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

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

Gracemed Health Clinic, Inc (NPI 1275893224)

Gracemed Health Clinic, Inc is a federally qualified health center (fqhc) provider located in Wichita, Kansas. This profile covers 0 Medicare and 23 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	Gracemed Health Clinic, Inc
Address	1131 S Clifton Ave
City	Wichita
State	KS
ZIP	67218
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 24, 2012

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

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

23 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…	7,920	$160	$1.2M
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…	690	$170	$117.8K
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,…	390	$170	$68.2K
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…	250	$160	$38.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	170	$190	$32K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	80	$180	$14.8K
99204	The provider sees a new 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 provider…	60	$120	$6.8K
99384	The provider performs a well–patient visit for an adolescent who is between the ages of 12 and 17 who meets the definition of new patient.	20	$190	$3.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,010	$1	$2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10	$0	$0

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Gracemed Health Clinic, Inc — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	107	1,050	560	$80	$266.8K
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…	364	880	400	$60	$136K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	121	190	180	$110	$94.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	45	120	550	$30	$73K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	91	200	130	$130	$58.6K
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,…	87	340	100	$100	$43.3K
99204	The provider sees a new 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 provider…	92	170	70	$90	$43.2K
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…	67	240	70	$70	$37.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	313	320	290	$20	$28K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	103	140	90	$30	$13.1K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wichita Attendant Care Services	KS	Home Health Agency	$0	$56.5M
County Of Sedgwick	KS	Community/Behavioral Health Agency	$0	$51.3M
Miracle Home Care LLC	KS	Home Health Agency	$0	$9.4M
S. Amirani Dds, PA	KS	General Practice Dentistry	$0	$4.9M
Midwest Home Health Care LLC	KS	Home Health Agency	$0	$3.7M
Adventure Vision Parklane LLC	KS	Optometrist	$0	$3.4M
Comfortcare Homes, Inc.	KS	Nursing Facility/Intermediate Care Facility	$0	$1.9M
Cep America - Kansas LLC	KS	Emergency Medicine Physician	$0	$1.8M
Kansas Imaging Consultants, PA	KS	Diagnostic Radiology Physician	$0	$1.7M
Harrison Black	KS	Pediatric Dentistry	$0	$1.4M

Gracemed Health Clinic, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gracemed Health Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$18.3M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$3.4M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$2.7M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$2.2M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$2.1M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.9M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.4M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.4M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.3M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1M