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

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

La Clinica Del Valle Family Health Care Center Inc. (NPI 1851327571)

Field	Value
Entity Type	Organization
Organization	La Clinica Del Valle Family Health Care Center Inc.
Address	3617 S Pacific Hwy
City	Medford
State	OR
ZIP	97501
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 24, 2006

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused safety-net clinic: Medicare revenue is listed as none (no Medicare billing on file), while Medicaid revenue totals $16.5M, indicating the organization operates predominantly within the Medicaid payer space. The provider’s Federally Qualified Health Center (FQHC) taxonomy aligns with a Medicaid-heavy, community-centered care model rather than fee-for-service Medicare activity.

Revenue is highly concentrated in a small set of evaluation/management and behavioral-health codes: the precomputed top 3 codes account for 65.3% of this provider's total Medicaid revenue, driven by 99213 ($5M, 32.4%), 99214 ($3.5M, 22.6%), and 90832 ($1.6M, 10.3%). This concentration shows the clinic depends on high volumes of established-patient office visits and short psychotherapy sessions for the majority of its Medicaid income.

The code mix indicates an integrated primary care plus behavioral health service model. Large volumes of 99213 and 99214 (established patient E/M visits) combined with substantial 90832 psychotherapy billing suggest the center offers co‑located or coordinated primary medical care and outpatient mental health services consistent with an FQHC operating model.

The provider is a dominant statewide performer on its top E/M codes: 99213 ranks #19 of 1591 providers in-state (99th percentile; extreme outlier) and 99214 ranks #28 of 1503 providers in-state (98th percentile; notably above typical state volume for this code). These rank/percentile signals identify the center as a major regional source of outpatient established-patient visits relative to peers.

Behavioral health activity is also concentrated and above typical peer levels: 90832 ranks #4 of 311 providers in-state (99th percentile; extreme outlier), indicating unusually large psychotherapy volume compared with other Medicaid providers. Other behavioral-health codes are mixed—H0004 is characterized as typical, unremarkable volume while 90834 is at the 84th percentile—showing strength in shorter psychotherapy sessions (90832) rather than uniformly high volume across all BH codes.

Dental and oral-health services form a meaningful ancillary service line: codes such as D0140 ($605.5K), D1110 ($472.8K), D0120 ($384K), and radiography codes D0220 ($275.7K, rank #5 of 607, 99th percentile; notably above typical state volume) appear in the top 25 and reflect steady dental throughput. While each dental code represents a smaller slice of total Medicaid revenue than the top E/M and BH codes, their presence across multiple high-volume codes indicates an established dental clinic footprint within the FQHC.

Preventive services and immunizations are also present but represent a modest share of revenue: 99391 ($115.5K) and 90686 ($96.2K) appear in the top-25 list with mid-to-high state percentile ranks, supporting routine preventive care and seasonal immunization capacity. These lines are consistent with comprehensive primary care offerings expected of an FQHC but are secondary to the heavy E/M and psychotherapy revenue drivers.

The provider has long operational tenure in NPI records, enumerated on 2006-06-24 (~20 years ago), which combined with its FQHC taxonomy and the statewide dominance on several high-volume Medicaid codes suggests an established community health center with sustained Medicaid-focused operations and significant regional market share for outpatient medical and behavioral-health visits.

Medicaid: Complete Services Breakdown

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

120 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…	72,870	$70	$5M
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…	43,780	$80	$3.5M
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…	15,980	$100	$1.6M
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…	5,040	$130	$629.5K
D0140	Limited oral evaluation – problem focused	14,420	$40	$605.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	10,280	$50	$472.8K
D0120	Periodic oral evaluation - established patient	12,800	$30	$384K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	24,150	$20	$362.3K
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…	2,070	$160	$320.1K
D0220	Intraoral - periapical first radiographic image	27,570	$10	$275.7K

Showing 1–10 of 120

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

La Clinica Del Valle Family Health Care Center Inc. — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	77	270	1,660	$90	$681K
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…	1,252	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	36	120	1,010	$40	$323.2K
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…	28	1,500	650	$70	$312.4K
T1015	Clinic visit/encounter, all-inclusive	4	60	480	$120	$291K
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…	19	1,590	590	$50	$236.5K
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…	64	400	230	$90	$153.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	108	130	230	$110	$152K
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…	43	170	300	$80	$133.1K
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…	55	180	220	$90	$124.6K

Showing 1–10 of 120

Related Providers

Other providers that share a Tax Identification Number (TIN) with La Clinica Del Valle Family Health Care Center Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childhood Health Associates Of Salem	OR	Pediatrics Physician	$0	$7.8M
One Community Health	OR	Federally Qualified Health Center (FQHC)	$0	$4.4M
One Community Health	OR	Federally Qualified Health Center (FQHC)	$0	$1.1M
Jonathan Staser	IN	Diagnostic Radiology Physician	$164.5K	$0

Nearby Providers

Other providers in the same ZIP code as La Clinica Del Valle Family Health Care Center Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Options For Southern Oregon	OR	Mental Illness Community Based Residential Treatment Facility	$0	$11.5M
Ontrack, Inc.	OR	Community/Behavioral Health Agency	$0	$9.6M
Soundview Medical Supply, LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$9.2M
Rogue Valley Transportation District	OR	Transportation Broker	$0	$5.7M
County Of Jackson	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Options For Southern Oregon	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Columbiacare Services Inc	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Rogue Pediatric Therapies, LLC	OR	Speech-Language Pathologist	$0	$3M
Providence Health & Services - Oregon	OR	Family Medicine Physician	$0	$2.7M
Family Solutions	OR	Adolescent and Children Mental Health Clinic/Center	$0	$1.9M

La Clinica Del Valle Family Health Care Center Inc. — Billing Profile & Reimbursement Data

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La Clinica Del Valle Family Health Care Center 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