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

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

Central Texas Community Health Centers (NPI 1730720665)

Field	Value
Entity Type	Organization
Organization	Central Texas Community Health Centers
Address	9411 N Lamar Blvd
City	Austin
State	TX
ZIP	78753
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 2, 2019

Payer Source	Total Paid
Medicaid	$23.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

118 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	72,580	$220	$16M
D0999	N/A	12,210	$260	$3.2M
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…	26,650	$30	$746.1K
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…	6,650	$80	$545.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	5,650	$100	$536.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,660	$70	$445.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,540	$60	$429.5K
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…	10,320	$40	$371.3K
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…	7,090	$50	$368.6K
99381	The provider performs a well–baby visit for a child under the age of one.	1,460	$140	$209.8K

Showing 1–10 of 118

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Central Texas Community Health Centers — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

118 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	27	770	2,990	$170	$2.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	413	1,350	1,860	$80	$872.4K
D0999	N/A	8	180	390	$190	$405.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	761	1,620	1,070	$70	$333.5K
D2930	N/A	408	1,000	460	$140	$261.5K
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…	270	6,040	710	$40	$232.8K
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…	105	1,500	880	$80	$185.8K
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…	95	1,360	800	$80	$185.6K
D2392	Post 2 surface resin‑based composite	1,528	2,600	490	$90	$164.2K
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…	362	5,810	540	$50	$155.5K

Showing 1–10 of 118

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$31.5M
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$28.7M
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$23.3M
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$17.7M
Central Texas Community Health Centers	TX	Federally Qualified Health Center (FQHC)	$0	$17.3M
Hans Sander	TX	Dermatology Physician	$232.4K	$0
Chirag Patel	SD	Internal Medicine Physician	$141.6K	$0
Siva Marri	OR	Pulmonary Disease Physician	$88.1K	$0
Ali Mansour	NY	Internal Medicine Physician	$77.3K	$3.9K
Navid Valizadeh	TX	Neurocritical Care Physician	$59.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nstx, Inc	TX	Clinical Medical Laboratory	$0	$58.2M
Neeraj Shah	TX	Internal Medicine Physician	$2M	$0
Robert Izor	TX	Neurology Physician	$483.7K	$0
Maintenance And Recovery Services, Inc.	TX	Methadone Clinic	$72.7K	$303K
Keith Lamy	TX	Family Medicine Physician	$89.2K	$0
Kirby Reed	TX	Family Nurse Practitioner	$32.5K	$0

Central Texas Community Health Centers — Billing Profile & Reimbursement Data

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Central Texas Community Health Centers — 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