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

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

Northeast Community Clinic (NPI 1891028171)

Field	Value
Entity Type	Organization
Organization	Northeast Community Clinic
Address	4455 W 117th St Ste 300
City	Hawthorne
State	CA
ZIP	90250
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 17, 2009

Payer Source	Total Paid
Medicaid	$22.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

167 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	128,390	$170	$22.2M
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…	109,170	$1	$109.2K
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…	1,000	$20	$24K
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,…	18,910	$1	$18.9K
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…	13,560	$1	$13.6K
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…	2,620	$1	$10.5K
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…	6,210	$1	$6.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,580	$1	$5.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,030	$1	$4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,990	$1	$3K

Showing 1–10 of 167

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Northeast Community Clinic — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

167 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	279	1,550	38,050	$190	$14.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	686	750	950	$50	$890K
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…	529	1,030	1,050	$70	$219.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	268	1,140	530	$20	$195.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	270	1,270	450	$20	$183.5K
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…	1,768	1,950	500	$80	$179K
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…	981	13,300	640	$40	$169.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	574	1,720	1,360	$10	$165.3K
D0120	Periodic oral evaluation - established patient	3,081	5,640	800	$50	$163.8K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	179	210	280	$10	$160.2K

Showing 1–10 of 167

Nearby Providers

Other providers in the same ZIP code as Northeast Community Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Burton D. Schnierow, Dds, Inc	CA	Endodontics	$0	$27M
Mehmet Demirozu	CA	Internal Medicine Physician	$759.7K	$4.5K
Robert Paoletti	CA	Podiatrist	$245.8K	$426.3K
Hayward Eubanks	CA	Otolaryngology/Facial Plastic Surgery Physician	$79.7K	$526.2K
Duane Bridges	CA	Clinical Cardiac Electrophysiology Physician	$117.2K	$37.2K
Osemwota Omoigui	CA	Pain Medicine (Anesthesiology) Physician	$112.7K	$0
Derick Ball	CA	Foot Surgery Podiatrist	$83.3K	$0
Janet Soliman	CA	Family Medicine Physician	$14.1K	$1.3K
Nabil Soliman	CA	Family Medicine Physician	$5.8K	$0

Northeast Community Clinic — Billing Profile & Reimbursement Data

Sign up for Northeast Community Clinic — Billing Profile & Reimbursement Data policy alerts

Northeast Community Clinic — Billing Profile & Reimbursement Data

Sign up for Northeast Community Clinic — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References