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

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

Su Clinica Familiar (NPI 1285643304)

Field	Value
Entity Type	Organization
Organization	Su Clinica Familiar
Address	1706 Treasure Hills Blvd
City	Harlingen
State	TX
ZIP	78550
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 7, 2006

Payer Source	Total Paid
Medicaid	$37.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

227 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	183,050	$140	$25.6M
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…	71,560	$40	$3.1M
D0999	N/A	15,660	$160	$2.5M
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,…	48,440	$40	$1.9M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	9,030	$70	$614K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,460	$70	$514.9K
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…	8,940	$50	$447K
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…	6,660	$60	$426K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	3,300	$130	$422.5K
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…	4,710	$80	$377K

Showing 1–10 of 227

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Su Clinica Familiar — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

227 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S3620	Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;…	44	110	90	$270	$3.5M
T1015	Clinic visit/encounter, all-inclusive	9	770	2,990	$170	$2.6M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	101	120	340	$120	$422K
D0999	N/A	5	180	390	$190	$405.3K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	154	270	130	$570	$318.8K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	65	150	170	$30	$302.9K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	207	240	420	$30	$296.8K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	25	70	800	$20	$268.3K
D2930	N/A	842	1,000	460	$140	$261.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	239	370	550	$80	$249.6K

Showing 1–10 of 227

Related Providers

Other providers that share a Tax Identification Number (TIN) with Su Clinica Familiar, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kale Merrell	SD	Foot & Ankle Surgery Podiatrist	$77.4K	$0

Nearby Providers

Other providers in the same ZIP code as Su Clinica Familiar, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Primary Home Care, Inc	TX	Home Health Agency	$0	$161.5M
Texas Visiting Nurse Service, Ltd.	TX	Home Health Agency	$0	$138.2M
Agua Cristalina Home Care, LLC	TX	Home Health Agency	$0	$108.1M
Apc Home Health Service, Inc.	TX	Home Health Agency	$0	$97.1M
Mizpah Residential Care. Inc.	TX	Home Health Agency	$0	$45.5M
Vicki Roy Home Health Service, LP	TX	Home Health Agency	$0	$29.5M
Nuevo Destino Primary Home Care LLC	TX	Personal Care Attendant	$0	$26.6M
Santa Cruz Health Services, Inc	TX	Home Health Agency	$0	$23.8M
Vhs Harlingen Hospital Company LLC	TX	General Acute Care Hospital	$0	$23.6M
All Texas Health Care, Inc.	TX	Personal Care Attendant	$0	$17.7M

Su Clinica Familiar — Billing Profile & Reimbursement Data

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Su Clinica Familiar — Billing Profile & Reimbursement Data

Sign up for Su Clinica Familiar — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References