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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Health Care (NPI 1790762755)

Field	Value
Entity Type	Organization
Organization	Community Health Care
Address	1148 Broadway Ste 100
City	Tacoma
State	WA
ZIP	98402
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 29, 2005

Payer Source	Total Paid
Medicaid	$128.6M
Medicare	$0

Key Findings

COMMUNITY HEALTH CARE is effectively a single-payer Medicaid provider: Medicare revenue shows none (no Medicare billing on file) while Medicaid revenue totals $128.6M, indicating the organization's entire reported federal payer footprint in our data is concentrated in Medicaid. This asymmetric payer mix suggests operating models, reimbursement exposure, and network importance are driven almost entirely by state Medicaid policy and rates.

Revenue concentration is extreme and highly concentrated in a small number of codes: the precomputed top 3 Medicaid codes by revenue account for 87.0% of this provider's total Medicaid revenue, driven principally by T1015 ($97.3M, 78.0%), followed by 99213 ($8.2M, 6.5%) and 99214 ($3.1M, 2.5%). Dependence on T1015 in particular makes the organization financially sensitive to how Medicaid defines and reimburses bundled clinic/encounter payments.

The code mix and taxonomy (Federally Qualified Health Center) point to a high-volume, primary care–oriented FQHC practice model: dominant use of T1015 (clinic visit/encounter, all-inclusive), frequent E/M codes 99213 and 99214, bundled FQHC visit code G0467, and significant preventive codes such as 99391/99392. These patterns are consistent with one-on-one primary care, preventive medicine visits, routine immunizations, and bundled clinic services that FQHCs typically provide to Medicaid populations.

COMMUNITY HEALTH CARE also appears to operate a large integrated dental program based on claims and rank signals: high-volume dental codes include D0220 (91.8K claims, $734.7K), D0120 ($1.4M), D2392 ($1.5M), D2391 ($1.4M) and D0150 ($1.2M), with many of these codes ranking in the 98th–100th statewide percentiles. The prominence of prophylaxis, restorative composites, radiographs, periodontal scaling, and extractions indicates dental services are a material service line alongside medical primary care.

State-level competitive standing is dominant for multiple Medicaid codes: T1015 ranks #5 of 652 providers in-state (99th percentile; extreme outlier) and 99213 ranks #9 of 1863 providers in-state (100th percentile; extreme outlier), with numerous other services (dental, immunizations, nursing) also at 98–100th percentiles. Taken together, these rank signals show COMMUNITY HEALTH CARE is a major, high-volume Medicaid provider in Washington across several clinical service lines rather than a modest participant.

Clinical program breadth extends beyond primary care to behavioral health, maternal/child, nursing, and preventive services: psychotherapy 90832 ($306.1K), prenatal/fetal monitoring 59025 ($304.4K), nursing T1002 ($1M) and influenza immunization 90686 ($289.4K, 99th percentile) are all present in the top-25 list. This mix supports a multi-disciplinary FQHC model that delivers preventive, behavioral, maternal, and nursing services in addition to medical and dental care.

Operational scale is evident from very large claim volumes on core encounter codes: T1015 shows 352.4K claims and 99213 shows 177.5K claims, indicating extremely high visit throughput and a workflow optimized for large numbers of outpatient encounters. High claim counts combined with bundled encounter payments suggest the organization handles large panels of Medicaid patients and relies on visit volume to generate the reported Medicaid revenue.

The provider has long operational tenure: the NPI was enumerated on 2005-12-29 (~21 years ago), which indicates an established presence in the Tacoma market and likely institutional relationships with state Medicaid programs and local networks. This longevity, together with the high-volume billing profile, supports the view of a stable, mature FQHC operation entrenched in Washington’s Medicaid delivery system.

Medicaid: Complete Services Breakdown

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

138 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	352,430	$280	$97.3M
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…	177,480	$50	$8.2M
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…	49,220	$60	$3.1M
D2392	Post 2 surface resin‑based composite	22,860	$70	$1.5M
D0120	Periodic oral evaluation - established patient	54,990	$30	$1.4M
D2391	Resin‑based composite – one surface, posterior	29,200	$50	$1.4M
D0150	Comprehensive oral evaluation – new or established patient	35,280	$30	$1.2M
T1002	Rn services, up to 15 minutes	35,760	$30	$1M
D0140	Limited oral evaluation – problem focused	41,980	$20	$923.5K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	25,190	$30	$856.3K

Showing 1–10 of 138

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Community Health Care — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	5	650	4,110	$250	$4.9M
T1002	Rn services, up to 15 minutes	2	60	1,140	$100	$493.3K
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…	42	1,820	480	$60	$379.6K
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…	9	1,860	610	$40	$295.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	78	170	580	$30	$270.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	14	120	640	$100	$259.3K
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…	351	930	680	$60	$259.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	141	190	320	$70	$197.1K
D2392	Post 2 surface resin‑based composite	8	540	990	$60	$188.6K
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…	30	280	540	$70	$166.5K

Showing 1–10 of 138

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Davila	ID	Internal Medicine Physician	$49.8K	$0
Mckenzie Woody	WA	Family Medicine Physician	$43K	$0
Vicki Grimes	WA	Psychiatric/Mental Health Nurse Practitioner	$40.9K	$0
Dean Riskedahl	WA	Optometrist	$25.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Tacoma	WA	Land Ambulance	$1.8M	$79.8M
Comprehensive Mental Health Center Of Tacoma-pierce County	WA	Community/Behavioral Health Agency	$0	$37.8M
Pierce County Alliance	WA	Community/Behavioral Health Agency	$0	$12.5M
Tacoma Detoxification Center	WA	Substance Abuse Rehabilitation Facility	$0	$6.5M
County Of Pierce	WA	Case Management Agency	$0	$5.1M
Grand Park, LLC	WA	Adult Day Care Clinic/Center	$0	$3.2M
Maxim Healthcare Services, Inc.	WA	Home Health Agency	$0	$2.8M
C W Charron Inc Ps	WA	General Practice Dentistry	$0	$2.7M
Multicare Health System	WA	Community Based Hospice Care Agency	$0	$2.7M
Joseph Sam	WA	Diagnostic Radiology Physician	$1.2M	$0

Community Health Care — Billing Profile & Reimbursement Data

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Community Health Care — 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