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

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

Quality Of Life Health Services, Inc (NPI 1366492597)

Field	Value
Entity Type	Organization
Organization	Quality Of Life Health Services, Inc
Address	1020 Tuscaloosa Ave
City	Gadsden
State	AL
ZIP	35901
Taxonomy	Community Health Clinic/Center
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Key Findings

QUALITY OF LIFE HEALTH SERVICES, INC is effectively a Medicaid-focused ambulatory provider: Medicare billing is listed as none while total Medicaid revenue is $16.8M, indicating the observed business operations and reimbursement on file are almost entirely driven by Medicaid. The NPI was enumerated on 2006-05-10 (~20 years ago), so this appears to be an established local clinic with a long tenure in the market.

Revenue is highly concentrated in a single procedure class: the precomputed top three Medicaid codes account for 99.9% of this provider's Medicaid revenue, with T1015 alone representing $15.6M (93.0% of total Medicaid revenue). That level of concentration means most of the provider's financial performance in the dataset is tied to the all-inclusive clinic visit code.

The code mix and descriptions indicate core operations are ambulatory clinic encounters with some ancillary vaccine administration. T1015 (Clinic visit/encounter, all-inclusive) is the dominant revenue driver, while the other top codes are D9430 ($1.1M, 6.8% of Medicaid revenue; no description available in the file) and 90686 ($9.6K, 0.1% of Medicaid revenue), the latter reflecting vaccine administration activity but insignificant revenue compared with T1015.

Competitive standing for the leading codes shows strong in-state presence for clinic visits: T1015 ranks #8 of 243 providers in-state (97th percentile), described as notably above typical state volume, and D9430 ranks #3 of 25 providers in-state (92th percentile). These ranks characterize the provider as a major state-level participant for its principal revenue drivers rather than a modest or peripheral biller for those services.

The file shows many common evaluation-and-management and procedure codes with very high claim counts but $0 average paid/claim and $0 revenue on file (examples include 99213: 34.2K claims $0, 99214: 32.2K claims $0, D0150: 7.5K claims $0, 92002: 3.9K claims $0). This pattern — high claim volume paired with no recorded Medicaid payments for many CPT/D/CPT-ophthalmology codes — suggests that recorded claims activity in the dataset does not translate to Medicaid-paid revenue for those line items in the observed files.

Although a range of vaccine CPTs appears across the top-25 list (e.g., 90686, 90715, 90651, 90700), vaccine-related revenue is a very small share of total Medicaid receipts (90686 is $9.6K and 0.1% of Medicaid revenue). Vaccination services are present and utilized across age groups, but they do not materially drive the provider’s Medicaid revenue compared with T1015.

Operationally, the provider’s financial exposure in this dataset is concentrated: with $16.8M of Medicaid revenue and no Medicare billing on file, changes in Medicaid clinic-visit reimbursement policy or authorization around T1015 could have outsized impact on overall revenue. That dependence on a single high-volume, all-inclusive visit code is a key business risk/consideration for payers and analysts evaluating network impact or rate negotiations.

The provider’s long enrollment date (NPI enumerated 2006-05-10, ~20 years ago) combined with top-state percentiles on core codes suggests an established community health clinic footprint in Gadsden, AL. The combination of tenure and dominant Medicaid clinic-visit volume positions the entity as an entrenched local provider of ambulatory encounters in its market.

Medicaid: Complete Services Breakdown

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

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	144,570	$110	$15.6M
D9430	N/A	13,550	$80	$1.1M
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	960	$10	$9.6K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	260	$20	$4.2K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	540	$10	$3.8K
90700	This code represents a DTaP vaccine product administered into the muscle to protect against diphtheria, tetanus, and pertussis (whooping cough). It is used for children younger than 7 years of age.	610	$10	$3K
90713	This code represents an IPV vaccine product administered beneath the skin or into the muscle to protect against poliomyelitis (polio). This is an inactivated, or killed, virus vaccine.	390	$10	$2K
90734	The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…	200	$10	$1.4K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	150	$10	$910
90648	This code represents a Haemophilus influenzae type b (Hib) vaccine product administered into the muscle to protect against Hib disease. This formulation uses a PRP–T conjugate and follows a four–dose…	140	$10	$690

Showing 1–10 of 74

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Quality Of Life Health Services, Inc — 1 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	240	6,820	$120	$2.9M
D9430	N/A	3	30	230	$130	$533.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	138	180	100	$120	$381.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	49	120	500	$50	$317.7K
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…	35	1,990	680	$60	$201.7K
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…	148	330	140	$240	$197.4K
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…	54	1,990	560	$40	$185.6K
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…	236	270	1,360	$60	$159.7K
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…	197	300	1,160	$50	$147.8K
D1120	Prophylaxis–child	370	520	810	$30	$104.3K

Showing 1–10 of 74

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Of Life Health Services Inc	AL	Community Health Clinic/Center	$0	$6.6M
Quality Of Life Health Services, Inc	AL	Primary Care Clinic/Center	$0	$3.2M
Enrico Gaspar	AL	Internal Medicine Physician	$108.8K	$0
Johnequia Patterson	TN	Family Medicine Physician	$95.7K	$0
Alvin Tenchavez	AL	Internal Medicine Physician	$49.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gadsden Pediatric Clinic, P.A.	AL	Pediatrics Physician	$0	$11.5M
Pediatric Dentistry East P.C.	AL	Pediatric Dentistry	$0	$5.4M
Northeast Alabama Pediatrics, P.C.	AL	Pediatrics Physician	$0	$5.3M
Prime Healthcare Services - Gadsden LLC	AL	General Acute Care Hospital	$0	$3.9M
Etowah County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$2.9M
Pediatric Dental Associates	AL	Pediatric Dentistry	$0	$2.4M
Carr Mental Wellness, LLC	AL	Psychiatry Physician	$0	$2.2M
Alabama Emergency Physician Partners, LLC	AL	Emergency Medicine Physician	$0	$1.9M
George C. Stacey, Jr. D.m.d. Family Denistry P.C.	AL	Dentist	$0	$1.6M
Northeast Alabama Eye Surgery Center	AL	Ambulatory Surgical Clinic/Center	$1.3M	$6.4K

Quality Of Life Health Services, Inc — Billing Profile & Reimbursement Data

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Quality Of Life Health Services, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References