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

Why is the Medicaid comparison limited to Utah 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. Utah (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 Centers, Inc. (NPI 1538267828)

Field	Value
Entity Type	Organization
Organization	Community Health Centers, Inc.
Address	1365 W 1000 N
City	Salt Lake City
State	UT
ZIP	84116
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,520	$90	$309.6K
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…	2,940	$100	$282K
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…	3,830	$60	$241.5K
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…	1,660	$90	$147.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	780	$80	$62.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	5,340	$10	$32.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	330	$90	$29K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	40	$180	$7.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	50	$130	$6.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,070	$1	$2.1K

Showing 1–10 of 44

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Community Health Centers, Inc. — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	371	370	690	$140	$704.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	57	240	220	$50	$145.2K
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…	119	1,340	200	$80	$144K
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…	116	1,360	190	$70	$125K
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…	19	220	200	$80	$74K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	11	20	70	$50	$71K
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…	19	190	150	$80	$58.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	22	150	60	$70	$32.2K
36416	In this procedure, the provider pricks the patient’s finger, heel, or ear with a pointed instrument and collects specimen of droplets of blood by pressing the pricking site.	10	70	290	$20	$27.5K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	18	30	100	$90	$26.7K

Showing 1–10 of 44

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$3.4M
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$1.5M
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$890.8K
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$795.4K
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$533.3K
Eric Hansen	WA	Ophthalmology Physician	$517.4K	$0
John Lelis	UT	Medical Physician Assistant	$2.9K	$0

Nearby Providers

Other providers in the same ZIP code as Community Health Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myriad Genetic Laboratories, Inc.	UT	Clinical Medical Laboratory	$65.9M	$124.8M
First Step House	UT	Substance Abuse Rehabilitation Facility	$0	$46.1M
Ihc Health Services Inc	UT	Air Ambulance	$2.8M	$10.4M
Red Rock Medical Supply	UT	Durable Medical Equipment & Medical Supplies	$0	$7.3M
Rose Park Pediatric Dentistry, PC	UT	Pediatric Dentistry	$0	$1.8M
Treagan White	UT	Pediatric Dentistry	$0	$614.1K
Health Clinics Of Utah-slc	UT	Family Nurse Practitioner	$0	$609.8K
Your Home Clinic Company	UT	Gerontology Nurse Practitioner	$0	$338.1K

Community Health Centers, Inc. — Billing Profile & Reimbursement Data

Sign up for Community Health Centers, Inc. — Billing Profile & Reimbursement Data policy alerts

Community Health Centers, Inc. — Billing Profile & Reimbursement Data

Sign up for Community Health Centers, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References