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

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

Family Health Care Clinic, Inc (NPI 1346266616)

Family Health Care Clinic, Inc is a federally qualified health center (fqhc) provider located in Brandon, Mississippi. This profile covers 0 Medicare and 92 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	Family Health Care Clinic, Inc
Address	1551 W Government St
City	Brandon
State	MS
ZIP	39042
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

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

92 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	56,690	$80	$4.5M
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…	45,370	$40	$1.7M
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,…	14,910	$30	$417.3K
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…	1,550	$50	$74.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,510	$40	$55.9K
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…	940	$50	$50.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,190	$40	$48.8K
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…	4,140	$1	$16.6K
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…	1,960	$10	$11.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	770	$10	$3.9K

Showing 1–10 of 92

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Family Health Care Clinic, Inc — 3 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

92 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	20	330	$80	$357.2K
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…	30	1,910	930	$60	$278.7K
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…	90	170	1,210	$90	$275K
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…	81	220	470	$90	$212.2K
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…	322	1,670	720	$50	$196.4K
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.	111	160	710	$30	$119.4K
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,…	13	670	230	$60	$89.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	41	230	190	$80	$74.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	224	230	1,870	$10	$70.1K
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…	91	270	130	$60	$57.4K

Showing 1–10 of 92

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louis Saddler	MS	Internal Medicine Physician	$125K	$0
Sarah Oliver	MS	Family Nurse Practitioner	$73.3K	$0
Angela Napier	NM	Nurse Practitioner	$40.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Madison Rankin Simpson Mental Health	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$110.4M
Mississippi State Department Of Health	MS	Public Health or Welfare Agency	$0	$15.4M
Brandon Hma LLC	MS	General Acute Care Hospital	$0	$10.1M
Region 8 Mh/mr Commission	MS	Intellectual & Developmental Disabilities Psychologist	$0	$9.3M
Mobile Health Solutions Inc	MS	Dental Clinic/Center	$0	$6.1M
New Progressions Of Mississippi, LLC	MS	Community/Behavioral Health Agency	$0	$5.7M
Region 8 Mental Health	MS	Community/Behavioral Health Agency	$0	$2.9M
Albert W. Tutor, Jr., D.m.d. PA	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2M
Lakeland Home Program, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M
Isd Brandon LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M

Family Health Care Clinic, Inc — Billing Profile & Reimbursement Data

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Family Health Care 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

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