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

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

David Raines Community Health Center, Inc (NPI 1891964789)

Field	Value
Entity Type	Organization
Organization	David Raines Community Health Center, Inc
Address	1514 Doctors Dr
City	Bossier City
State	LA
ZIP	71111
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 25, 2008

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	55,980	$120	$6.8M
H2020	Therapeutic behavioral services, per diem	36,610	$90	$3.4M
D0999	N/A	6,000	$70	$401.7K
D0150	Comprehensive oral evaluation – new or established patient	550	$1	$1.1K
D0210	Intraoral - complete series of radiographic images	350	$1	$710
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	200	$1	$200
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	$50
0002A	N/A	20	$0	$0
0011A	N/A	150	$0	$0
0012A	N/A	110	$0	$0

Showing 1–10 of 80

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

David Raines Community Health Center, Inc — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

80 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	65	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	12	320	2,270	$90	$637.8K
D0999	N/A	37	170	1,120	$90	$447K
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…	486	2,890	980	$40	$246.8K
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…	180	3,230	1,120	$30	$204.3K
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…	171	360	780	$50	$141.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	175	190	1,000	$30	$139.9K
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…	112	420	740	$50	$137.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	176	190	900	$30	$137.2K
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.	249	270	3,140	$10	$111K

Showing 1–10 of 80

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Raines Community Health Center, Inc	LA	Federally Qualified Health Center (FQHC)	$0	$11.7M
Lawrence Counts	LA	Nephrology Physician	$1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr. Michael Gambill And Dr. David Glass LLC	LA	Pediatric Dentistry	$0	$31M
Community Angels Of Hope	LA	Community/Behavioral Health Agency	$0	$15.2M
Seedlinks Behavior Management, LLC	LA	Community/Behavioral Health Agency	$0	$14M
Lauve's Pdhc, LLC	LA	Medically Fragile Infants and Children Day Care	$0	$10.6M
Drs Michael Gambill And Corey Cloud LLC	LA	Pediatric Dentistry	$0	$9.4M
Evergreen Presbyterian Ministries, Inc.	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.3M
City Of Bossier City	LA	Land Ambulance	$870K	$6.8M
Bossier Parish E M S	LA	Land Ambulance	$480.2K	$2.9M
John Noles	LA	Pain Medicine (Anesthesiology) Physician	$755K	$0
Spine Center Of Excellence LLC	LA	Ambulatory Surgical Clinic/Center	$711.8K	$0

David Raines Community Health Center, Inc — Billing Profile & Reimbursement Data

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David Raines Community Health Center, Inc — 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