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    OpenPayerNPI Medicare & MedicaidYakima Valley Farm Workers Clinic
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    Yakima Valley Farm Workers Clinic — Billing Profile & Reimbursement Data

    NPI 1912036112 · Toppenish, WA · Federally Qualified Health Center (FQHC)

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    Yakima Valley Farm Workers Clinic is a federally qualified health center (fqhc) provider located in Toppenish, Washington. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationYakima Valley Farm Workers Clinic
    Address518 W 1st Ave
    CityToppenish
    StateWA
    ZIP98948
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMarch 5, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$51.9M
    Medicare$0

    Key Findings

    This provider is effectively single-payer on the claims side: total Medicaid revenue is $51.9M and there is no Medicare billing on file. That concentration means the organization’s financial footprint is driven almost entirely by Medicaid reimbursement rather than a mixed Medicare/Medicaid payer mix.

    Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 96.2% of the provider’s total Medicaid revenue. Specifically, T1015 accounts for $47.7M (91.9% of total Medicaid revenue), T1002 accounts for $1.6M (3.1%), and T1027 accounts for $656.6K (1.3%), making these three codes the primary revenue drivers to monitor.

    The code mix aligns with an FQHC primary-care and comprehensive encounter model: T1015 (Clinic visit/encounter, all-inclusive) drives the bulk of revenue at $47.7M, indicating the clinic bills primarily for all-inclusive visit encounters consistent with Federally Qualified Health Center operations. High volume on T1002 (Rn services, up to 15 minutes — 59.5K claims) further implies nursing-centric visit activity and task-shifting within ambulatory care workflows.

    The provider shows a pronounced service emphasis on family, child development, and case management supports: T1027 (Family training and counseling for child development) has 46.9K claims and ranks #1 of 30 providers in-state (100th percentile, extreme outlier), T1017 (Targeted case management) has 32.4K claims and ranks #2 of 81 (99th percentile), and S9482 (Family stabilization services) has 18.7K claims and ranks #1 of 26 (100th percentile). These volumes and ranks indicate a strategic focus on behavioral health, family stabilization, and developmental supports within the Medicaid population.

    State-level competitive standing is strong and in some areas dominant: the provider ranks #8 of 652 for T1015 (99th percentile, notably above typical state volume) and is the statewide leader for T1002 and T1027 (both rank #1 in their peer groups and are labeled extreme outliers). Taken together, these ranks signal the organization is a major in-state provider for clinic-encounter billing and nursing- and family-focused services, rather than a modest participant.

    A small set of secondary codes supplement the revenue mix but are less central: T2022 (Case management, per month) yields $600.1K and ranks #6 of 15 (64th percentile, typical), 96152 yields $156.1K and ranks #1 of 35 (100th percentile, notably above typical), and S9470 (Nutritional counseling) yields $106K and ranks #6 of 18 (71st percentile, typical). These data points indicate some diversification into case management, behavioral assessment, and nutrition services, but at substantially lower revenue levels than the top encounter and nursing codes.

    The NPI tenure (~19 years; enumerated 2007-03-05) indicates an established FQHC presence in the market. Combined with the heavy Medicaid reliance and the provider’s high state rankings on visit, nursing, and family-service codes, the organization appears to have a sustained operational footprint centered on Medicaid-covered primary care and family/behavioral support services, which implies both market strength in those lines and exposure to Medicaid policy or rate changes.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive172,840$280$47.7M
    T1002Rn services, up to 15 minutes59,490$30$1.6M
    T1027Family training and counseling for child development, per 15 minutes46,900$10$656.6K
    T1017Targeted case management, each 15 minutes32,410$20$615.8K
    T2022Case management, per month3,660$160$600.1K
    S9482Family stabilization services, per 15 minutes18,660$30$485.3K
    96152N/A5,780$30$156.1K
    S9470Nutritional counseling, dietitian visit4,080$30$106K
    3074FNo Summary found for this code10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Washington median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive86504,110$250$4.9M
    T2022Case management, per month6201,980$160$793.3K
    T1002Rn services, up to 15 minutes1601,140$100$493.3K
    S9470Nutritional counseling, dietitian visit6201,110$40$127.7K
    S9482Family stabilization services, per 15 minutes1301,740$40$110K
    T1027Family training and counseling for child development, per 15 minutes1301,980$20$102.8K
    96152N/A140240$70$84.2K
    T1017Targeted case management, each 15 minutes280410$30$74.4K
    3074FNo Summary found for this code209210620$1$10

    Nearby Providers

    Other providers in the same ZIP code as Yakima Valley Farm Workers Clinic, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yakama Indian Health CenterWAFederal Public Health Clinic/Center$0$34M
    Yakima Valley Farm Workers ClinicWAFederally Qualified Health Center (FQHC)$0$19.8M
    Shc Medical Center ToppenishWAGeneral Acute Care Hospital$0$15.1M
    Yakima Valley Farm Workers ClinicWAFederally Qualified Health Center (FQHC)$0$13.8M
    Yakima Valley Farm Workers ClinicWAFederally Qualified Health Center (FQHC)$0$6.6M
    Olney Emergency Group, A Professional LLCWAEmergency Medicine Physician$0$3.4M
    Laboratory Corporation Of AmericaWAClinical Medical Laboratory$410$100.5K
    Rory SumnersWAFamily Medicine Physician$55.6K$0
    Danial HocsonWAFamily Medicine Physician$51.7K$0
    Reuben RamozWAInternal Medicine Physician$43.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Washington Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Yakima Valley Farm Workers Clinic — 6 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington