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

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

Neighborhood Health Clinics, Inc. (NPI 1639566110)

Field	Value
Entity Type	Organization
Organization	Neighborhood Health Clinics, Inc.
Address	3350 E Paulding Rd
City	Fort Wayne
State	IN
ZIP	46816
Taxonomy	Clinic/Center
NPI Enumerated	April 22, 2015

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,330	$70	$430.3K
D2392	Post 2 surface resin‑based composite	4,340	$60	$264.5K
D0150	Comprehensive oral evaluation – new or established patient	8,790	$30	$263.6K
D1351	Sealant - per tooth	14,410	$20	$245K
D0330	N/A	4,510	$50	$216.3K
D0140	Limited oral evaluation – problem focused	5,570	$30	$183.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	9,460	$20	$151.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,560	$40	$142.2K
D1120	Prophylaxis–child	4,440	$30	$115.5K
D0120	Periodic oral evaluation - established patient	6,390	$20	$108.6K

Showing 1–10 of 47

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Neighborhood Health Clinics, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,104	2,120	870	$60	$450.6K
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…	1,092	2,380	920	$50	$376.8K
D2930	N/A	134	170	1,180	$130	$370.2K
T1015	Clinic visit/encounter, all-inclusive	249	400	5,220	$20	$360.2K
D1354	N/A	113	130	700	$70	$252.9K
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…	292	290	770	$80	$250.8K
D1351	Sealant - per tooth	44	450	780	$20	$118.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	29	540	460	$70	$106.9K
99204	The provider sees a new 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 provider…	733	790	150	$90	$99.4K
D9999	N/A	6	70	2,630	$20	$85.6K

Showing 1–10 of 47

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Misbah Home Care Agency LLC	IN	In Home Supportive Care Agency	$0	$13.4M
Clute Youth Dentistry, Inc.	IN	General Practice Dentistry	$0	$13M
Adams County Memorial Hospital	IN	Skilled Nursing Facility	$0	$3.2M

Neighborhood Health Clinics, Inc. — Billing Profile & Reimbursement Data

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Neighborhood Health Clinics, 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

Nearby Providers

Frequently Asked Questions

References