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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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 Association Of Spokane (NPI 1497205652)

Field	Value
Entity Type	Organization
Organization	Community Health Association Of Spokane
Address	803 S Main St Ste 120
City	Moscow
State	ID
ZIP	83843
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 11, 2016

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-dependent clinic: there is no Medicare billing on file and total Medicaid revenue is $7.4M, so Medicaid represents the sole recorded payer revenue stream in the dataset. That concentration means reimbursement policy and contract terms with the state Medicaid program will materially affect this provider’s topline.

Revenue is extremely concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 93.6% of the provider’s Medicaid revenue, led by D0999 ($3.9M, 52.6%), T1015 ($2.8M, 38.2%), and D2392 ($206.8K, 2.8%). Such concentration suggests that a handful of service lines drive nearly all billing and revenue, increasing sensitivity to coding, coverage criteria, or fee-schedule changes for those specific codes.

The code mix points to a hybrid FQHC model with a large dental component: T1015 (Clinic visit/encounter, all-inclusive) at $2.8M indicates substantial ambulatory clinic activity, while D2392 (Post 2 surface resin‑based composite) and numerous other D-codes in the top 25 indicate a robust dental service line. D0999 is the single largest revenue driver but is listed without a description in the file; its dominant share combined with the volume of specific dental procedure codes suggests much of the clinic’s Medicaid revenue is tied to dental or bundled dental-related billing.

Competitive standing varies by code: D0999 ranks #2 of 32 providers in-state (97th percentile), marking this organization as a leading state provider for that code, whereas T1015 ranks #47 of 143 providers in-state (68th percentile), which is a typical in-state volume for an FQHC-style clinic visit. D2392 ranks #44 of 193 providers (78th percentile), indicating above-average but not dominant state presence for that specific restorative dental procedure.

Several dental procedure codes are extreme or notable outliers in volume relative to state peers, underscoring a specialty emphasis in oral health: D0150 (Comprehensive oral evaluation) ranks #6 of 217 (98th percentile, labeled an extreme outlier) and D0140 (Limited oral evaluation – problem focused) ranks #2 of 195 (99th percentile, labeled an extreme outlier). Additional radiographic and diagnostic codes such as D0210 (#5 of 117, 97th percentile) and D0270 (#1 of 13, 100th percentile) also appear far above typical state volume, reinforcing that the provider delivers unusually high volumes of dental evaluations and imaging.

High volumes of low-paid preventive/diagnostic claims are visible alongside higher-revenue line items: for example, D0220 shows 8.2K claims at $3 avg paid/claim ($24.5K revenue) and D1206 shows 5.1K claims at $6 avg paid/claim ($30.5K revenue). These high-claim, low-pay items point to a throughput-driven service mix—large patient counts and frequent preventive services that support access objectives typical of FQHCs but contribute modestly to total dollars.

Tenure is modest but established: the NPI was enumerated on 2016-10-11 (~10 years ago), indicating about a decade of formal presence in federal provider registries. That timeline is consistent with having developed the dental and clinic volumes reflected in the Medicaid billing, and suggests the organization has had time to scale its Medicaid-focused operations.

Given the single-payer (Medicaid-only) profile and the dominance of a few codes, strategic risk and opportunity are both concentrated: any adjustments to coverage, coding guidance, or state fee schedules for D0999, T1015, or the key dental codes could materially change revenue, while targeted negotiation or program alignment with the state Medicaid agency around those high-volume codes could yield outsized financial impact.

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0999	N/A	17,660	$220	$3.9M
T1015	Clinic visit/encounter, all-inclusive	11,810	$240	$2.8M
D2392	Post 2 surface resin‑based composite	1,850	$110	$206.8K
D0150	Comprehensive oral evaluation – new or established patient	4,840	$10	$67.7K
D0140	Limited oral evaluation – problem focused	5,000	$10	$55K
D0210	Intraoral - complete series of radiographic images	3,210	$20	$54.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,860	$20	$48.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,790	$10	$45.5K
D0120	Periodic oral evaluation - established patient	4,420	$10	$35.4K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5,080	$10	$30.5K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Community Health Association Of Spokane — 6 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	47	140	5,470	$180	$2.6M
D0999	N/A	2	30	3,960	$250	$1.5M
D1120	Prophylaxis–child	60	250	180	$60	$143K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	22	320	310	$80	$80.8K
D2392	Post 2 surface resin‑based composite	44	190	280	$60	$72.9K
D0210	Intraoral - complete series of radiographic images	5	120	140	$120	$66K
D2393	Resin-based composite, three surfaces, posterior	47	70	140	$120	$41.6K
D0330	N/A	22	170	170	$50	$35.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	46	140	270	$40	$27.9K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$22.5M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$19.2M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$18.1M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$17.4M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$14.6M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$10.4M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.9M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.2M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.1M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$5.5M

Nearby Providers

Other providers in the same ZIP code as Community Health Association Of Spokane, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Disability Action Center - Nw, Inc.	ID	In Home Supportive Care Agency	$0	$3.8M
Gritman Medical Center Inc	ID	Critical Access Hospital	$0	$3.7M
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Crt Children Services LLC	ID	Behavior Analyst	$0	$2.5M
County Of Latah School District 281	ID	Local Education Agency (LEA)	$0	$2M
Gritman Medical Center, Inc.	ID	Family Medicine Physician	$0	$1.4M
Shawn Richards	ID	Ophthalmology Physician	$1.4M	$0
Lotus Early Learning	ID	Developmental Disabilities Clinic/Center	$0	$1.2M
Alyssa Hoehn	ID	Ophthalmology Physician	$1M	$0
Circles Of Caring Adult Day Health Foundation, Inc.	ID	Adult Day Care Clinic/Center	$0	$744.2K

Community Health Association Of Spokane — Billing Profile & Reimbursement Data

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Community Health Association Of Spokane — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References