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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Services Of Darke County Inc (NPI 1366419293)

Field	Value
Entity Type	Organization
Organization	Family Health Services Of Darke County Inc
Address	5735 Meeker Rd
City	Greenville
State	OH
ZIP	45331
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 28, 2006

Payer Source	Total Paid
Medicaid	$11.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

118 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	122,080	$60	$7.2M
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…	73,710	$20	$1.5M
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…	13,390	$20	$254.4K
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…	7,590	$30	$220.1K
D0120	Periodic oral evaluation - established patient	20,720	$10	$165.8K
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…	6,110	$30	$158.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,020	$40	$148.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,630	$20	$138K
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…	4,380	$30	$135.7K
D1120	Prophylaxis–child	12,870	$10	$115.8K

Showing 1–10 of 118

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Family Health Services Of Darke County Inc — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

118 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	15	530	7,190	$70	$1.5M
D2930	N/A	124	190	700	$170	$480.4K
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…	585	4,510	500	$60	$377.8K
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.	214	270	8,700	$10	$353.7K
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…	80	5,080	560	$40	$323.9K
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…	58	430	560	$60	$303.2K
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…	80	480	450	$70	$292.9K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	185	270	420	$90	$276K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	189	240	2,610	$10	$239.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	132	480	280	$70	$181.7K

Showing 1–10 of 118

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family Health Services Of Darke County Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chacko Alappatt	OH	Rheumatology Physician	$3.3M	$6.4K
Stephanie Ott	OH	Rheumatology Physician	$270.8K	$0
Gene Lease	OH	Family Medicine Physician	$61.9K	$0
Ashley Schoenherr	OH	Optometrist	$30.6K	$13.6K
Brent Crane	KS	Psychiatry Physician	$3.7K	$300

Nearby Providers

Other providers in the same ZIP code as Family Health Services Of Darke County Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wayne Hospital Company	OH	Critical Access Hospital	$0	$9.9M
Hospice Of Darke County Inc	OH	Community Based Hospice Care Agency	$0	$9.1M
Darke County Recovery Services	OH	Community/Behavioral Health Agency	$0	$7M
Spirit Medical Transport, LLC	OH	Ambulance	$1.7M	$2.6M
Greenville Twp Office Of Clerk	OH	Land Ambulance	$252.8K	$474.7K
Henry Chong	OH	Cardiovascular Disease Physician	$398K	$0
Michael Maher	OH	Podiatrist	$204.2K	$0
Whitney Holsopple	OH	Foot & Ankle Surgery Podiatrist	$171.8K	$0
Anthony Vacca	OH	Pulmonary Disease Physician	$112.3K	$10.2K
Matthew Painting	OH	Podiatrist	$70.3K	$0

Family Health Services Of Darke County Inc — Billing Profile & Reimbursement Data

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Family Health Services Of Darke County 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