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

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

Keystone Rural Health Center (NPI 1639462427)

Field	Value
Entity Type	Organization
Organization	Keystone Rural Health Center
Address	830 5th Ave Ste 202
City	Chambersburg
State	PA
ZIP	17201
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 26, 2011

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	52,260	$260	$13.4M
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…	300	$1,080	$322.1K
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,…	1,800	$1	$1.8K
G9920	Screening performed and negative	430	$1	$430
3008F	No Summary found for this code	940	$0	$0
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	710	$0	$0
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	290	$0	$0
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	1,210	$0	$0
80306	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by instrument–assisted direct optical observation, often utilizing immunoassay, to screen for any number of…	400	$0	$0
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	530	$0	$0

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Keystone Rural Health Center — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	61	1,690	760	$170	$1.2M
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…	3	20	40	$1,340	$124.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	217	220	420	$20	$91.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	215	220	430	$20	$84.7K
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…	6,405	8,160	210	$60	$68.4K
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…	76	8,870	240	$40	$56.1K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	83	190	210	$50	$31.9K
99203	The provider sees a new 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 provider…	599	1,620	80	$60	$28.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	49	200	130	$20	$25.8K
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,…	136	1,630	90	$30	$22K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Keystone Rural Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$35.7M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$22.8M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$20.9M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$14.3M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$14.1M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$9M
Ekezie Francis	PA	Infectious Disease Physician	$84.6K	$3.3K

Nearby Providers

Other providers in the same ZIP code as Keystone Rural Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andventure, LLC	PA	Home Health Agency	$0	$31.5M
The Chambersburg Hospital	PA	General Acute Care Hospital	$0	$10.3M
Ludwick Laser & Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$1.4M	$520
Borough Of Chambersburg	PA	Basic Emergency Medical Technician	$432.4K	$746.7K
Kevin Clawson	PA	Rheumatology Physician	$1.1M	$0
Kevin Lorentsen	PA	Hematology & Oncology Physician	$959.5K	$0
Scott Massey	PA	Hospitalist Physician	$868.8K	$290
Kibem Kim	PA	Radiation Oncology Physician	$845.4K	$0
Wellspan Chambersburg Endoscopy Center LLC	PA	Endoscopy Clinic/Center	$706.2K	$0
Summit Surgery Center, L.P.	PA	Ambulatory Surgical Clinic/Center	$457.6K	$158.5K

Keystone Rural Health Center — Billing Profile & Reimbursement Data

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Keystone Rural Health Center — 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