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.

Stephen F. Austin Community Health Center, Inc. (NPI 1578730818)

Field	Value
Entity Type	Organization
Organization	Stephen F. Austin Community Health Center, Inc.
Address	1111 W. Adoue Street
City	Alvin
State	TX
ZIP	77511
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 15, 2008

Payer Source	Total Paid
Medicaid	$64.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	183,950	$270	$49.9M
D0999	N/A	14,520	$290	$4.2M
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…	58,280	$60	$3.7M
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…	38,470	$70	$2.6M
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…	20,920	$60	$1.2M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,160	$200	$438.1K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	9,710	$40	$398.2K
90834	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…	7,630	$40	$320.6K
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…	2,080	$110	$224.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,290	$50	$201.8K

Showing 1–10 of 67

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

Stephen F. Austin Community Health Center, Inc. — 10 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

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	770	2,990	$170	$2.6M
D0999	N/A	6	180	390	$190	$405.3K
D2930	N/A	737	1,000	460	$140	$261.5K
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…	94	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…	450	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…	358	1,360	800	$80	$185.6K
D2392	Post 2 surface resin‑based composite	1,091	2,600	490	$90	$164.2K
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…	55	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.	451	1,540	650	$80	$150.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	6	180	440	$60	$117.5K

Showing 1–10 of 67

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asit Choksi	TX	Medical Oncology Physician	$2.4M	$0
David Ellent	TX	Hematology & Oncology Physician	$500.2K	$0
Martin Basaldua	TX	Family Medicine Physician	$374.1K	$0
Nizam Meah	TX	Gastroenterology Physician	$215.4K	$0
Sarah Johnson	TX	Family Nurse Practitioner	$145.5K	$0
Umair Siddiqui	TX	Gastroenterology Physician	$142.2K	$0
William Sweatt	TX	Gastroenterology Physician	$114.3K	$0
Mohammed Saeed	TX	Psychosomatic Medicine Physician	$61K	$0
Allan Daniels	TX	Internal Medicine Physician	$49.8K	$0
Felix Geller	NJ	Psychiatry Physician	$25.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Home Community Living, Inc.	TX	Adult Day Care Clinic/Center	$0	$19.8M
Rhc Reliable Home Care Inc.	TX	In Home Supportive Care Agency	$0	$19.4M
All The Little Things Country	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15.1M
Keith Schauder	TX	Orthopaedic Surgery Physician	$167.6K	$0
Nibu Mathew	TX	Internal Medicine Physician	$126.8K	$0
Wal-mart Stores Texas LLC	TX	Community/Retail Pharmacy	$57.4K	$0
Cvs Pharmacy Inc	TX	Pharmacy	$53K	$0
Douglas Webb	TX	Podiatrist	$50.9K	$0

Stephen F. Austin Community Health Center, Inc. — Billing Profile & Reimbursement Data

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Stephen F. Austin Community Health Center, Inc. — 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