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

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

Westside Family Healthcare, Inc. (NPI 1669479929)

Field	Value
Entity Type	Organization
Organization	Westside Family Healthcare, Inc.
Address	1802 W 4th St
City	Wilmington
State	DE
ZIP	19805
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 1, 2005

Payer Source	Total Paid
Medicaid	$34.3M
Medicare	$0

Key Findings

WESTSIDE FAMILY HEALTHCARE, INC. is an established Federally Qualified Health Center (FQHC) in WILMINGTON, DE with an NPI enumerated 2005-07-01 (~21 years ago). The entity reports $34.3M in lifetime Medicaid revenue and has no Medicare billing on file, making its Medicare footprint effectively nil and its financial exposure concentrated in Medicaid.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 99.7% of the provider's total Medicaid revenue. Those three codes are G0467 (89.1% of Medicaid revenue), G0470 (5.8%), and G0466 (4.8%), indicating that almost all Medicaid dollars are tied to FQHC visit reimbursement lines.

The single largest revenue driver is G0467 (175.7K claims, $174 avg paid/claim, $30.6M revenue), the FQHC established-patient visit. This volume and dollar share indicate the organization operates as a high-volume primary care FQHC delivering bundled per-diem services to established patients rather than deriving material revenue from standalone procedure codes.

Behavioral health services appear to be a material secondary service line: G0470 (10.7K claims, $187 avg paid/claim, $2M revenue; 5.8% of Medicaid revenue) is reported as an FQHC mental-health established-patient visit and ranks #1 of 6 providers in-state (100th percentile; notably above typical state volume for this code). This suggests integrated mental-health encounters are part of the center’s core service mix.

G0466 (8.6K claims, $190 avg paid/claim, $1.6M revenue; 4.8% of Medicaid revenue) shows meaningful new-patient FQHC visit activity and also ranks #1 of 6 providers in-state (100th percentile; notably above typical state volume for this code), implying ongoing new-patient intake and community access efforts. Combined with the established-patient volumes, these data point to both high retention and continued patient acquisition.

WESTSIDE’s statewide competitive standing for its primary FQHC lines is dominant. G0467 ranks #1 of 15 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and the #1 rankings for G0470 and G0466 indicate leadership in both mental-health and new-patient FQHC visit categories within Delaware. Analysts should treat the practice as a major Medicaid FQHC player in-state for these visit codes.

The provider also reports high counts on clinic/encounter and telehealth codes: T1015 (34.4K claims, $1 avg paid/claim, $34.4K revenue) ranks #2 of 50 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code), and G2025 (1.7K claims, $14 avg paid/claim, $23.2K revenue) is reported as the telehealth distant-site payment and ranks #1 of 1 providers in-state (no state peer volume comparison available). These records suggest substantial encounter-level activity and the presence of telehealth distant-site billing in its Medicaid footprint.

A notable reporting pattern is the very large number of claims for many CPT/CPT-like codes that show $0 avg paid/claim (for example, 99213 88K claims, 3008F 70.6K claims, 99214 33.5K claims, 81003 19.4K claims). This likely reflects FQHC bundled/per-diem payment structures or payer-level attribution of revenue to the FQHC visit codes (G0467/G0466/G0470), so analysts should not equate claim counts on these CPTs with separate revenue without verifying payer adjudication rules.

Medicaid: Complete Services Breakdown

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

129 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0467	Federally 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…	175,680	$170	$30.6M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	10,710	$190	$2M
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	8,590	$190	$1.6M
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	90	$450	$39K
T1015	Clinic visit/encounter, all-inclusive	34,400	$1	$34.4K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1,660	$10	$23.2K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	80	$1	$80
0001A	N/A	1,200	$0	$0
0002A	N/A	940	$0	$0
0003A	N/A	40	$0	$0

Showing 1–10 of 129

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Westside Family Healthcare, Inc. — 4 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

129 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0467	Federally 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	20	2,490	$170	$2.9M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	1	10	2,020	$160	$604.9K
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	1	10	910	$170	$379.8K
T1015	Clinic visit/encounter, all-inclusive	2	50	1,490	$80	$340.7K
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…	10	500	1,130	$50	$235.1K
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…	3	50	1,070	$70	$226.6K
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…	3	50	1,050	$60	$191.3K
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…	4	540	1,100	$40	$185.3K
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…	44	80	790	$40	$180.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3	50	800	$70	$170.9K

Showing 1–10 of 129

Related Providers

Other providers that share a Tax Identification Number (TIN) with Westside Family Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Westside Family Healthcare, Inc	DE	Dental Clinic/Center	$0	$1.2M
Andres Hurtado	DE	Dentist	$0	$259.8K
Renee Perkis	DE	Family Medicine Physician	$70.2K	$0
Alireza Pirestani	DE	Family Medicine Physician	$300	$0

Nearby Providers

Other providers in the same ZIP code as Westside Family Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$56.8M
St. Francis Hospital Inc.	DE	General Acute Care Hospital	$0	$43.2M
Always Best Care Of Delaware	DE	Home Health Agency	$0	$38.1M
State Of Delaware Dscyf	DE	Adolescent and Children Mental Health Clinic/Center	$0	$36.5M
Brandywine Counseling & Community Services, Inc.	DE	Adult Mental Health Clinic/Center	$170.8K	$23.9M
Connections Community Support Programs, Inc.	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.4M
St Anthony's Community Center Inc	DE	Meals Provider	$0	$4.6M
Emergency Physician Associates Of Delaware PC	DE	Emergency Medicine Physician	$0	$4.2M
Horizon House Delaware Inc	DE	Case Management Agency	$0	$3.8M
Children's Dental Health Of Delaware, LLC	DE	Pediatric Dentistry	$0	$3.8M

Westside Family Healthcare, Inc. — Billing Profile & Reimbursement Data

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Westside Family Healthcare, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References