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.

Neighborhood Health Centers Of The Lehigh Valley (NPI 1841429529)

Field	Value
Entity Type	Organization
Organization	Neighborhood Health Centers Of The Lehigh Valley
Address	218 N 2nd St
City	Allentown
State	PA
ZIP	18102
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 2, 2009

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	21,820	$230	$5M
G9012	Other specified case management service not elsewhere classified	2,830	$260	$744K
3074F	No Summary found for this code	1,670	$1	$1.7K
3078F	No Summary found for this code	1,450	$1	$1.4K
3079F	No Summary found for this code	540	$1	$1.1K
3077F	No Summary found for this code	270	$1	$820
3075F	No Summary found for this code	320	$1	$640
3080F	No Summary found for this code	130	$1	$400
3044F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	50	$1	$220
1159F	No Summary found for this code	2,860	$0	$0

Showing 1–10 of 39

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

Neighborhood Health Centers Of The Lehigh Valley — 0 of 9 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	140	1,690	760	$170	$1.2M
G9012	Other specified case management service not elsewhere classified	72	320	770	$260	$758K
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.	912	980	310	$50	$136.6K
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…	773	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…	568	8,870	240	$40	$56.1K
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,…	561	1,630	90	$30	$22K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	111	310	280	$10	$18.8K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	241	380	330	$10	$15.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	477	540	130	$10	$15.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	461	640	180	$10	$8.9K

Showing 1–10 of 39

Related Providers

Other providers that share a Tax Identification Number (TIN) with Neighborhood Health Centers Of The Lehigh Valley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Patruno	PA	Obstetrics & Gynecology Physician	$6.6K	$0

Nearby Providers

Other providers in the same ZIP code as Neighborhood Health Centers Of The Lehigh Valley, 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	$11.2M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$10.1M
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
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

Neighborhood Health Centers Of The Lehigh Valley — Billing Profile & Reimbursement Data

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Neighborhood Health Centers Of The Lehigh Valley — 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