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

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

Keystone Rural Health Center (NPI 1538166905)

Field	Value
Entity Type	Organization
Organization	Keystone Rural Health Center
Address	820 5th Ave
City	Chambersburg
State	PA
ZIP	17201
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicaid	$14.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	63,160	$220	$14M
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…	11,590	$1	$23.2K
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…	14,470	$1	$14.5K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	620	$20	$9.9K
3074F	No Summary found for this code	1,430	$1	$5.7K
3078F	No Summary found for this code	1,120	$1	$4.5K
3079F	No Summary found for this code	360	$10	$2.9K
3077F	No Summary found for this code	310	$10	$2.5K
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…	20	$110	$2.3K
3080F	No Summary found for this code	230	$10	$1.6K

Showing 1–10 of 42

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Keystone Rural Health Center — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	42	1,690	760	$170	$1.2M
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…	538	560	1,400	$90	$485.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	218	410	1,130	$60	$455.4K
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…	122	8,160	210	$60	$68.4K
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…	155	8,870	240	$40	$56.1K
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…	915	1,210	100	$90	$45K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	17	40	170	$50	$31.9K
99204	The provider sees a new 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 provider…	585	1,410	60	$90	$30.5K
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…	618	1,620	80	$60	$28.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	255	380	140	$30	$27.1K

Showing 1–10 of 42

Related Providers

Other providers that share a Tax Identification Number (TIN) with Keystone Rural Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$35.7M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$22.8M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$20.9M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$14.3M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$13.7M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$9M
Ekezie Francis	PA	Infectious Disease Physician	$84.6K	$3.3K

Nearby Providers

Other providers in the same ZIP code as Keystone Rural Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andventure, LLC	PA	Home Health Agency	$0	$31.5M
The Chambersburg Hospital	PA	General Acute Care Hospital	$0	$10.3M
Ludwick Laser & Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$1.4M	$520
Borough Of Chambersburg	PA	Basic Emergency Medical Technician	$432.4K	$746.7K
Kevin Clawson	PA	Rheumatology Physician	$1.1M	$0
Kevin Lorentsen	PA	Hematology & Oncology Physician	$959.5K	$0
Scott Massey	PA	Hospitalist Physician	$868.8K	$290
Kibem Kim	PA	Radiation Oncology Physician	$845.4K	$0
Wellspan Chambersburg Endoscopy Center LLC	PA	Endoscopy Clinic/Center	$706.2K	$0
Summit Surgery Center, L.P.	PA	Ambulatory Surgical Clinic/Center	$457.6K	$158.5K

Keystone Rural Health Center — Billing Profile & Reimbursement Data

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Keystone Rural 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