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

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

West Side Community Health Services, Inc. (NPI 1821149964)

Field	Value
Entity Type	Organization
Organization	West Side Community Health Services, Inc.
Address	1544 Timberlake Rd
City	Saint Paul
State	MN
ZIP	55117
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 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…	11,610	$160	$1.9M
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…	8,390	$200	$1.6M
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,…	4,140	$120	$513.4K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,520	$100	$147.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	370	$190	$69.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	350	$180	$60.9K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	4,690	$10	$56.3K
X5622	N/A	150	$250	$36K
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…	130	$200	$25.5K
99215	The 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…	40	$270	$10.5K

Showing 1–10 of 44

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

West Side Community Health Services, Inc. — 0 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	236	1,180	1,150	$80	$605.7K
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…	199	1,200	1,030	$70	$549.7K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	21	80	1,070	$90	$341.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	7	20	410	$80	$212.2K
99215	The 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…	336	420	230	$90	$186.2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	182	310	810	$30	$166.5K
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…	163	240	610	$70	$165.5K
X5622	N/A	205	300	470	$60	$159.8K
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.	144	160	200	$50	$119.6K
99203	The provider sees a new 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 provider…	339	450	140	$60	$101.3K

Showing 1–10 of 44

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Side Community Health Services, Inc.	MN	Federally Qualified Health Center (FQHC)	$0	$23.8M
West Side Community Health Services, Inc	MN	Federally Qualified Health Center (FQHC)	$0	$17.3M
West Side Community Health Services, Inc.	MN	Dental Clinic/Center	$0	$7M
West Side Community Health Services, Inc	MN	Federally Qualified Health Center (FQHC)	$0	$4.5M
Mary Yee	MN	Family Medicine Physician	$430	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Professionals, LLC	MN	Home Health Agency	$0	$35M
Metro Home Health Care Corporation	MN	Personal Care Attendant	$0	$33.8M
Disable Home Health Care, Inc	MN	Home Health Agency	$0	$26.8M
Northstar Behavioral Health	MN	Substance Abuse Rehabilitation Facility	$0	$25.2M
Midway Home Health Care, Inc.	MN	Home Health Agency	$0	$17.7M
Healtheast Medical Research Institute	MN	Clinic/Center	$0	$11.4M
Unique Adult Day Care Center, LLP	MN	Adult Day Care Clinic/Center	$0	$10M
Healtheast Medical Research Institute	MN	Clinic/Center	$0	$8.7M
Ultimate Health Inc	MN	Community/Behavioral Health Agency	$0	$7M
Rescare Minnesota, Inc.	MN	Community/Behavioral Health Agency	$0	$5.4M

West Side Community Health Services, Inc. — Billing Profile & Reimbursement Data

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West Side Community Health Services, 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