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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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 Clinics, Inc. (NPI 1710183058)

Field	Value
Entity Type	Organization
Organization	Community Health Clinics, Inc.
Address	211 16th Ave N
City	Nampa
State	ID
ZIP	83687
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 25, 2007

Payer Source	Total Paid
Medicaid	$37.7M
Medicare	$0

Key Findings

This provider is effectively single-payer in the claims data: there is no Medicare billing on file and all reported revenue is Medicaid-only, with total Medicaid revenue of $37.7M. The absence of Medicare billing combined with the large Medicaid footprint should frame any competitive or risk analysis toward Medicaid programs and state-level contracts rather than Medicare-centric channels.

Revenue is highly concentrated in a single encounter code: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and T1015 alone accounts for $37.7M and 99.9% of the provider's Medicaid revenue. The next two top codes, G0467 ($18.5K) and 99212 ($3.5K), contribute effectively negligible shares of revenue despite being on the top list.

The code mix and taxonomy indicate classical FQHC operations: dominant billing for T1015 (T1015 – Clinic visit/encounter, all-inclusive) aligns with bundled, per-encounter reimbursement typical for Federally Qualified Health Centers, signaling that the organization bills comprehensive clinic visits rather than fee-for-service office-level E/M as its primary revenue driver. The presence of 99212 (3.5K claims) and other low-level E/M codes supports a service profile focused on routine primary care and straightforward follow-up visits.

Competitive standing for the dominant encounter code is strong at the state level: T1015 ranks #2 of 143 providers in-state (99th percentile; extreme outlier), which positions this clinic as one of the largest statewide billers for the all-inclusive clinic encounter. That ranking implies market-scale capacity for Medicaid-covered FQHC visits relative to peers in Idaho.

Several codes show very high claim volumes but report $0 average paid/claim and $0 revenue (for example 99214 with 65.3K claims and 99213 with 52.1K claims), which is notable in the context of the $37.7M Medicaid total. These patterns are consistent with encounter-level bundling or state-specific payment constructs where certain procedure codes are tracked for service counts while reimbursement flows through an all-inclusive FQHC encounter code like T1015.

Though revenue contribution is minimal from ancillary services, the provider reports operational breadth: G2025 telehealth distant-site claims (191 claims), G0008 influenza vaccine administration (164 claims), and 87804 influenza testing (558 claims) demonstrate that immunizations, point-of-care testing, and some telehealth capacity exist alongside core clinic visits, even if they are not material revenue drivers.

This is an established FQHC with long tenure in the NPI file (NPI enumerated 2007-06-25, ~19 years ago), which corroborates the sustained high-volume billing profile. Longevity plus extreme ranking on T1015 suggests mature operational scale in community-based primary care and Medicaid service delivery in its market.

Medicaid: Complete Services Breakdown

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

135 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	208,310	$180	$37.7M
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…	6,170	$1	$18.5K
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,…	3,540	$1	$3.5K
G0008	Administration of influenza virus vaccine	160	$10	$820
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	560	$1	$560
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	510	$1	$510
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	190	$1	$190
87086	Culture, bacterial; quantitative, colony count, urine.	70	$1	$70
Q2038	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	10	$1	$40
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	30	$1	$30

Showing 1–10 of 135

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Community Health Clinics, Inc. — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

135 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	2	140	5,470	$180	$2.6M
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…	14	670	740	$40	$193.6K
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…	6	620	560	$60	$191.8K
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…	30	410	740	$60	$174.3K
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…	15	80	450	$80	$171.3K
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…	15	80	380	$70	$151.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	12	80	130	$80	$91.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	7	80	460	$30	$77.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	8	70	390	$40	$56.5K
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…	9	140	100	$90	$54.4K

Showing 1–10 of 135

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Clinics, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$568.3K
Tina Thorne	ID	Adult Health Nurse Practitioner	$75.3K	$0
Camille Buchmiller	ID	Physician Assistant	$61.5K	$0
Kyle George	ID	Medical Physician Assistant	$49.1K	$0
Brian Crownover	ID	Family Medicine Physician	$42.7K	$0
Rhiana Menen	ID	Surgery Physician	$41K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rescare Washington Inc	ID	Nursing Care Agency	$0	$8.2M
Assisting Hands Home Care - Boise, LLC	ID	Home Health Agency	$0	$7.6M
Idaho Pediatric Dentistry	ID	Pediatric Dentistry	$0	$4.9M
Unbefuddled, LLC	ID	Case Management Agency	$0	$4.6M
Saint Alphonsus Medical Center Nampa, Inc.	ID	General Acute Care Hospital	$0	$3.7M
Best Homecare And Staffing LLC	ID	Home Health Agency	$0	$2.6M
Advanced Services LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$2.6M
Norco, Inc.	ID	Oxygen Equipment & Supplies (DME)	$0	$2.4M
St Lukes West Ltd	ID	General Acute Care Hospital	$0	$1.9M
Unity Service Coordination	ID	Case Management Agency	$0	$1.6M

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

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Community Health Clinics, 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