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.

Newark Community Health Centers, Inc. (NPI 1740345693)

Field	Value
Entity Type	Organization
Organization	Newark Community Health Centers, Inc.
Address	741 Broadway
City	Newark
State	NJ
ZIP	07104
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 22, 2006

Payer Source	Total Paid
Medicaid	$17.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

153 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…	214,660	$20	$4.7M
T1015	Clinic visit/encounter, all-inclusive	25,660	$150	$3.7M
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…	56,180	$40	$2M
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…	17,900	$50	$805.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	13,020	$50	$625K
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,…	40,910	$20	$613.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	47,470	$10	$522.2K
D0120	Periodic oral evaluation - established patient	6,880	$70	$488.4K
3008F	No Summary found for this code	120,550	$1	$482.2K
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…	12,320	$40	$431.2K

Showing 1–10 of 153

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

Newark Community Health Centers, Inc. — 18 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

153 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	7	110	4,060	$170	$1.5M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	90	120	900	$20	$971.9K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	83	120	940	$20	$957.4K
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…	341	720	1,690	$80	$629.2K
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…	7	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…	29	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…	173	430	550	$50	$190.5K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	25	220	900	$1	$180.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	146	550	280	$120	$131.8K
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…	122	190	320	$70	$127.9K

Showing 1–10 of 153

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alyssa Wall	NJ	Obstetrics & Gynecology Nurse Practitioner	$9.3K	$15.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Consultation Service, Inc	NJ	In Home Supportive Care Agency	$0	$83.9M
2nd Home Newark Operations LLC	NJ	Adult Day Care Clinic/Center	$0	$22.3M
Project Live, Inc.	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$19.1M
The North Ward Center, Inc,	NJ	Adult Day Care Clinic/Center	$0	$12.2M
Jore Ventures	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.5M
Javier Ponce	NJ	Podiatrist	$57.5K	$1.4M
David Suarez	NJ	General Practice Physician	$364.8K	$0

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

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Newark 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