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

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

Valley Health Partners Community Health Center (NPI 1770118648)

Field	Value
Entity Type	Organization
Organization	Valley Health Partners Community Health Center
Address	1627 Chew St Fl 1
City	Allentown
State	PA
ZIP	18102
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 11, 2020

Payer Source	Total Paid
Medicaid	$11.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	31,180	$340	$10.6M
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…	22,180	$20	$354.8K
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…	2,210	$30	$57.4K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	360	$100	$34.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	490	$40	$21.5K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	280	$60	$15.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	750	$20	$11.2K
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,…	440	$30	$11.1K
90746	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule.	180	$50	$9.9K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	360	$30	$9.1K

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Valley Health Partners Community Health Center — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	97	1,690	760	$170	$1.2M
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.	780	980	310	$50	$136.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	90	200	330	$60	$95.3K
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…	919	8,160	210	$60	$68.4K
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…	87	8,870	240	$40	$56.1K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	41	90	200	$60	$50.3K
T1001	Nursing assessment / evaluation	48	70	90	$120	$46.5K
76813	The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…	50	50	150	$70	$39.8K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	10	20	50	$130	$31.1K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	117	160	150	$60	$30.2K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$32.3M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$11.9M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$10.1M
Joseph Zaladonis	PA	Specialist	$1.4M	$0
Susan Kim	PA	Rheumatology Physician	$770.1K	$0
Steven Oberlender	PA	MOHS-Micrographic Surgery Physician	$760K	$0
Nicole Chiappetta	PA	Rheumatology Physician	$625K	$0
Tomasz Wiraszka	GA	Retina Specialist (Ophthalmology) Physician	$533.4K	$11.9K
Cynthia Bartus	PA	MOHS-Micrographic Surgery Physician	$457.5K	$0
Jonathon Brown	PA	Adult Reconstructive Orthopaedic Surgery Physician	$441.1K	$440

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hispanic American Organization	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9M
City O F Allentown	PA	Land Ambulance	$955.5K	$7.4M
Pinebrook Family Answers	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
St Luke's Hospital	PA	General Acute Care Hospital	$0	$7M
Neighborhood Health Centers Of The Lehigh Valley	PA	Federally Qualified Health Center (FQHC)	$0	$5.7M
Ron Mahlab	PA	Psychiatry Physician	$333.5K	$170
Tendai Mawindi	PA	Psychiatry Physician	$75K	$0
Faton Bytyci	PA	Family Medicine Physician	$34.5K	$34.9K
Michael Qaqish	PA	Vascular Surgery Physician	$58K	$0
Angela Rosenberg	PA	Family Nurse Practitioner	$54.1K	$0

Valley Health Partners Community Health Center — Billing Profile & Reimbursement Data

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Valley Health Partners Community Health Center — 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