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

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

Physicians Care Of Clarke (NPI 1649863630)

Physicians Care Of Clarke is a federally qualified health center (fqhc) provider located in Camden, Alabama. This profile covers 0 Medicare and 39 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Competitive Analysis & Benchmarks

Field	Value
Entity Type	Organization
Organization	Physicians Care Of Clarke
Address	24b Camden Byp
City	Camden
State	AL
ZIP	36726
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 19, 2021

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	45,040	$100	$4.4M
1000F	No Summary found for this code	80	$0	$0
3008F	No Summary found for this code	5,240	$0	$0
3074F	No Summary found for this code	1,340	$0	$0
3075F	No Summary found for this code	20	$0	$0
3077F	No Summary found for this code	20	$0	$0
3078F	No Summary found for this code	960	$0	$0
3079F	No Summary found for this code	390	$0	$0
3288F	No Summary found for this code	190	$0	$0
3351F	No Summary found for this code	140	$0	$0

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

Claims Volume vs. Alabama Distribution

Physicians Care Of Clarke — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	38	240	6,820	$120	$2.9M
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…	276	380	440	$90	$362K
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…	44	1,990	680	$60	$201.7K
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…	77	330	140	$240	$197.4K
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…	175	1,990	560	$40	$185.6K
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…	277	300	1,160	$50	$147.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	281	320	640	$50	$98.1K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	70	300	210	$40	$77.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	224	300	330	$50	$56.3K
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…	190	630	60	$80	$45.8K

Showing 1–10 of 39

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wilcox County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.4M
J. Paul Jones Hospital	AL	General Acute Care Hospital	$0	$1.3M
J. Paul Jones Hospital	AL	Rural Health Clinic/Center	$0	$957K

Physicians Care Of Clarke — Billing Profile & Reimbursement Data

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Physicians Care Of Clarke — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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