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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Community Health Care, Inc. (NPI 1700816816)

Community Health Care, Inc. is a federally qualified health center (fqhc) provider located in Bridgeton, New Jersey. This profile covers 0 Medicare and 138 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Community Health Care, Inc.
Address	30 North Pearl Street
City	Bridgeton
State	NJ
ZIP	08302
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

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

138 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…	218,120	$20	$3.9M
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…	116,160	$20	$2.4M
T1015	Clinic visit/encounter, all-inclusive	8,830	$170	$1.5M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1,920	$710	$1.4M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	57,010	$10	$741.2K
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…	13,730	$30	$466.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	12,410	$30	$421.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	37,800	$10	$415.8K
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…	10,600	$30	$349.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	17,520	$20	$315.3K

Showing 1–10 of 138

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Community Health Care, Inc. — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	29	110	4,060	$170	$1.5M
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	45	50	300	$20	$629.9K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	66	100	320	$190	$394K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1	40	210	$760	$307.1K
D9999	N/A	57	70	100	$150	$262.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	282	480	220	$260	$260.3K
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…	6	4,450	740	$40	$229.8K
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…	10	3,790	580	$60	$204K
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…	169	430	550	$50	$190.5K
90863	The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.	2	10	470	$70	$183.7K

Showing 1–10 of 138

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dennis Kwon	NJ	Vascular & Interventional Radiology Physician	$2.7M	$0
Scott Hollander	NJ	Vascular & Interventional Radiology Physician	$1.3M	$0
Benjamin Negin	NJ	Internal Medicine Physician	$977.6K	$0
Shailja Roy	NJ	Hematology & Oncology Physician	$960.7K	$0
Kush Sachdeva	NJ	Specialist	$888.6K	$0
Mylene Go	PA	Hematology & Oncology Physician	$792.9K	$0
Vijayendra Verma	NJ	Cardiovascular Disease Physician	$745.7K	$0
Omar Al Ustwani	NJ	Internal Medicine Physician	$670.3K	$0
Scott Warren	NJ	Foot Surgery Podiatrist	$154.5K	$0
Jade Gray	NJ	Podiatrist	$150.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Senior Care Centers Of America, Inc.	NJ	Adult Day Care Clinic/Center	$0	$10.6M
Bridgeton Public Schools	NJ	Local Education Agency (LEA)	$0	$9.1M
John Hatzantonis	NJ	Internal Medicine Physician	$310.4K	$0
Jack Shields	NJ	Internal Medicine Physician	$106.4K	$0
Ronald Lorenc	NJ	Otolaryngology Physician	$25.5K	$650

Community Health Care, Inc. — Billing Profile & Reimbursement Data

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Community Health Care, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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