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    OpenPayerNPI Medicare & MedicaidFamily Health Services Corporation
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    Family Health Services Corporation — Billing Profile & Reimbursement Data

    NPI 1669449450 · Twin Falls, ID · Federally Qualified Health Center (FQHC)

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    Family Health Services Corporation is a federally qualified health center (fqhc) provider located in Twin Falls, Idaho. This profile covers 0 Medicare and 46 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFamily Health Services Corporation
    Address388 Martin Street
    CityTwin Falls
    StateID
    ZIP83301
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMarch 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.1M
    Medicare$0

    Key Findings

    FAMILY HEALTH SERVICES CORPORATION is effectively a Medicaid-centric provider: it reports no Medicare revenue on file and $8.1M in total Medicaid revenue, with an NPI enumerated 2006-03-01 (~20 years ago). The lack of Medicare billing makes Medicaid the dominant — effectively sole — payer exposure for this entity.

    Revenue is extremely concentrated in a single encounter code: T1015 accounts for $7.9M, or 97.9% of this provider's total Medicaid revenue, and the precomputed top-3 codes together account for 99.3% of Medicaid revenue. This concentration means the provider’s financial performance on Medicaid hinges overwhelmingly on T1015 encounter billing.

    The code mix and taxonomy align with Federally Qualified Health Center operations: the dominant T1015 (Clinic visit/encounter, all-inclusive) suggests the organization bills bundled, per-encounter FQHC services rather than relying on fee-for-service E&M payments. By contrast, traditional E&M codes such as 99213 ($22.6K, 0.3% of Medicaid revenue) and 99214 ($21.8K, 0.3%) contribute almost no revenue, indicating most patient encounters are captured under the FQHC encounter framework.

    Competitive standing on the state Medicaid ledger is modest-to-strong for its headline codes: for T1015 the provider ranks #15 of 143 in-state (90th percentile; typical, unremarkable volume for this code), for G0467 it ranks #10 of 32 (71th percentile; typical, unremarkable volume), and for 99213 it ranks #24 of 669 (97th percentile; typical, unremarkable volume). These rankings show the practice is a higher-volume participant for several encounter/E&M codes but not an outlier beyond described state norms.

    The provider delivers a range of preventive and outpatient services beyond bundled encounters: vaccine administration codes (90471, 90472, 90686 and others) and lab/testing codes (87635, 87426) appear on the claim roster, but together these services represent only small shares of Medicaid revenue. This pattern is consistent with an FQHC that provides routine immunizations and point-of-care testing as part of bundled encounters rather than as significant separate revenue centers.

    Several high-claim, zero-payment codes appear in the profile (1159F, 3074F, 3078F, 2001F and others); 2001F in particular shows 6.6K claims and ranks #2 of 17 in-state (94th percentile; notably above typical state volume for this code). The presence of multiple high-volume $0-paid codes suggests substantial non-fee reporting or quality/measure submissions alongside billed encounters, which is common in safety-net and FQHC reporting workflows.

    Operationally, the near-total reliance on T1015 (97.9% of Medicaid revenue) creates revenue dependency on Medicaid encounter reimbursement policy and FQHC billing practices; any changes to encounter definitions, eligibility, or payment rates at the state level would disproportionately affect this provider’s Medicaid receipts. Given the provider has no Medicare revenue to diversify risk, Medicaid policy and rate stability are central to its financial posture.

    Although the provider demonstrates sizable encounter volume within Idaho, many individual procedure codes beyond the top FQHC encounter show only modest paid amounts and low revenue shares (for example, 90471 $17.9K and 87635 $2.1K). That underlines a business model focused on high-volume, low-unit-payment bundled encounters rather than high-margin, fee-for-service procedures.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive35,900$220$7.9M
    G0467Federally 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…1,350$70$91.9K
    99213The 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…22,600$1$22.6K
    99214The 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…3,630$10$21.8K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.4,470$1$17.9K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.590$10$2.9K
    87635Using 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…170$10$2.1K
    0011AN/A70$30$2.1K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…50$30$1.6K
    0012AN/A40$30$1.4K

    Showing 1–10 of 46

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Idaho median

    46 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive151405,470$180$2.6M
    99213The 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…24670740$40$193.6K
    99214The 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…101620560$60$191.8K
    99391Preventive 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…7080380$70$151.1K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.5680130$80$91.4K
    G0467Federally 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…1030790$20$48.1K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.386050$70$35.5K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.2770240$20$34.3K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.19180140$10$28.4K
    87635Using 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…3670190$30$16.7K

    Showing 1–10 of 46

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Family Health Services Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$10.5M
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$6.4M
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$4.3M
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$4.3M
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$3.5M
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$2.7M
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$2.3M
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$2M
    Family Health Services CorporationIDFederally Qualified Health Center (FQHC)$0$595.5K
    John UrrutiaIDMedical Physician Assistant$83.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Family Health Services Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Homestyle Direct LLC.IDHome Delivered Meals$0$65.4M
    St Luke's Clinic LLCIDFamily Medicine Physician$0$39.5M
    Primary Therapy Source, LLCIDPhysical Therapist$0$11.7M
    Wright Physical Therapy Limited PartnershipIDPhysical Therapist$0$8.8M
    Smiles 4 Kids, LLCIDPediatric Dentistry$0$8.7M
    St. Luke's Magic Valley Regional Medical Center, Ltd.IDGeneral Acute Care Hospital$0$7.9M
    Twin Falls School District #411IDLocal Education Agency (LEA)$0$6.6M
    Sunshine Therapy LLCIDBehavior Analyst$0$5.7M
    Magic Valley Paramedics L L CIDLand Ambulance$976.6K$4.6M
    Twin Falls Senior Living LLCIDAssisted Living Facility$0$4.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Idaho Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Family Health Services Corporation — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho