse Practitioner	$163.7K	$0
David Morris	CA	Family Medicine Physician	$6.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harry Hart	CA	General Practice Dentistry	$2.6M	$0
Keyur Shodhan	CA	Dentist	$227.5K	$0

Dap Health, Inc. — Billing Profile & Reimbursement Data

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Dap Health, 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