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.

Christus Trinity Clinic Texas (NPI 1285684225)

Christus Trinity Clinic Texas is a family medicine physician provider located in Tyler, Texas. This profile covers 0 Medicare and 202 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	Christus Trinity Clinic Texas
Address	520 Douglas Blvd
City	Tyler
State	TX
ZIP	75702
Taxonomy	Family Medicine Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$22.2M
Medicare	$0

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

202 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…	211,020	$30	$7M
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…	109,440	$40	$4.6M
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…	13,350	$70	$961.3K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	6,670	$120	$793.6K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	15,780	$50	$741.4K
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…	9,430	$80	$726.3K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	4,320	$110	$484.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,230	$80	$423.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,360	$70	$375.3K
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…	660	$560	$363.5K

Showing 1–10 of 202

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

Christus Trinity Clinic Texas — 10 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

202 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	282	770	2,990	$170	$2.6M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	24	30	1,410	$340	$2.5M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	10	30	3,360	$120	$1.2M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	13	40	1,860	$110	$997.5K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	70	80	1,160	$220	$768.8K
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…	313	340	400	$50	$553.5K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	63	110	80	$1,260	$398.1K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	35	100	410	$160	$390K
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…	52	270	130	$570	$318.8K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	18	20	390	$170	$271.2K

Showing 1–10 of 202

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tyler Family Circle Of Care	TX	Federally Qualified Health Center (FQHC)	$0	$48.3M
Mother Frances Hospital Regional Health Care Center	TX	General Acute Care Hospital	$0	$32.9M
Obstetrix Medical Group Of Texas Billing, Inc.	TX	Maternal & Fetal Medicine Physician	$0	$25.7M
Christus Health Ark-la-tex	TX	General Acute Care Hospital	$0	$15.6M
Saint Francis Medical Center	MO	Internal Medicine Physician	$0	$11.7M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$7.5M
Humboldt General Hospital	NV	Rural Health Clinic/Center	$0	$6.3M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$4.7M
Humboldt General Hospital	NV	Critical Access Hospital	$0	$4.4M
Natalie Alphonse Sullivan	LA	Radiation Oncology Physician	$1.9M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Choice Children's Homecare, LP	TX	Home Health Agency	$0	$30.2M
Etmc Ems	TX	Land Ambulance	$7.4M	$11M
Thomas Gregory	TX	Medical Oncology Physician	$2.4M	$0
Donald Richards	TX	Medical Oncology Physician	$1.8M	$0
Mark Saunders	TX	Radiation Oncology Physician	$1.8M	$0
Jingdong Su	TX	Hematology & Oncology Physician	$1.7M	$0
Habte Yimer	TX	Hematology & Oncology Physician	$1.7M	$0
Sasha Davis	TX	Medical Oncology Physician	$1.2M	$0
Carolyn Jenks	TX	Hematology & Oncology Physician	$1.2M	$0
Nanna Sulai	TX	Hematology & Oncology Physician	$1.1M	$0

Christus Trinity Clinic Texas — Billing Profile & Reimbursement Data

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Christus Trinity Clinic Texas — 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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