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.

Shasta Community Health Center (NPI 1891710638)

Field	Value
Entity Type	Organization
Organization	Shasta Community Health Center
Address	1035 Placer St
City	Redding
State	CA
ZIP	96001
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicaid	$131.9M
Medicare	$0

Key Findings

Provider is effectively single‑payer Medicaid: no Medicare billing on file and $131.9M in lifetime Medicaid revenue, indicating the organization operates primarily within Medicaid programs rather than Medicare-managed care or fee‑for‑service Medicare populations. This payer concentration shapes both revenue exposure and service-line focus.

Revenue is extremely concentrated in a single encounter code: the precomputed top 3 codes account for 94.6% of Medicaid revenue, led by T1015 which alone generates $120.4M (92.6% of the provider's Medicaid revenue). The second and third top codes are H1001 (1.1%) and 99213 (0.9%), confirming the dominant role of the T1015 bundled clinic visit in the provider’s revenue mix.

Business model aligns with an FQHC, high-volume bundled clinic encounters, and broad primary care services: T1015 (T1015 – Clinic visit/encounter, all-inclusive) dominance and the provider taxonomy (Federally Qualified Health Center) point to per-encounter bundled reimbursement and large-scale delivery of routine outpatient care. Supplemental codes such as G0467, 99391/99392, and vaccine codes (90686, 90670) further indicate preventive care, immunization programs, and typical FQHC primary care activities.

Significant maternal and perinatal service footprint: H1001 (prenatal care, antepartum management) and related codes (H1000, 59425, 59430, 59025) appear among top Medicaid services, with H1001 reporting 17.4K claims and ranking #18 of 719 in-state (98th percentile). This pattern supports a notable prenatal/antepartum service line within the clinic mix.

Behavioral health and social support services are meaningful components of the mix: case management (G9012: 6.9K claims, $1.1M revenue) and supported housing codes (H0044: 7.6K claims, $839.3K revenue; H0043 also present) plus psychotherapy codes 90832/90834 indicate integrated behavioral health and housing-support services. H0044 ranks #2 of 58 in-state (98th percentile), signaling above-typical volume for supported housing services among peers.

Competitive standing in-state is dominant for several high-volume codes: T1015 ranks #8 of 1550 providers in California (100th percentile; extreme outlier), and 99213 ranks #24 of 14524 providers in-state (100th percentile; extreme outlier), marking SHASTA COMMUNITY HEALTH CENTER as a major outlier in volume for core outpatient encounter codes. These ranks position the center as a leading Medicaid provider for high-volume primary care encounters in California.

Operational scale is reflected in very large claim counts for low-unit-value services: T1015 shows 565.3K claims and 99213 shows 390K claims, while 99214 and 99391/99392 also report tens to hundreds of thousands of claims. The combination of very high visit volume and relatively low average paid/claim for many outpatient E&M codes suggests an operational model optimized for throughput and broad access rather than high-intensity, high-reimbursement encounters.

The organization is established but revenue-concentrated: NPI was enumerated on 2006-07-13 (~20 years ago), indicating long tenure in the market, yet the dependence on a single dominant code (T1015 at 92.6%) creates concentration sensitivity to policy, rate changes, or coding/billing shifts in how FQHC encounters are reimbursed. Analysts should treat Medicaid policy changes to bundled FQHC payments as a key potential lever affecting this provider's financial stability.

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	565,270	$210	$120.4M
H1001	Prenatal care, at-risk enhanced service; antepartum management	17,370	$80	$1.5M
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…	390,040	$1	$1.2M
G9012	Other specified case management service not elsewhere classified	6,920	$170	$1.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	5,460	$200	$1.1M
H0044	Supported housing, per month	7,630	$110	$839.3K
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…	159,980	$1	$639.9K
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…	47,080	$10	$423.7K
00003	N/A	1,520	$260	$391.2K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	32,290	$10	$387.5K

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

Shasta Community Health Center — 14 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	8	1,550	38,050	$190	$14.1M
00003	N/A	604	690	14,940	$260	$7.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	14	60	1,270	$770	$3.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	180	1,570	680	$110	$1.1M
H0043	Supported housing, per diem	140	230	580	$250	$665.6K
G9012	Other specified case management service not elsewhere classified	117	720	1,110	$110	$651.3K
H0044	Supported housing, per month	2	60	150	$570	$542.3K
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…	1,700	4,290	780	$140	$400.1K
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…	483	1,030	1,050	$70	$219.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	360	760	1,930	$20	$196K

Showing 1–10 of 167

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Gasman	CA	Pain Medicine (Anesthesiology) Physician	$259.9K	$8.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Shasta	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$122.5M
Dignity Health	CA	General Acute Care Hospital	$0	$92.2M
Redding Rancheria	CA	Federally Qualified Health Center (FQHC)	$0	$62.2M
Shasta County Alcohol And Drug Programs	CA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$34.5M
Prime Healthcare Services - Shasta LLC	CA	General Acute Care Hospital	$0	$22.7M
Mohamed Khan	CA	Interventional Cardiology Physician	$5.5M	$0
Michael Sumsion	CA	Ophthalmology Physician	$3.1M	$778.7K
Redding Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$1.5M	$2.1M
Gastroenterology Associates Endoscopy Center, LLC	CA	Ambulatory Surgical Clinic/Center	$1.7M	$1.8M
Matthew Allen	CA	Radiation Oncology Physician	$2.9M	$0

Shasta Community Health Center — Billing Profile & Reimbursement Data

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Shasta Community Health Center — 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