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

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

Jwch Institute, Inc. (NPI 1598829350)

Field	Value
Entity Type	Organization
Organization	Jwch Institute, Inc.
Address	954 N Vermont
City	Los Angeles
State	CA
ZIP	90029
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$119.3M
Medicare	$0

Key Findings

JWCH INSTITUTE, INC. has no Medicare billing on file and reports Total Medicaid revenue: $119.3M, making its public payment footprint effectively single‑payer (Medicaid) in the datasets provided. Absence of any Medicare revenue suggests the organization’s financial relationships and performance metrics will be driven almost entirely by Medicaid activity rather than dual‑payer dynamics.

Revenue is overwhelmingly concentrated in a very small set of codes: the precomputed top‑3 Medicaid codes account for 98.7% of this provider’s Medicaid revenue. In particular, T1015 accounts for $101.2M (84.9% of Medicaid revenue), 00003 accounts for $15.9M (13.4%), and G0467 accounts for $493.5K (0.4%), indicating extreme dependency on a single per‑encounter/bundled payment line.

The code mix and top revenue drivers indicate a classic FQHC operational model: T1015 (Clinic visit/encounter, all‑inclusive) and G0467 (fqhc visit, established patient) are bundled, per‑encounter FQHC payments, implying the organization bills per‑visit bundles for primary care and related services. High claim counts across evaluation & management codes (for example 99213: 208.3K claims; 99214: 77.2K claims) reinforce that JWCH operates at high visit throughput consistent with a community health center delivering frequent, short encounters.

JWCH is a dominant statewide player on its primary revenue code: T1015 ranks #18 of 1550 providers in‑state (99th percentile; extreme outlier, far above typical state volume for this code), which signals market leadership for Medicaid clinic‑encounter billing in California. By contrast, 00003 ranks #84 of 688 (88th percentile; typical, unremarkable volume) and G0467 ranks #181 of 1029 (82th percentile; typical, unremarkable), so dominance is focused specifically on T1015 rather than across all FQHC encounter codes.

Operational scale is large by volume: JWCH reported 470.7K claims for T1015 and 56.9K claims for 00003, with an additional 4.7K claims for G0467. Several E/M codes show unusually high claim counts and peer standing—99213 (208.3K claims, ranks #77 of 14524, 99th percentile; extreme outlier) and 99214 (77.2K claims, ranks #103 of 13295, 99th percentile; extreme outlier)—which together portray a high‑volume clinic network seeing large numbers of established patients.

Service mix extends beyond primary medical E/M to care coordination, behavioral health, and telehealth: notable volumes include G9012 (13.1K claims), G9008 (13.9K claims), 90832 (10.9K claims), and G0071 (2.7K claims for virtual services). These counts — and accompanying rank descriptors (e.g., G9012 ranks #63 of 718, 91th percentile; 90832 ranks #102 of 1431, 93th percentile) — indicate integrated behavioral‑health and care‑coordination activity consistent with comprehensive FQHC service lines.

Payer reimbursement profile shows reliance on bundled clinic payments and low per‑claim E/M reimbursement: T1015’s average paid/claim is $215 and drives the majority of revenue, while high‑volume E/M codes are paid at very low average rates (for example 99213 $2 avg paid/claim and 99214 $3 avg paid/claim). This pattern suggests the center’s financial model depends on per‑encounter bundled FQHC payments for revenue generation, with E/M codes reflecting visit documentation and volume rather than primary revenue sources.

JWCH’s NPI tenure (NPI enumerated: 2006-12-19 (~20 years ago)) shows long‑standing presence in Los Angeles; combined with the extreme volume for T1015 and the high claim counts across multiple codes, the provider appears to be an entrenched FQHC network in the state Medicaid market rather than a recent entrant or small clinic.

Medicaid: Complete Services Breakdown

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

270 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	470,670	$220	$101.2M
00003	N/A	56,870	$280	$15.9M
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…	4,700	$110	$493.5K
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…	208,310	$1	$416.6K
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…	77,200	$1	$231.6K
G9012	Other specified case management service not elsewhere classified	13,120	$20	$196.8K
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…	10,940	$10	$131.3K
0012A	N/A	3,320	$20	$76.3K
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,…	69,970	$1	$70K
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…	10,750	$10	$64.5K

Showing 1–10 of 270

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Jwch Institute, Inc. — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

270 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	18	1,550	38,050	$190	$14.1M
00003	N/A	84	690	14,940	$260	$7.7M
T1017	Targeted case management, each 15 minutes	558	630	2,240	$180	$4.2M
H0043	Supported housing, per diem	50	230	580	$250	$665.6K
G9012	Other specified case management service not elsewhere classified	63	720	1,110	$110	$651.3K
T2051	Supports brokerage, self-directed, waiver; per diem	28	30	170	$110	$562.9K
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…	4,264	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	39	490	660	$70	$396.7K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	179	310	190	$100	$301.4K
H2016	Comprehensive community support services, per diem	39	100	400	$180	$257.2K

Showing 1–10 of 270

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jwch Institute Inc	CA	Federally Qualified Health Center (FQHC)	$0	$28.1M

Nearby Providers

Other providers in the same ZIP code as Jwch Institute, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lusine Apikyan	CA	Adult Health Nurse Practitioner	$838.1K	$0
Mike Rostami	CA	General Practice Physician	$473.2K	$36.3K
Hovanes Ter-zakarian	CA	Family Medicine Physician	$399.5K	$60
Calvin Peters	CA	Physical Medicine & Rehabilitation Physician	$224.8K	$0
Joseph Eshaghian	CA	Ophthalmology Physician	$163.4K	$0
Jem Dynamics Inc	CA	Clinical Medical Laboratory	$80K	$10K

Jwch Institute, Inc. — Billing Profile & Reimbursement Data

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Jwch Institute, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References