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 1528719630)

Field	Value
Entity Type	Organization
Organization	Portland Community Health Center
Address	637 Highland Ave
City	South Portland
State	ME
ZIP	04106
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 11, 2022

Payer Source	Total Paid
Medicaid	$593.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	2,440	$240	$587.8K
D0190	N/A	150	$20	$2.3K
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…	290	$10	$1.4K
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…	710	$1	$1.4K
T1013	Sign language or oral interpretive services, per 15 minutes	20	$30	$500
G0008	Administration of influenza virus vaccine	10	$10	$100
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	250	$0	$0
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	60	$0	$0
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	30	$0	$0
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…	20	$0	$0

Showing 1–10 of 17

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 6 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	128	180	8,540	$180	$3M
T1013	Sign language or oral interpretive services, per 15 minutes	51	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…	329	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…	267	480	1,030	$20	$128.9K
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…	127	140	470	$30	$59K
D1120	Prophylaxis–child	111	160	500	$30	$56.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	129	160	300	$40	$34.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	172	190	470	$10	$31.8K
D0190	N/A	39	50	480	$20	$22.8K
G0008	Administration of influenza virus vaccine	240	260	110	$20	$17.8K

Showing 1–10 of 17

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	$851.3K
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$815.3K

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
Alpha One	ME	Case Management Agency	$0	$121.3M
Port Resources	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$82.9M
The Opportunity Alliance	ME	Mental Illness Community Based Residential Treatment Facility	$0	$50.6M
Community Home Health Care	ME	In Home Supportive Care Agency	$0	$40.3M
Serenity Residential Care, LLC	ME	In Home Supportive Care Agency	$0	$34.4M
Noreast Home Care, LLC	ME	In Home Supportive Care Agency	$0	$24.7M
Center For Behavioral Health Me, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$536.2K	$20.1M
Connections For Kids	ME	Social Worker	$0	$13.8M
Vna Home Health & Hospice	ME	Home Health Agency	$227.2K	$10.4M
Standard Care, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M

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