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    OpenPayerNPI Medicare & MedicaidChrist Health Center Inc
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    Christ Health Center Inc — Billing Profile & Reimbursement Data

    NPI 1821234246 · Birmingham, AL · Federally Qualified Health Center (FQHC)

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    Christ Health Center Inc is a federally qualified health center (fqhc) provider located in Birmingham, Alabama. This profile covers 0 Medicare and 84 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationChrist Health Center Inc
    Address5720 1st Ave S
    CityBirmingham
    StateAL
    ZIP35212
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJanuary 7, 2009

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

    Payer SourceTotal Paid
    Medicaid$27M
    Medicare$0

    Key Findings

    This provider’s Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 99.9% of total Medicaid revenue, with T1015 generating $26.6M (98.7% of Medicaid revenue), D9430 generating $269.3K (1.0%), and 90688 generating $48.2K (0.2%). Such extreme concentration means the facility’s financial performance is effectively tied to continued billing and reimbursement stability for a very small set of codes.

    Operationally, CHRIST HEALTH CENTER INC functions like a high-volume FQHC primary-care clinic: T1015 (Clinic visit/encounter, all-inclusive) shows 163.4K claims at $163 avg paid/claim and produces $26.6M in revenue, indicating that bundled, all-inclusive encounter billing is the core service line and primary revenue driver. The presence of many vaccine codes alongside T1015 suggests these immunizations are delivered as ancillary services within the same outpatient encounter workflows.

    Payer mix is effectively single-payer Medicaid: there is no Medicare billing on file while lifetime Medicaid revenue is $27M, so the provider’s commercial and Medicare exposure is minimal or absent in this dataset. That concentration on Medicaid should be treated as a core characteristic when modeling reimbursement risk and growth opportunities.

    On competitive standing for its largest code, T1015 ranks #6 of 243 providers in-state (98th percentile) and is described as notably above typical state volume, which positions CHRIST HEALTH CENTER as a major statewide provider of all-inclusive clinic encounters. High rank and large absolute volume imply market-scale capacity for primary care access in its service area compared with most in-state peers.

    Immunization activity shows pockets of outsized volume: 90688 has 4.8K claims, $10 avg paid/claim, $48.2K revenue, and ranks #3 of 177 providers in-state (99th percentile), labeled notably above typical state volume. This indicates a robust influenza vaccination program throughput that could reflect seasonal drive-through or clinic-based campaigns integrated with routine visits.

    Other ancillary and preventive codes are generally modest contributors: D9430 (1.7K claims, $154 avg paid/claim, $269.3K revenue) ranks #7 of 25 (75th percentile) and is characterized as typical, unremarkable volume for that code. Many additional vaccine codes (for HPV, pneumococcal, meningococcal, etc.) appear with small revenue amounts and routine state-percentile placements, consistent with ancillary vaccination services rather than separate revenue centers.

    The provider’s NPI was enumerated on 2009-01-07 (~17 years ago), indicating long-standing participation in the Medicare/Medicaid ecosystem despite having no Medicare billing on file. Tenure of this length supports institutional experience in Medicaid operations and may explain the sustained high T1015 encounter volumes and established immunization workflows.

    From a risk and opportunity perspective, the near-total reliance on T1015 and two small ancillary codes creates concentration risk if encounter coding or Medicaid reimbursement policies change; conversely, the provider’s high statewide rank for T1015 and strong influenza vaccination throughput (90688) represent operational leverage points for preventive-care initiatives and value-based contracting focused on primary care outcomes. Monitoring policy changes to encounter reimbursement and seasonal vaccination demand will be critical for forecasting future revenue stability.

    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.

    84 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive163,410$160$26.6M
    D9430N/A1,750$150$269.3K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.4,820$10$48.1K
    90651This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…1,040$10$7.3K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…480$10$3.8K
    90734The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…520$10$3.6K
    90633This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.500$10$3.5K
    90619Report this code for meningococcal conjugate vaccine in a tetanus toxoid carrier for intramuscular administration that protects against four common forms of the virus and to prevent the patient from…340$10$2.1K
    90698This code represents a combination vaccine product administered into the muscle to protect against five diseases: diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), and polio.210$10$1.7K
    90716The provider administers a live vaccine subcutaneously to protect against varicella infection.220$10$1.6K

    Showing 1–10 of 84

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    84 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive62406,820$120$2.9M
    D9430N/A730230$130$533.9K
    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…117380440$90$362K
    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…72120500$50$317.7K
    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…141,990680$60$201.7K
    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…81330140$240$197.4K
    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…421,990560$40$185.6K
    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…66110240$60$175.6K
    99391Preventive 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…1652701,360$60$159.7K
    99392Preventive 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…1373001,160$50$147.8K

    Showing 1–10 of 84

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    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Proact Dental, Inc.ALGeneral Practice Dentistry$0$9.4M
    Kyle ReedALDentist$0$1.2M

    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. Alabama Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Christ Health Center Inc — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama