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

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

Crescent Community Health Center (NPI 1720146319)

Field	Value
Entity Type	Organization
Organization	Crescent Community Health Center
Address	1690 Elm St Ste 300
City	Dubuque
State	IA
ZIP	52001
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$29.5M
Medicare	$0

Key Findings

CRESCENT COMMUNITY HEALTH CENTER is an FQHC in DUBUQUE, IA with an NPI enumerated on 2006-12-05 (~20 years ago). The provider reports no Medicare billing on file and $29.5M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation in the available claims data.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 97.1% of this provider's total Medicaid revenue. Those top drivers are T1015 ($17.9M, 60.7% of Medicaid revenue), D9999 ($7.2M, 24.5%), and D0999 ($3.5M, 12.0%), indicating those three codes dominate financial performance.

The code mix points to a classic FQHC operating model where bundled clinic encounters generate the majority of dollars: T1015 (Clinic visit/encounter, all-inclusive) is the single largest revenue source at $17.9M. The substantial share from D-coded lines (D9999 and D0999) signals an integrated dental service line or heavy use of unspecified dental package codes alongside primary-care bundled visits. G0467 and G0470 appear in the mix at much smaller revenue levels, so medical and behavioral FQHC bundles are present but not the primary revenue engines.

Competitive standing for the core clinic visit volume is strong statewide: T1015 ranks #16 of 327 providers in-state (95th percentile), which places Crescent among high-volume FQHCs for this code while the dataset labels the observed volume as typical rather than anomalous. This suggests Crescent is a prominent local provider of FQHC-style bundled visits, but not unique in operating model compared with peers.

The dental-related codes show mixed competitive signals: D9999 ranks #9 of 41 providers (80th percentile) and D0999 ranks #7 of 31 providers (80th percentile), reflecting above-average activity in smaller dental peer sets. Several specific dental procedure codes are flagged as extreme or notable outliers in state comparisons—D1110 ($62.3K revenue; ranks #8 of 631, 99th percentile; extreme outlier) and D0210 ($60.2K revenue; ranks #2 of 150, 99th percentile; extreme outlier)—indicating unusually high volumes of prophylaxis and full-series radiography relative to most providers, which reinforces the interpretation of a substantial dental footprint.

Public-health testing and telehealth activity are evident: D0603 (antigen testing) is listed as an extreme outlier at 7.6K claims and $15.2K revenue (ranks #3 of 119, 98th percentile), showing high testing throughput historically, while G2025 (telehealth distant site for FQHC) has 354 claims and $10.3K revenue (ranks #4 of 32, 90th percentile), indicating measurable but modest telehealth utilization. These lines suggest operational capacity beyond traditional in-person visits.

The business implications of the 97.1% concentration in three codes are material: reliance on T1015 and two D-codes creates vulnerability to reimbursement or policy changes affecting bundled FQHC encounter payments or dental unspecified coding, but also points to an efficient capture of per-encounter bundled reimbursement and a focused service mix. Payors evaluating contracts should account for that concentrated exposure and the large share of revenue tied to clinic encounters and dental services.

Operationally, Crescent shows broad high-volume dental program activity across many CPT/HCPCS dental codes that rank well above typical statewide volumes (notably D1206, D0150, D0140, D0270 and D0210), which together with the high-ranking preventive codes suggests a sustained emphasis on routine dental care and diagnostics for the Medicaid population. This pattern, combined with strong T1015 volume, characterizes Crescent as an FQHC with integrated primary care and dental service lines driving most Medicaid revenue.

Medicaid: Complete Services Breakdown

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

132 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	67,250	$270	$17.9M
D9999	N/A	30,040	$240	$7.2M
D0999	N/A	15,060	$230	$3.5M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	4,360	$50	$217.8K
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…	3,160	$60	$189.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	12,460	$10	$62.3K
D0210	Intraoral - complete series of radiographic images	7,530	$10	$60.2K
D2392	Post 2 surface resin‑based composite	3,730	$10	$44.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	17,630	$1	$35.3K
D0120	Periodic oral evaluation - established patient	6,890	$1	$27.6K

Showing 1–10 of 132

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Crescent Community Health Center — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

132 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	16	330	3,960	$170	$2.8M
D9999	N/A	9	40	6,850	$180	$2.7M
D0999	N/A	7	30	6,470	$210	$1.8M
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…	226	680	670	$70	$343.5K
D5110	N/A	9	10	50	$530	$225.1K
D2930	N/A	66	80	850	$110	$217.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	25	40	310	$100	$162.7K
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…	49	1,060	480	$40	$154.5K
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…	68	1,310	760	$20	$153.1K
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…	45	140	210	$120	$152.1K

Showing 1–10 of 132

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lee Berman	IA	Psychiatry Physician	$87.9K	$0
Maryjo Ference	MI	Pediatric Optometrist	$8.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hills And Dales Child Development Center	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$68.5M
Area Residential Care Inc.	IA	Intellectual Disabilities Intermediate Care Facility	$0	$32.8M
Hillcrest Family Services	IA	Child & Adolescent Psychiatry Physician	$0	$32.5M
Dubuque Community School District	IA	Local Education Agency (LEA)	$0	$26.6M
The Finley Hospital	IA	General Acute Care Hospital	$0	$14.1M
City Of Dubuque	IA	Land Ambulance	$690.9K	$8.9M
Hillcrest Family Services	IA	Social Worker	$0	$7.1M
Mercy Medical Center-dubuque	IA	General Acute Care Hospital	$0	$5.2M
Hills And Dales Child Development Center	IA	Intellectual Disabilities Intermediate Care Facility	$0	$4.7M
Dubuque Internal Medicine PC	IA	Internal Medicine Physician	$0	$3.9M

Crescent Community Health Center — Billing Profile & Reimbursement Data

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Crescent Community Health Center — 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