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.

Central Texas Community Health Centers (NPI 1548801939)

Field	Value
Entity Type	Organization
Organization	Central Texas Community Health Centers
Address	6425 S Interstate 35 Ste 100
City	Austin
State	TX
ZIP	78744
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 7, 2019

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	64,670	$220	$14.2M
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…	26,530	$30	$742.7K
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…	5,250	$80	$424.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5,990	$60	$377.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,020	$60	$348.9K
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…	5,820	$50	$308.3K
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…	6,010	$30	$204.3K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	5,810	$20	$139.4K
99381	The provider performs a well–baby visit for a child under the age of one.	970	$140	$137.9K
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,…	4,210	$20	$84.3K

Showing 1–10 of 82

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

Central Texas Community Health Centers — 3 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

82 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	31	770	2,990	$170	$2.6M
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…	275	6,040	710	$40	$232.8K
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…	148	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…	142	1,360	800	$80	$185.6K
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…	619	5,810	540	$50	$155.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	88	1,540	650	$80	$150.4K
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…	1,487	1,700	610	$80	$111.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	52	1,540	360	$80	$110.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	205	1,350	320	$30	$101.2K
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.	363	1,650	2,350	$10	$88.7K

Showing 1–10 of 82

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$31.5M
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$28.7M
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$23.6M
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$23.3M
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$17.7M
Hans Sander	TX	Dermatology Physician	$232.4K	$0
Chirag Patel	SD	Internal Medicine Physician	$141.6K	$0
Siva Marri	OR	Pulmonary Disease Physician	$88.1K	$0
Ali Mansour	NY	Internal Medicine Physician	$77.3K	$3.9K
Navid Valizadeh	TX	Neurocritical Care Physician	$59.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tenderheart Health Outcomes, Inc.	TX	Durable Medical Equipment & Medical Supplies	$0	$145.4M
Genotox Laboratories Ltd	TX	Clinical Medical Laboratory	$1.2M	$29M
Pavan Ganapathiraju	TX	Pulmonary Disease Physician	$15.2K	$0

Central Texas Community Health Centers — Billing Profile & Reimbursement Data

Sign up for Central Texas Community Health Centers — Billing Profile & Reimbursement Data policy alerts

Central Texas Community Health Centers — Billing Profile & Reimbursement Data

Sign up for Central Texas Community Health Centers — 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