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

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

El Centro Del Barrio, Inc. (NPI 1538264429)

Field	Value
Entity Type	Organization
Organization	El Centro Del Barrio, Inc.
Address	6315 S Zarzamora St
City	San Antonio
State	TX
ZIP	78211
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicaid	$116.3M
Medicare	$0

Key Findings

EL CENTRO DEL BARRIO, INC. is effectively a Medicaid-focused Federally Qualified Health Center: it has no Medicare billing on file and reports $116.3M in Medicaid revenue, indicating its outpatient primary-care and community health activity is almost entirely Medicaid-funded. This single-payer concentration suggests operational focus on services reimbursed by Medicaid programs rather than Medicare populations.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicaid codes account for 78.6% of the provider's total Medicaid revenue. T1015 alone generates $75.5M (65.5% of Medicaid revenue), with 667.9K claims at $113 avg paid/claim, showing the clinic’s finances are dominated by the all-inclusive clinic visit/encounter code.

The code mix indicates a primary-care, preventive, and pediatric emphasis consistent with an FQHC model. High-volume use of T1015 (clinic visit/encounter) combined with large volumes of well-patient and preventive codes such as 99391, 99392, 99393, 99394, 99395 and pediatric well-visit codes indicates routine primary care, immunizations, and age-based preventive services are core to the operation.

EL CENTRO is a statewide volume leader for multiple Medicaid codes: it ranks in the 100th percentile for T1015 (rank #3 of 766), 99213 (rank #13 of 6037), 99214 (rank #16 of 5814), and many preventive codes (several ranks in the top 6 of hundreds or thousands), with multiple codes explicitly labeled “extreme outlier.” These rankings signal the provider is a dominant Medicaid player in Texas for clinic-based evaluation & management and preventive pediatrics.

Service mix and code-level details show both high visit counts and high preventive-service throughput: vaccination codes 90460 and 90461 appear among top codes with 350.5K and 93.1K claims respectively, and vaccine product code 90620 ranks #1 in-state with 14.4K claims. This combination of high-volume low-dollar vaccine administration plus bundled clinic encounter billing reflects a high-touch primary care delivery model that serves many children and adolescents.

Though the provider records very large claim volumes for typical E/M levels (99212–99214) and preventive visits, certain behavioral-health and reproductive-health services appear as smaller revenue contributors: psychotherapy codes 90832 and 90834 and contraceptive implant J7307 are present but account for modest shares of Medicaid revenue. This suggests ancillary behavioral health and contraceptive services are available but not primary revenue drivers.

The provider has long tenure in the NPI registry, enumerated on 2006-09-14 (~20 years ago), which aligns with its extensive Medicaid footprint and market penetration in Texas. Long-standing presence may support the operational scale needed to achieve the extreme-volume rankings observed across many pediatric and primary-care codes.

Given the absence of Medicare revenue, payer-mix risk is concentrated on Medicaid policy and reimbursement changes. Any statewide Medicaid rate adjustments, encounter definition changes for T1015, or shifts in managed-care contracting could materially affect a large portion of the provider’s $116.3M Medicaid revenue because of the heavy dependence on a few high-volume codes.

Medicaid: Complete Services Breakdown

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

143 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	667,920	$110	$75.5M
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…	217,430	$40	$9.6M
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…	114,090	$50	$5.6M
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…	51,510	$80	$4.1M
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…	57,160	$70	$4M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	53,720	$70	$3.9M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	42,970	$70	$3.1M
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,…	66,760	$40	$2.3M
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.	350,460	$10	$1.8M
99381	The provider performs a well–baby visit for a child under the age of one.	12,540	$100	$1.3M

Showing 1–10 of 143

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

El Centro Del Barrio, Inc. — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

143 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	3	770	2,990	$170	$2.6M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	124	370	550	$80	$249.6K
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…	13	6,040	710	$40	$232.8K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	191	290	410	$20	$225K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	181	300	410	$20	$223.4K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	187	220	480	$60	$202.8K
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…	5	1,500	880	$80	$185.8K
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…	6	1,360	800	$80	$185.6K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	142	150	220	$10	$177.1K
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…	16	5,810	540	$50	$155.5K

Showing 1–10 of 143

Related Providers

Other providers that share a Tax Identification Number (TIN) with El Centro Del Barrio, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Collazo	TX	Family Nurse Practitioner	$742.5K	$0
Julio Beras-matos	TX	Rheumatology Physician	$218.1K	$0
Suresh Neelagaru	NM	Cardiovascular Disease Physician	$72.9K	$0

Nearby Providers

Other providers in the same ZIP code as El Centro Del Barrio, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rajeev Narayan	TX	Nephrology Physician	$233.7K	$0

El Centro Del Barrio, Inc. — Billing Profile & Reimbursement Data

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El Centro Del Barrio, Inc. — 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