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.

Keystone Rural Health Center (NPI 1861785669)

Field	Value
Entity Type	Organization
Organization	Keystone Rural Health Center
Address	830 5th Ave Ste 103
City	Chambersburg
State	PA
ZIP	17201
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 26, 2011

Payer Source	Total Paid
Medicaid	$35.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	139,980	$250	$34.9M
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…	45,390	$10	$408.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,690	$10	$113K
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…	11,000	$10	$66K
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…	7,900	$10	$63.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,610	$20	$49.6K
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.	1,740	$10	$19.1K
90670	This 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…	4,370	$1	$17.5K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	1,230	$10	$17.2K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	540	$30	$16.1K

Showing 1–10 of 58

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

Keystone Rural Health Center — 11 of 24 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

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	1,690	760	$170	$1.2M
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.	519	980	310	$50	$136.6K
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…	9	820	230	$80	$71.7K
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…	218	8,160	210	$60	$68.4K
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…	10	660	180	$70	$63.7K
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…	26	8,870	240	$40	$56.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10	870	160	$70	$48.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	22	730	90	$70	$31.5K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	12	380	140	$30	$27.1K
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	12	30	90	$40	$23K

Showing 1–10 of 58

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$22.8M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$20.9M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$14.3M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$14.1M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$13.7M
Keystone Rural Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$9M
Ekezie Francis	PA	Infectious Disease Physician	$84.6K	$3.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andventure, LLC	PA	Home Health Agency	$0	$31.5M
The Chambersburg Hospital	PA	General Acute Care Hospital	$0	$10.3M
Ludwick Laser & Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$1.4M	$520
Borough Of Chambersburg	PA	Basic Emergency Medical Technician	$432.4K	$746.7K
Kevin Clawson	PA	Rheumatology Physician	$1.1M	$0
Kevin Lorentsen	PA	Hematology & Oncology Physician	$959.5K	$0
Scott Massey	PA	Hospitalist Physician	$868.8K	$290
Kibem Kim	PA	Radiation Oncology Physician	$845.4K	$0
Wellspan Chambersburg Endoscopy Center LLC	PA	Endoscopy Clinic/Center	$706.2K	$0
Summit Surgery Center, L.P.	PA	Ambulatory Surgical Clinic/Center	$457.6K	$158.5K

Keystone Rural Health Center — Billing Profile & Reimbursement Data

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Keystone Rural Health Center — 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