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

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

Portland Community Health Center (NPI 1659826550)

Field	Value
Entity Type	Organization
Organization	Portland Community Health Center
Address	92 Deering Ave
City	Portland
State	ME
ZIP	04102
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 20, 2016

Payer Source	Total Paid
Medicaid	$447.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	2,040	$220	$445.6K
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…	390	$1	$790
0001A	N/A	20	$40	$590
91300	N/A	40	$10	$180
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	70	$0	$0
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	40	$0	$0
99188	The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity.	130	$0	$0
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$0	$0
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	40	$0	$0
D1120	Prophylaxis–child	130	$0	$0

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Portland Community Health Center — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	129	180	8,540	$180	$3M
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…	310	480	1,030	$20	$128.9K
D1120	Prophylaxis–child	115	160	500	$30	$56.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	133	190	390	$20	$42.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	132	160	300	$40	$34.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	115	190	470	$10	$31.8K
0001A	N/A	61	70	90	$20	$10.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	54	60	170	$10	$8.9K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	81	100	630	$1	$6.3K
99188	The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity.	23	40	280	$10	$6.1K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$12.9M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$7.4M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$4.1M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$3.6M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$1.2M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$1.2M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$1.1M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$863.7K
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$851.3K
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$815.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	General Acute Care Hospital	$0	$142.6M
Shalom House, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$81.9M
Mercy Hospital	ME	General Acute Care Hospital	$0	$35.5M
Maxim Healthcare Services, Inc.	ME	Home Health Agency	$0	$28.1M
Quality Care Access, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.2M
Al-shawk Home Healthcare, LLC	ME	Personal Care Attendant	$0	$7M
Maine Eye Center, PA	ME	Ophthalmology Physician	$0	$6.1M
Hand Of Mercy Health Care, LLC	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Mainehealth	ME	General Acute Care Hospital	$0	$5.5M
Merrimack River Medical Services, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$253.7K	$4.6M

Portland Community Health Center — Billing Profile & Reimbursement Data

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Portland Community 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