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    OpenPayerNPI Medicare & MedicaidCommunity Health Systems, Inc.
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    Community Health Systems, Inc. — Billing Profile & Reimbursement Data

    NPI 1750390670 · Beloit, WI · Federally Qualified Health Center (FQHC)

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    Community Health Systems, Inc. is a federally qualified health center (fqhc) provider located in Beloit, Wisconsin. This profile covers 0 Medicare and 94 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Health Systems, Inc.
    Address74 Eclipse Ctr
    CityBeloit
    StateWI
    ZIP53511
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedAugust 7, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$14.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    94 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive75,620$180$13.4M
    90834In 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…6,270$30$188.1K
    99214The 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…5,620$30$151.6K
    99213The 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…7,530$20$135.5K
    90837In 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…1,510$40$60.2K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients32,380$1$32.4K
    90832In 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…1,180$20$27K
    D2392Post 2 surface resin‑based composite5,360$10$26.8K
    99215The 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…450$50$21.6K
    D2391Resin‑based composite – one surface, posterior3,830$1$15.3K

    Showing 1–10 of 94

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    94 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive5604,880$230$4.9M
    T1016Case management, each 15 minutes2172207,110$70$1.7M
    99214The 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…1871,630270$40$205.3K
    99213The 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…1691,760250$40$173.2K
    T1013Sign language or oral interpretive services, per 15 minutes310400$40$136.8K
    90837In 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…239900410$70$130.4K
    D2392Post 2 surface resin‑based composite30270510$60$123.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)32220430$50$111.4K
    90834In 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…89790400$40$109.6K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…254260750$40$99K

    Showing 1–10 of 94

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Satish PatelILFamily Medicine Physician$365.5K$426.4K
    Hemal PatelILGastroenterology Physician$87.9K$92.6K
    Michael KokatWIFoot & Ankle Surgery Podiatrist$44.7K$0
    Karen MilnerWIPsychiatry Physician$4.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beloit Health System IncWIGeneral Acute Care Hospital$0$22.7M
    Beloit Health System IncWIGeneral Practice Physician$0$4.9M
    Orthodontic Experts Of Wisconsin, LLCWIOrthodontics and Dentofacial Orthopedics Dentistry$0$4.4M
    School District Of BeloitWILocal Education Agency (LEA)$0$2.8M
    Beloit Health System IncWIRenal Dialysis Technician$0$2M
    City Of BeloitWIParamedic$333.3K$1.6M
    Southern Wisconsin Emergency Associates ScWIEmergency Medicine Physician$0$1.7M
    Orthomidwest Surgery Center Beloit, LLCWIAmbulatory Surgical Clinic/Center$415.3K$0
    Jennifer TaylorWINurse Practitioner$185.9K$39.7K
    Walgreen CoWIPharmacy$138.3K$55.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wisconsin Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Community Health Systems, Inc. — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin