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

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

Grace Community Health Center, Inc. (NPI 1568625648)

Grace Community Health Center, Inc. is a federally qualified health center (fqhc) provider located in Corbin, Kentucky. This profile covers 0 Medicare and 167 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Grace Community Health Center, Inc.
Address	14662 N Us Highway 25e
City	Corbin
State	KY
ZIP	40701
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 8, 2008

Payer Source	Total Paid
Medicaid	$21.1M
Medicare	$0

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

167 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	295,260	$30	$9.4M
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…	46,340	$40	$1.9M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1,430	$730	$1M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	112,770	$10	$1M
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…	13,740	$40	$577.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	19,660	$30	$491.5K
D0150	Comprehensive oral evaluation – new or established patient	17,130	$20	$411.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	6,060	$70	$406.2K
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…	5,170	$60	$310.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	23,780	$10	$309.2K

Showing 1–10 of 167

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Grace Community Health Center, Inc. — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

167 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
58571	The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports…	9	10	350	$1,810	$754.2K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	127	130	6,080	$40	$449.7K
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…	408	1,270	760	$80	$447.2K
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…	12	3,340	1,020	$30	$296K
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…	41	2,460	580	$40	$245K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	103	600	600	$40	$207.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	173	470	770	$20	$188.2K
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…	34	230	720	$60	$180.1K
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…	45	260	540	$70	$176.6K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1	40	170	$700	$160.5K

Showing 1–10 of 167

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cumberland River Behavioral Health, Inc	KY	Community/Behavioral Health Agency	$0	$349.5M
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$121.5M
Barnhill Pediatric Dentistry, P.s.c.	KY	Pediatric Dentistry	$0	$13.8M
Bhg Xxxiv, LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$156.1K	$6.3M
Cumberland Valley Surgical Center, LLC	KY	Ambulatory Surgical Clinic/Center	$1M	$5.2M
Sav-rite Home Care Inc	KY	Durable Medical Equipment & Medical Supplies	$0	$6.1M
Southeastern Medical Supply LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$6M
Corbin Pediatric Associates Psc	KY	Rural Health Clinic/Center	$0	$4.2M
Green Meadows Wellness Center One, LLC	KY	Clinical Psychologist	$0	$3.3M
Martin Case Management	KY	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$3.1M

Grace Community Health Center, Inc. — Billing Profile & Reimbursement Data

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

Grace Community Health Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Grace Community Health Center, 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