Loading...
NPI 1669474425 · Pittsburg, KS · Federally Qualified Health Center (FQHC)
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Community Health Center Of Southeast Kansas Inc is a federally qualified health center (fqhc) provider located in Pittsburg, Kansas. This profile covers 0 Medicare and 134 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Community Health Center Of Southeast Kansas Inc |
| Address | 3011 N Michigan St |
| City | Pittsburg |
| State | KS |
| ZIP | 66762 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | August 11, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $34.5M |
| Medicare | $0 |
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC is effectively a Medicaid‑centered FQHC with $34.5M in lifetime Medicaid revenue and no Medicare billing on file; its NPI was enumerated on 2005-08-11, indicating it has been active for ~21 years. The absence of Medicare receipts makes this provider functionally single‑payer (Medicaid) in the dataset, so analyses of scale, risk, and contracting should be framed around Medicaid revenue only.
Revenue is highly concentrated: the precomputed top three Medicaid codes (99213, D1206, 99214) together account for 57.6% of the provider’s total Medicaid revenue. The single largest driver is 99213 ($12.7M, 38.2% of Medicaid revenue), followed by D1206 ($3.4M, 10.2%) and 99214 ($3.0M, 9.2%), showing heavy dependence on a small set of codes for more than half of Medicaid receipts.
The clinical mix points to a strong primary care footprint: high-volume E&M codes 99213 (79.7K claims, $12.7M) and 99214 (21.3K claims, $3.0M) together represent a large portion of revenue and reflect routine outpatient evaluation-and-management encounters. Both codes are labeled as extreme outliers or far above typical state volume, indicating this site delivers primary care visits at a much higher rate than typical in-state peers, consistent with an FQHC delivering high ambulatory throughput.
Dental services are a major service line alongside medical primary care: D1206 (topical fluoride) generates $3.4M (10.2% of Medicaid revenue) with 40.7K claims, and other dental codes such as D1120 ($2.0M, 6.0%) and D1110 ($742.3K, 2.2%) also appear in the top revenue list. The very high claims count for D1351 (25.1K claims, $125.4K) and the presence of both pediatric prophylaxis and adult prophylaxis codes signal a broad dental program with substantial preventive and restorative activity.
Behavioral health and care‑coordination services are material components of the mix: psychotherapy codes 90832/90834/90837 and psychiatric evaluation 90791 appear among top codes (e.g., 90832: 10K claims, $1.3M; 90791: 2.2K claims, $302.6K), and G9150 (level 3 medical home) accounts for $1.9M (5.7% of Medicaid revenue). G9150 ranks #1 of 16 in-state and is described as an extreme outlier, which together with the psychotherapy volume suggests integrated behavioral health and formal care‑coordination/PCMH capabilities at this FQHC.
State competitive positioning is strong for several codes: 99213 ranks #3 of 1,047 providers in-state (100th percentile; extreme outlier), 99214 ranks #11 of 882 (99th percentile; extreme outlier), and D1206 ranks #8 of 320 (98th percentile; notably above typical state volume). These ranks indicate the center is a dominant in-state provider for high-volume primary care and pediatric dental prevention, while several other codes (e.g., 99212, 90791, G9150) are also in top percentiles, reinforcing a leadership role in Medicaid service volume.
The payer and service mix has operational and contracting implications: with most revenue concentrated in primary care E&M and pediatric dental prevention, payers evaluating network adequacy or value‑based arrangements should note the center’s dependence on high ambulatory volume codes and on Medicaid as the primary revenue source. Given its FQHC status and PCMH recognition (G9150), the organization may be well positioned for care‑coordination payments, but its revenue concentration around a few codes could be a negotiation point for capitation or bundled arrangements.
Several codes are characterized as typical or unremarkable in volume despite appearing in the top‑25 list (for example, D1120 rank #11 of 363 at the 97th percentile described as typical, and multiple preventive codes 99391/99392/99393 are in the low 90s percentiles). This mix of extreme outlier volumes for core E&M and dental prevention alongside many typical‑volume procedures suggests the health center operates a large, concentrated primary care/dental core while maintaining a broader set of routine preventive and ancillary services expected of an FQHC.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
134 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 79,690 | $160 | $12.7M |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 40,700 | $80 | $3.4M |
| 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… | 21,290 | $140 | $3M |
| D1120 | Prophylaxis–child | 15,650 | $130 | $2M |
| G9150 | National committee for quality assurance - level 3 medical home | 10,820 | $170 | $1.9M |
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 10,010 | $130 | $1.3M |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 6,990 | $140 | $979K |
| 99391 | 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… | 4,760 | $180 | $871.6K |
| 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… | 4,500 | $180 | $823.5K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 4,200 | $190 | $780.5K |
Showing 1–10 of 134
How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kansas median
134 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D2930 | N/A | 16 | 60 | 1,370 | $120 | $359.9K |
| 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… | 3 | 1,050 | 560 | $80 | $266.8K |
| 92507 | The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with… | 283 | 290 | 1,600 | $40 | $214.2K |
| D1351 | Sealant - per tooth | 14 | 210 | 1,490 | $20 | $189.4K |
| S0311 | Comprehensive management and care coordination for advanced illness, per calendar month | 10 | 30 | 680 | $130 | $182K |
| 99391 | 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… | 16 | 160 | 470 | $90 | $163.1K |
| G9150 | National committee for quality assurance - level 3 medical home | 1 | 20 | 290 | $150 | $161K |
| T1015 | Clinic visit/encounter, all-inclusive | 5 | 10 | 300 | $170 | $157.3K |
| 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… | 16 | 180 | 300 | $100 | $141.8K |
| 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… | 11 | 880 | 400 | $60 | $136K |
Showing 1–10 of 134
Other providers in the same ZIP code as Community Health Center Of Southeast Kansas Inc, ranked by combined Medicare and Medicaid revenue.
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.