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

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

Caring Community Health Center (NPI 1679038293)

Field	Value
Entity Type	Organization
Organization	Caring Community Health Center
Address	175 S Wilkes Barre Blvd
City	Wilkes Barre
State	PA
ZIP	18702
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 7, 2019

Payer Source	Total Paid
Medicaid	$17.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	95,630	$180	$17.2M
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…	32,040	$1	$96.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,900	$10	$17.4K
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…	3,450	$10	$17.2K
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…	16,510	$1	$16.5K
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.	2,090	$10	$12.5K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	3,680	$1	$11.1K
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…	3,590	$1	$10.8K
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…	6,520	$1	$6.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,620	$1	$6.5K

Showing 1–10 of 78

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Caring Community Health Center — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	25	1,690	760	$170	$1.2M
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.	226	980	310	$50	$136.6K
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…	47	820	230	$80	$71.7K
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…	26	8,160	210	$60	$68.4K
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…	34	660	180	$70	$63.7K
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…	130	8,870	240	$40	$56.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	180	220	2,320	$10	$51.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	46	870	160	$70	$48.2K
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…	13	1,210	100	$90	$45K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	141	410	320	$10	$37.4K

Showing 1–10 of 78

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caring Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$9.7M
Sonya Kella	MN	Diagnostic Radiology Physician	$301.4K	$50.4K
Joshua Albrektson	MN	Diagnostic Radiology Physician	$264.9K	$2K
Kevin Baker	NY	Diagnostic Radiology Physician	$246.2K	$18.5K
Yuxuan Lin	CA	Diagnostic Radiology Physician	$73.8K	$146.8K
Marsha Naydich	MN	Diagnostic Radiology Physician	$213.7K	$0
Elise Hotaling	MN	Diagnostic Radiology Physician	$171.1K	$23.7K
Raymond Welsh	MN	Diagnostic Radiology Physician	$190.8K	$0
Joseph Williams	MN	Diagnostic Radiology Physician	$150.8K	$80
Aaron Peterson	NV	Diagnostic Radiology Physician	$100.3K	$35.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$47.6M
Step By Step Inc.	PA	Voluntary or Charitable Agency	$0	$35.3M
Children's Service Center Of Wyoming Valley Inc	PA	Community/Behavioral Health Agency	$0	$26M
Children's Service Center Of Wyoming Valley Inc	PA	Adolescent and Children Mental Health Clinic/Center	$0	$18.7M
Cleanslate Medical Group Of Pennsylvania LLC	PA	Multi-Specialty Clinic/Center	$0	$18.6M
Children's Service Center Of Wyoming Valley, Inc	PA	Counselor	$0	$17.8M
Golden Care Of Northeast PA, Inc.	PA	Home Health Agency	$0	$7.7M
Wilkes Barre Hospital Company LLC	PA	General Acute Care Hospital	$0	$7.4M
Geisinger Wyoming Valley Medical Center	PA	General Acute Care Hospital	$0	$7M
Gnanesh Patel	PA	Rheumatology Physician	$3.2M	$0

Caring Community Health Center — Billing Profile & Reimbursement Data

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Caring 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