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

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

Community Health And Dental Care, Inc (NPI 1447787585)

Field	Value
Entity Type	Organization
Organization	Community Health And Dental Care, Inc
Address	351 W Schuylkill Rd
City	Pottstown
State	PA
ZIP	19465
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 19, 2017

Payer Source	Total Paid
Medicaid	$28.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	95,780	$290	$27.4M
G9012	Other specified case management service not elsewhere classified	3,570	$270	$965K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2,440	$30	$68.2K
V2020	Frames, purchases	1,480	$30	$46K
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…	24,980	$1	$25K
0011A	N/A	260	$40	$9.7K
0012A	N/A	230	$40	$8.8K
3079F	No Summary found for this code	7,270	$1	$7.3K
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…	5,490	$1	$5.5K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	4,550	$1	$4.5K

Showing 1–10 of 124

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Community Health And Dental Care, Inc — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	24	1,690	760	$170	$1.2M
G9012	Other specified case management service not elsewhere classified	61	320	770	$260	$758K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	74	1,280	390	$40	$104.8K
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…	182	820	230	$80	$71.7K
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…	332	8,160	210	$60	$68.4K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	126	620	350	$30	$64.6K
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…	173	660	180	$70	$63.7K
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…	70	8,870	240	$40	$56.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	72	710	230	$70	$49.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	180	870	160	$70	$48.2K

Showing 1–10 of 124

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Health And Dental Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Main Line Healthcare	PA	Family Medicine Physician	$0	$8.2M
Therese Rinaldi	PA	Podiatrist	$163.3K	$0
John Dahdah	PA	Podiatrist	$83.1K	$0
Deidra Thompson	MS	Psychiatric/Mental Health Nurse Practitioner	$72.8K	$0

Nearby Providers

Other providers in the same ZIP code as Community Health And Dental Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four Seasons Healthcare	PA	In Home Supportive Care Agency	$0	$9.5M
Emily Wexler	PA	Occupational Therapist	$108.9K	$0
Theresa Burns	PA	Chiropractor	$65.4K	$0
Lee Coryell	PA	Vascular & Interventional Radiology Physician	$39.5K	$0

Community Health And Dental Care, Inc — Billing Profile & Reimbursement Data

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Community Health And Dental Care, 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