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

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

Progressive Community Health Centers, Inc. (NPI 1720153653)

Field	Value
Entity Type	Organization
Organization	Progressive Community Health Centers, Inc.
Address	3522 W Lisbon Ave
City	Milwaukee
State	WI
ZIP	53208
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 24, 2006

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	19,150	$200	$3.8M
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…	29,250	$40	$1.1M
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…	30,760	$30	$769K
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…	8,360	$20	$200.6K
D0210	Intraoral - complete series of radiographic images	4,260	$30	$127.7K
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…	2,000	$50	$108.2K
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…	2,100	$50	$107.3K
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…	2,000	$50	$106K
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…	4,530	$20	$104.1K
D0140	Limited oral evaluation – problem focused	6,960	$10	$90.5K

Showing 1–10 of 120

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Progressive Community Health Centers, Inc. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	15	60	4,880	$230	$4.9M
D2930	N/A	36	80	410	$150	$427.7K
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…	46	1,630	270	$40	$205.3K
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…	47	1,760	250	$40	$173.2K
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.	116	350	300	$50	$157.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	348	900	410	$70	$130.4K
D2392	Post 2 surface resin‑based composite	199	270	510	$60	$123.3K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	37	220	430	$50	$111.4K
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…	395	790	400	$40	$109.6K
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…	43	190	370	$60	$107.4K

Showing 1–10 of 120

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Progressive Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$1.9M
Ramneet Bhathal	WI	Family Medicine Physician	$106K	$0
Codie Vassar	WI	Psychiatry Physician	$32.9K	$6.2K
Michael Belete	WI	Internal Medicine Physician	$2.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Medical Group Sc	WI	Multi-Specialty Clinic/Center	$0	$25.1M
Dva Renal Healthcare Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M
Milwaukee Public Schools	WI	Speech-Language Pathologist	$0	$4.5M
Wisconsin Community Services Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.1M
Baby And Me Prenatal Care Coordination LLC	WI	Case Management Agency	$0	$3.8M
True Dental LLC	WI	Dentist	$0	$1.8M
Baylon Family Physicians, Ltd.	WI	Pediatrics Physician	$0	$1.8M
Helen Jurgensen	WI	Clinical Social Worker	$45.5K	$105.2K
Courtney Lamm	WI	Primary Care Nurse Practitioner	$144K	$0
Krista D'amore	WI	Anatomic Pathology & Clinical Pathology Physician	$32.2K	$0

Progressive Community Health Centers, Inc. — Billing Profile & Reimbursement Data

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Progressive Community Health Centers, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References