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

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

Riggs Community Health Center Inc (NPI 1386660900)

Riggs Community Health Center Inc is a federally qualified health center (fqhc) provider located in Lafayette, Indiana. This profile covers 0 Medicare and 126 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	Riggs Community Health Center Inc
Address	1716 Hartford St
City	Lafayette
State	IN
ZIP	47904
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 15, 2006

Payer Source	Total Paid
Medicaid	$22.2M
Medicare	$0

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

126 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…	117,510	$50	$5.3M
T1015	Clinic visit/encounter, all-inclusive	197,310	$30	$5.1M
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…	54,070	$60	$3M
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…	13,400	$70	$965.1K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	15,670	$60	$893.4K
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…	14,350	$60	$875.4K
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…	23,240	$30	$790K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,450	$70	$670.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	23,490	$20	$516.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,090	$70	$413.8K

Showing 1–10 of 126

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Riggs Community Health Center Inc — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

126 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	257	580	710	$60	$582.9K
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…	56	2,120	870	$60	$450.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	653	690	1,070	$80	$422.3K
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…	20	2,380	920	$50	$376.8K
T1015	Clinic visit/encounter, all-inclusive	3	400	5,220	$20	$360.2K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	120	160	1,390	$70	$294.8K
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…	14	280	880	$80	$267.2K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	9	190	1,680	$70	$264.2K
D1354	N/A	115	130	700	$70	$252.9K
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…	15	290	770	$80	$250.8K

Showing 1–10 of 126

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Oaks Health Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$135.3M
Wabash Center, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$34.2M
Community Ventures In Living, Ltd.	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$34M
Franciscan Health Lafayette	IN	Land Ambulance	$1.4M	$8.8M
Help At Home, LLC	IN	Nursing Care Agency	$0	$8.3M
Lafayette School Corporation	IN	Local Education Agency (LEA)	$0	$5.3M
Lafayette Pediatric Dentistry & Orthodontics	IN	Dentist	$0	$4.1M
Rodney Kusumi	IN	Ophthalmology Physician	$2M	$0
Arnett Clinic, LLC	IN	Clinical Medical Laboratory	$330.3K	$1.1M
Matthew Orton	IN	Radiation Oncology Physician	$782.4K	$0

Riggs Community Health Center Inc — Billing Profile & Reimbursement Data

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Riggs Community Health Center 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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