Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCommunity Health Care Inc
    Ask Trek AI about this page

    Community Health Care Inc — Billing Profile & Reimbursement Data

    NPI 1598152019 · Clinton, IA · Federally Qualified Health Center (FQHC)

    Customize your policy alerts

    Sign up for Community Health Care Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Community Health Care Inc is a federally qualified health center (fqhc) provider located in Clinton, Iowa. This profile covers 0 Medicare and 50 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Health Care Inc
    Address925 South 4th Street
    CityClinton
    StateIA
    ZIP52732
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedApril 22, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    50 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D9999N/A8,330$190$1.6M
    T1015Clinic visit/encounter, all-inclusive6,800$170$1.2M
    D0999N/A5,510$180$985.9K
    G0467Federally 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…290$40$11.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients4,200$1$4.2K
    D0120Periodic oral evaluation - established patient2,830$1$2.8K
    D1120Prophylaxis–child2,660$1$2.7K
    D0150Comprehensive oral evaluation – new or established patient2,020$1$2K
    D2391Resin‑based composite – one surface, posterior510$1$1.5K
    D2392Post 2 surface resin‑based composite740$1$1.5K

    Showing 1–10 of 50

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Iowa median

    50 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1313303,960$170$2.8M
    D9999N/A18406,850$180$2.7M
    D0999N/A18306,470$210$1.8M
    99213The 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…2591,310760$20$153.1K
    99392Preventive 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…163190300$50$91.7K
    G0467Federally 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…1830800$30$81.2K
    D1351Sealant - per tooth140190750$20$60.2K
    D2392Post 2 surface resin‑based composite65210230$60$58.6K
    D1120Prophylaxis–child84580310$20$43.3K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.170250110$50$39.9K

    Showing 1–10 of 50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Care, Inc.IAFederally Qualified Health Center (FQHC)$0$86.7M
    Community Health Care, Inc.IADental Clinic/Center$0$10.9M
    Community Health Care, Inc.ILFederally Qualified Health Center (FQHC)$0$4.4M
    Community Health Care, Inc.ILFederally Qualified Health Center (FQHC)$0$3.3M
    Community Health Care IncIAFederally Qualified Health Center (FQHC)$0$1.9M
    Valena FiscusMOInternal Medicine Physician$60.3K$0
    Kathryn HuberIAMedical Physician Assistant$53.8K$0
    John DooleyIAPain Medicine Physician$18.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Skyline Center IncIACommunity/Behavioral Health Agency$0$24.4M
    Mercy Medical Center-clinton, IncIAGeneral Acute Care Hospital$0$14.3M
    Comprehensive Rehab IncorporatedIARehabilitation Clinic/Center$0$9M
    Bridgeview Community Mental Health CenterIAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.5M
    Arch, IncIAIntellectual Disabilities Intermediate Care Facility$0$7M
    Mercy Specialty ClinicIAFamily Medicine Physician$0$6.6M
    Pathway Living Center, Inc.IACommunity/Behavioral Health Agency$0$6.2M
    City Of ClintonIAAmbulance$276.7K$4.6M
    Clinton Community School DistrictIALocal Education Agency (LEA)$0$3.2M
    Iowa Emergency Services LLCIAEmergency Medicine Physician$0$3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Community Health Care Inc — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa