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

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

Community Clinic, Inc. (NPI 1790730281)

Field	Value
Entity Type	Organization
Organization	Community Clinic, Inc.
Address	7676 New Hampshire Ave Ste 220a
City	Takoma Park
State	MD
ZIP	20912
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$64.6M
Medicare	$0

Key Findings

COMMUNITY CLINIC, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $64.6M, so the clinic’s financial footprint is concentrated in the Medicaid program rather than split across Medicare and Medicaid. This makes Medicaid utilization trends and state-specific competitive dynamics the primary lens for analyzing this entity.

Revenue is highly concentrated in a small set of procedure codes: the precomputed top three Medicaid codes account for 82.8% of the provider’s Medicaid revenue, led by T1015 ($34.5M, 53.6%), followed by 99213 ($16.1M, 25.0%), and 99391 ($2.7M, 4.2%). This concentration indicates the clinic’s financial performance is driven largely by bundled clinic encounter billing and routine E/M and preventive visits.

The service mix and FQHC taxonomy align with a high-volume primary care and preventive model: T1015 (Clinic visit/encounter, all-inclusive) is the single largest revenue contributor at $34.5M and an average paid/claim of $224, consistent with FQHC-style bundled visit billing. High volumes of 99213 (112.6K claims, $143 avg) and multiple preventive medicine codes (99391, 99392, 99393, 99394, 99395, 99396) further indicate the clinic focuses on routine outpatient management, well visits, and immunizations.

Competitive standing in-state is strong on core primary-care codes: T1015 ranks #4 of 58 (95th percentile; notably above typical state volume) and 99213 ranks #10 of 3275 (100th percentile; extreme outlier, far above typical state volume for this code), signaling the clinic is a major volume player for both bundled clinic encounters and established-patient office visits. These rank/percentile signals imply a dominant operational footprint in Medicaid primary-care delivery for the local market.

The clinic shows a distinct pediatric and preventive care emphasis: 99391 (19.1K claims, $142 avg) ranks #4 of 290 (99th percentile; notably above typical state volume) and 99381 (2.4K claims, $66 avg) ranks #1 of 84 (100th percentile; extreme outlier, far above typical state volume), indicating unusually high volumes of well-child and early preventive visits relative to peers. Vaccination codes (90697, 90677, 90686) also appear among the top-25, supporting a robust immunization program integrated into primary care.

While low-to-moderate complexity E/M codes dominate revenue, the clinic also reports outlier volumes for some higher-complexity new-patient visits: 99205 shows 4.2K claims, $71 avg paid/claim, $298.9K revenue and ranks #3 of 530 (100th percentile; extreme outlier, far above typical state volume). Although these high-complexity codes contribute a small share of total Medicaid revenue, their unusually high rank suggests the clinic occasionally delivers or captures high-intensity new-patient encounters at rates far above peers.

Ancillary and integrated services are present at notable rates: nutrition therapy codes 97802 and 97803 appear in the top-25 (97803: 3.2K claims, $122 avg, $392.7K revenue and ranks #4 of 44; 97802: 1.8K claims, $130 avg, $240.1K revenue and ranks #4 of 45), indicating structured diet/nutrition interventions are part of the care mix. These ancillary services support a broader primary-care and chronic-disease management offering consistent with FQHC practice models.

The provider’s long tenure (NPI enumerated 2006-05-23, approximately 20 years) combined with concentrated Medicaid revenue and multiple 90th–100th percentile code ranks suggests a stable, established clinic with a deep Medicaid patient base and sustained high-volume primary-care operations in its Maryland service area.

Medicaid: Complete Services Breakdown

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

109 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	154,190	$220	$34.5M
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…	112,600	$140	$16.1M
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…	19,050	$140	$2.7M
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…	15,800	$170	$2.6M
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…	19,270	$130	$2.4M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10,210	$170	$1.8M
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,…	7,430	$140	$1M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5,540	$180	$980.6K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	3,220	$120	$392.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,640	$130	$353.4K

Showing 1–10 of 109

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Community Clinic, Inc. — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

109 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	4	60	380	$170	$4.1M
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…	1,666	2,200	890	$110	$596.1K
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…	89	3,670	680	$90	$310K
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…	255	450	730	$110	$298.2K
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…	10	3,280	610	$80	$296.1K
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…	4	330	800	$110	$228.7K
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…	4	290	730	$100	$212.2K
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…	456	610	520	$50	$178.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5	350	490	$110	$172.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	13	320	290	$120	$128K

Showing 1–10 of 109

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Clinic, Inc	MD	General Practice Dentistry	$0	$6.5M
John Roxborough	DC	Family Medicine Physician	$24.6K	$760

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr David M Vieth PC	MD	General Practice Dentistry	$0	$45.7M
Washington Cardiovascular Institute LLC	MD	Cardiovascular Disease Physician	$0	$17.6M
Park Pediatrics	MD	Pediatrics Physician	$0	$12.8M
Washington-mclaughlin Adult Day Care Center	MD	Adult Day Care Clinic/Center	$0	$8.8M
Advoquate Health Services LLC	MD	Case Management Agency	$0	$6.2M
Milestone Medical Services Inc	MD	Clinic/Center	$0	$6.2M
Diversity Talks, LLC	MD	Speech-Language Pathologist	$0	$5.5M
Ja Community Services, LLC	MD	Developmentally Disabled Services Day Training Agency	$0	$4.8M
Andrei Gursky	MD	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$4.7M	$0
Mubashar Choudry	MD	Cardiovascular Disease Physician	$2.2M	$0

Community Clinic, Inc. — Billing Profile & Reimbursement Data

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Community Clinic, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References