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

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

Advocates For A Healthy Community, Inc. (NPI 1366575573)

Field	Value
Entity Type	Organization
Organization	Advocates For A Healthy Community, Inc.
Address	1720 W Grand St
City	Springfield
State	MO
ZIP	65802
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 14, 2007

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

64 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…	14,810	$80	$1.1M
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…	5,080	$110	$553.5K
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…	4,060	$90	$353.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	4,850	$60	$290.9K
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…	2,520	$90	$221.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	2,050	$80	$154K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	2,490	$60	$144.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,420	$80	$118.9K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	990	$110	$108.6K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	2,420	$40	$89.6K

Showing 1–10 of 64

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Advocates For A Healthy Community, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

64 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	68	260	390	$60	$188.2K
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…	189	3,170	230	$70	$128.1K
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…	102	4,310	300	$60	$110.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	60	480	680	$30	$98.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	30	190	270	$70	$91.4K
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…	25	680	280	$90	$65.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	79	80	280	$50	$60.3K
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…	136	420	90	$100	$60.2K
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…	37	640	210	$90	$59.5K
90834	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…	1,017	1,060	250	$40	$57.7K

Showing 1–10 of 64

Related Providers

Other providers that share a Tax Identification Number (TIN) with Advocates For A Healthy Community, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthcare Services Of The Ozarks, Inc	MO	Home Health Agency	$0	$60.3M
Advocates For A Healthy Community Inc	MO	Federally Qualified Health Center (FQHC)	$0	$23.2M
Lester E Cox Medical Centers	MO	General Practice Physician	$0	$9.2M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$4.9M
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$3.6M
Ronald Pritchard	OK	Diagnostic Radiology Physician	$166.5K	$5K
Patrick Cabrera	MO	Diagnostic Radiology Physician	$94.5K	$11.7K
David Owens	GA	Diagnostic Radiology Physician	$86.3K	$230
Jose Padilla	MO	Surgery Physician	$34.6K	$0
Angela Limpus	MO	Nurse Practitioner	$31.8K	$2K

Nearby Providers

Other providers in the same ZIP code as Advocates For A Healthy Community, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$98M
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$95.9M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$72.6M
The Arc Of The Ozarks	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$64.6M
Nova Center Of The Ozarks Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$50.5M
Mercy Hospital Springfield	MO	Land Ambulance	$0	$46.7M
The Arc Of The Ozarks	MO	Community/Behavioral Health Agency	$0	$20.1M
Developmental Center Of The Ozarks	MO	Developmentally Disabled Services Day Training Agency	$0	$14.5M
Forensic Testing Services, LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$13.4M
Holloman Care Cds LLC	MO	Home Health Agency	$0	$11.3M

Advocates For A Healthy Community, Inc. — Billing Profile & Reimbursement Data

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Advocates For A Healthy Community, 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