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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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 Healthcare Associates Inc (NPI 1376572479)

Field	Value
Entity Type	Organization
Organization	Family Healthcare Associates Inc
Address	6th Avenue & Vinus Street
City	Gilbert
State	WV
ZIP	25621
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	63,520	$70	$4.7M
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…	46,800	$10	$374.4K
J0696	Injection, ceftriaxone sodium, per 250 mg	280	$20	$4.5K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	180	$20	$3.5K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	150	$20	$2.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	140	$10	$2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	100	$10	$1K
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…	30	$30	$900
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	80	$10	$830
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	20	$30	$820

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Family Healthcare Associates Inc — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	24	390	4,610	$130	$2.2M
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…	36	1,270	1,240	$30	$245K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	184	330	790	$10	$64.1K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	67	100	380	$30	$61.5K
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,…	12	540	320	$20	$43.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	113	190	220	$50	$42.7K
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.	69	160	220	$10	$26.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	88	180	140	$50	$24.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	119	330	320	$20	$24.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	41	310	250	$20	$21.7K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family Healthcare Associates Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Healthcare Associates Inc	WV	Rural Health Clinic/Center	$0	$8.5M
Family Healthcare Associates Inc	WV	Rural Health Clinic/Center	$0	$7.9M
Family Healthcare Associates Inc	WV	Rural Health Clinic/Center	$0	$7.8M
Family Healthcare Associates, Inc	WV	Rural Health Clinic/Center	$0	$4M
Family Healthcare Associates Inc	WV	Rural Health Clinic/Center	$0	$2.6M
Samuel Muscari	WV	Family Medicine Physician	$10.1K	$0

Nearby Providers

Other providers in the same ZIP code as Family Healthcare Associates Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elite Care Ems, LLC	WV	Land Ambulance	$8.2K	$2.3M
Lincoln County Primary Care Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.8M

Family Healthcare Associates 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