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

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

Healthreach Community Health Centers (NPI 1417921776)

Field	Value
Entity Type	Organization
Organization	Healthreach Community Health Centers
Address	177 N Main St
City	Strong
State	ME
ZIP	04983
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 14, 2006

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	27,560	$150	$4.1M
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…	2,670	$30	$87.9K
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…	5,380	$1	$10.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	130	$60	$7.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,500	$1	$2.5K
D1120	Prophylaxis–child	2,180	$1	$2.2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	420	$1	$1.3K
D0140	Limited oral evaluation – problem focused	1,230	$1	$1.2K
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,…	760	$1	$760
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	380	$1	$750

Showing 1–10 of 46

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Healthreach Community Health Centers — 0 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	33	180	8,540	$180	$3M
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…	43	80	3,000	$50	$269.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	47	70	630	$100	$235.5K
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…	109	460	1,240	$30	$190K
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	480	1,030	$20	$128.9K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	32	30	640	$60	$96.3K
D2392	Post 2 surface resin‑based composite	58	80	260	$80	$88.2K
D1351	Sealant - per tooth	67	80	1,040	$20	$87.6K
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…	110	170	380	$50	$63.7K
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…	37	140	470	$30	$59K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Healthreach Community Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$4.3M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$4.2M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$3.9M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$3.8M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$3.2M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$3M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$2.2M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$2.1M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$1.6M
Healthreach Community Health Centers	ME	Federally Qualified Health Center (FQHC)	$0	$737.9K

Healthreach Community Health Centers — Billing Profile & Reimbursement Data

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Healthreach Community Health Centers — 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

Frequently Asked Questions

References