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

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

Via Care Community Health Center (NPI 1497001226)

Field	Value
Entity Type	Organization
Organization	Via Care Community Health Center
Address	507 S Atlantic Blvd
City	Los Angeles
State	CA
ZIP	90022
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 30, 2012

Payer Source	Total Paid
Medicaid	$39.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

208 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	205,060	$160	$32.4M
00003	N/A	26,720	$190	$5.1M
G9012	Other specified case management service not elsewhere classified	22,850	$30	$662.7K
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…	108,830	$10	$544.2K
G9008	Coordinated care fee, physician coordinated care oversight services	8,170	$40	$294K
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,…	55,840	$1	$167.5K
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…	8,030	$10	$80.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,040	$20	$48.6K
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…	6,010	$10	$36K
99203	The provider sees a new 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 provider…	4,240	$10	$33.9K

Showing 1–10 of 208

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Via Care Community Health Center — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

208 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	58	60	28,240	$200	$26.1M
T1015	Clinic visit/encounter, all-inclusive	139	1,550	38,050	$190	$14.1M
00003	N/A	220	690	14,940	$260	$7.7M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	93	110	190	$140	$1.6M
G9012	Other specified case management service not elsewhere classified	39	720	1,110	$110	$651.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	582	660	1,490	$30	$417.2K
G9008	Coordinated care fee, physician coordinated care oversight services	67	490	660	$70	$396.7K
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…	699	1,030	1,050	$70	$219.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	266	1,140	530	$20	$195.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	287	1,270	450	$20	$183.5K

Showing 1–10 of 208

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$104.6M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$33.2M
Gracelight Community Health	CA	Federally Qualified Health Center (FQHC)	$0	$25.4M
Los Angeles County Department Of Mental Health	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23.9M
Harold Tabaie	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$4.2M	$0
Paul Urrea	CA	Ophthalmology Physician	$83.7K	$0

Via Care Community Health Center — Billing Profile & Reimbursement Data

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Via Care 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

Nearby Providers

Frequently Asked Questions

References