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

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

Happi Health (NPI 1528580404)

Key Findings

Field	Value
Entity Type	Organization
Organization	Happi Health
Address	813 Franklin St Se
City	Huntsville
State	AL
ZIP	35801
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 12, 2017

Payer Source	Total Paid
Medicaid	$17.6M
Medicare	$0

HAPPI HEALTH is effectively a Medicaid-centric provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $17.6M, indicating the organization’s patient and revenue mix is overwhelmingly Medicaid-driven rather than dual‑payer. This single‑payer profile should frame any risk, contracting, or access analysis for the practice.

Revenue is extremely concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 96.6% of the provider’s total Medicaid revenue, with a single code, T1015, contributing $15.8M or 90.4% of Medicaid revenue. That level of concentration suggests the provider’s financial performance is highly sensitive to reimbursement or policy changes that affect T1015.

The code mix and taxonomy align with a Federally Qualified Health Center operating a high‑volume, all-inclusive clinic model: T1015 (Clinic visit/encounter, all-inclusive) appears as the dominant driver with 106.2K claims and $149 avg paid/claim, consistent with bundled clinic encounter billing typical for FQHCs. The FQHC taxonomy combined with the high T1015 volume suggests primary care and integrated clinic services (rather than specialty or procedure-driven practice) are the operational core.

Established patient evaluation-and-management activity is also substantial: 99214 has 42.6K claims, $20 avg paid/claim and $852.8K revenue (4.9% of Medicaid revenue) and ranks #25 of 1990 providers in-state at the 99th percentile where it is labeled an "extreme outlier." This pattern implies unusually high volumes of moderate‑complexity E/M visits relative to peers, which may reflect either patient complexity, clinic visit length, or coding patterns for established patients.

Lower-level established E/M activity complements the picture: 99213 appears with 32.1K claims, $7 avg paid/claim and $224.7K revenue (1.3% of Medicaid revenue), ranking #61 of 1988 in-state (97th percentile). Together with 99214, these two E/M codes indicate a steady throughput of established-patient primary care encounters in addition to the T1015 all-inclusive claims.

Preventive care and pediatric services are visible across the top codes: 99392, 99391, 99393 and 99394 (well‑patient visit codes for different age groups) appear in the top code list and together with numerous pediatric vaccine codes (90686, 90670, 90648, 90633, 90681, 90723, 90698, 90688, 90744) point to substantial immunization and well‑child visit activity. While many of these preventive and vaccine codes are described as "typical, unremarkable volume," their presence in the top ranks supports a robust preventive and pediatric service line within the FQHC model.

High throughput in point-of-care screening and basic lab/vision/hearing services reinforces a clinic-oriented workflow: 81002 (14K claims, $1 avg paid/claim, $14K revenue) ranks #5 of 312 providers in-state (99th percentile), 99173 (13K claims, $1 avg paid/claim, $13K revenue) ranks at the 94th percentile, and 92551 (12.4K claims, $1 avg paid/claim, $12.4K revenue) ranks at the 94th percentile. These volumes indicate routine on-site screening and diagnostic capacity that supports preventive visits and vaccine delivery.

Competitive standing is mixed but notable at the state level: for T1015 the provider ranks #13 of 243 in-state (95th percentile) and is described as "notably above typical state volume for this code," marking HAPPI HEALTH as a major in-state clinic for bundled clinic encounters. Simultaneously, the extreme outlier status for 99214 (99th percentile) further underscores the provider’s unusually high role in delivering higher-level established‑patient visits compared with in-state peers.

Medicaid: Complete Services Breakdown

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	106,240	$150	$15.8M
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…	42,640	$20	$852.8K
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…	32,110	$10	$224.7K
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…	8,060	$10	$96.7K
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…	7,230	$10	$79.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,220	$10	$62.2K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	4,950	$10	$39.6K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	3,680	$10	$36.8K
90648	This code represents a Haemophilus influenzae type b (Hib) vaccine product administered into the muscle to protect against Hib disease. This formulation uses a PRP–T conjugate and follows a four–dose…	3,680	$10	$25.8K
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	2,210	$10	$22.1K

Showing 1–10 of 85

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Happi Health — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	13	240	6,820	$120	$2.9M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	138	380	440	$90	$362K
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…	29	120	500	$50	$317.7K
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…	25	1,990	680	$60	$201.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	114	330	140	$240	$197.4K
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…	61	1,990	560	$40	$185.6K
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…	60	110	240	$60	$175.6K
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…	28	270	1,360	$60	$159.7K
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…	24	300	1,160	$50	$147.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	20	320	640	$50	$98.1K

Showing 1–10 of 85

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Valley Neonatology, Inc	AL	Neonatal-Perinatal Medicine Physician	$0	$22.2M
The Health Care Authority Of The City Of Huntsville	AL	General Acute Care Hospital	$0	$17.8M
Emergency Physicians Group	AL	Emergency Medicine Physician	$0	$13.5M
Healthgroup Of Alabama	AL	Contractor	$0	$13.4M
The Valley Foundation	AL	Multi-Specialty Clinic/Center	$0	$11.3M
David White	AL	Neurology Physician	$7M	$0
The Children's Hospital Of Alabama	AL	Pediatric Pulmonology Physician	$0	$5.6M
Huntsville Pediatric Associates, LLC	AL	Pediatrics Physician	$0	$4.8M
Dental Associates Of Huntsville, LLC	AL	General Practice Dentistry	$0	$4.7M
Health Group Of Alabama	AL	Contractor	$0	$4.1M

Happi Health — Billing Profile & Reimbursement Data

Sign up for Happi Health — Billing Profile & Reimbursement Data policy alerts

Happi Health — Billing Profile & Reimbursement Data

Sign up for Happi Health — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References