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.

Portland Community Health Center (NPI 1477008373)

Field	Value
Entity Type	Organization
Organization	Portland Community Health Center
Address	370 Stevens Ave
City	Portland
State	ME
ZIP	04103
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 20, 2016

Payer Source	Total Paid
Medicaid	$851.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	3,750	$220	$828.3K
T1013	Sign language or oral interpretive services, per 15 minutes	490	$30	$15.8K
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…	1,120	$1	$2.2K
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…	250	$10	$1.5K
0002A	N/A	30	$40	$1000
0001A	N/A	20	$40	$670
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…	660	$1	$660
0004A	N/A	20	$40	$630
G0008	Administration of influenza virus vaccine	30	$20	$510
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	510	$0	$0

Showing 1–10 of 23

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

Portland Community Health Center — 0 of 9 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	117	180	8,540	$180	$3M
T1013	Sign language or oral interpretive services, per 15 minutes	29	50	740	$90	$453.3K
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…	281	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…	237	480	1,030	$20	$128.9K
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…	103	140	670	$20	$48.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	81	190	390	$20	$42.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	89	160	300	$40	$34.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	148	190	470	$10	$31.8K
G0008	Administration of influenza virus vaccine	214	260	110	$20	$17.8K
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,…	208	230	210	$10	$11.3K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$12.9M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$7.4M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$4.1M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$3.6M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$1.2M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$1.2M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$1.1M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$863.7K
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$815.3K
Sarah Georgeson	ME	General Practice Dentistry	$0	$717.5K

Nearby Providers

Other providers in the same ZIP code as Portland Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Granite Bay Care, Inc	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$281.6M
Spurwink Services	ME	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$112.7M
Cor Health Services LLC	ME	Home Health Agency	$0	$55.9M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$52.9M
Casa, Inc.	ME	Adult Care Home Facility	$0	$50.1M
Gateway Community Services, LLC	ME	Community/Behavioral Health Agency	$0	$30.2M
Peregrine Corporation	ME	Case Management Agency	$0	$30M
Ubuntu Care	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.3M
New England Integrated Living Support	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$22.3M
Affinity	ME	Developmentally Disabled Services Day Training Agency	$0	$9.7M

Portland Community Health Center — Billing Profile & Reimbursement Data

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Portland Community Health Center — 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