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

Why is the Medicaid comparison limited to New York 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. New York (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 Healthcare Network, Inc (NPI 1477764496)

Community Healthcare Network, Inc is a federally qualified health center (fqhc) provider located in New York, New York. This profile covers 0 Medicare and 118 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	Community Healthcare Network, Inc
Address	44 W 28th Street
City	New York
State	NY
ZIP	10001
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicaid	$35.6M
Medicare	$0

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

118 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…	276,800	$70	$18.5M
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…	76,570	$70	$5.4M
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…	44,850	$70	$3.3M
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,…	51,570	$60	$3M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	6,340	$90	$570.1K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	11,060	$40	$420.3K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	7,120	$50	$363.3K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	3,480	$90	$320.1K
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…	3,090	$100	$306.2K
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…	3,860	$70	$269.9K

Showing 1–10 of 118

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Community Healthcare Network, Inc — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

118 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	25	1,510	1,010	$110	$1.1M
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…	689	2,200	1,010	$130	$892.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	798	1,320	140	$260	$334K
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…	28	19,110	360	$70	$321K
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…	79	120	700	$40	$203.2K
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…	118	16,550	220	$90	$186.8K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	66	180	120	$90	$179K
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…	347	1,150	480	$70	$178K
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…	227	1,420	490	$70	$176.8K
99201	Deleted code, effective Jan. 1, 2021	58	190	90	$70	$167.3K

Showing 1–10 of 118

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Healthcare Network, Inc	NY	Case Management Agency	$0	$75.9M
Middletown Medical PC	NY	Emergency Medicine Physician	$0	$49.3M
Shivani Golden	NV	Family Medicine Physician	$278.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Management Partners LLC (ccmp)	NY	Case Management Agency	$0	$247M
Greatcare Inc	NY	Home Health Agency	$0	$231.6M
Xincon Home-healthcare Services, Inc.	NY	Home Health Agency	$0	$191.8M
Act On It Home Care Inc.	NY	Home Health Agency	$0	$57.4M
Theracare Of New York Inc	NY	Early Intervention Provider Agency	$0	$43.6M
Young Adult Institute, Inc.	NY	Developmental Disabilities Clinic/Center	$0	$37.2M
West Midtown Management Group Inc	NY	Multi-Specialty Clinic/Center	$0	$34.9M
Services For The Underserved - Mental Health Programs Inc	NY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$34.6M
Greatcare Inc	NY	Home Health Agency	$0	$33.2M
The Association For Rehabilitative Case Management And Housing	NY	Mental Illness Community Based Residential Treatment Facility	$0	$23.2M

Community Healthcare Network, Inc — Billing Profile & Reimbursement Data

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Community Healthcare Network, 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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