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.

Valley Health Partners Community Health Center (NPI 1912532888)

Field	Value
Entity Type	Organization
Organization	Valley Health Partners Community Health Center
Address	400 N 17th St Ste 300
City	Allentown
State	PA
ZIP	18104
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 11, 2020

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	34,880	$340	$11.7M
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…	14,640	$10	$117.1K
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…	11,190	$10	$56K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	1,810	$1	$5.4K
3074F	No Summary found for this code	2,670	$1	$5.3K
3078F	No Summary found for this code	2,530	$1	$5.1K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	110	$40	$4.7K
3079F	No Summary found for this code	2,240	$1	$4.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	890	$1	$3.6K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	40	$80	$3.2K

Showing 1–10 of 45

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

Valley Health Partners Community Health Center — 6 of 23 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	85	1,690	760	$170	$1.2M
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…	85	8,160	210	$60	$68.4K
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…	209	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.	825	870	160	$70	$48.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	691	1,210	100	$90	$45K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	310	410	320	$10	$37.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	562	730	90	$70	$31.5K
99203	The provider sees a new 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 provider…	1,483	1,620	80	$60	$28.4K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	165	380	330	$10	$15.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	32	510	60	$50	$13.1K

Showing 1–10 of 45

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$32.3M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$11.2M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$10.1M
Joseph Zaladonis	PA	Specialist	$1.4M	$0
Susan Kim	PA	Rheumatology Physician	$770.1K	$0
Steven Oberlender	PA	MOHS-Micrographic Surgery Physician	$760K	$0
Nicole Chiappetta	PA	Rheumatology Physician	$625K	$0
Tomasz Wiraszka	GA	Retina Specialist (Ophthalmology) Physician	$533.4K	$11.9K
Cynthia Bartus	PA	MOHS-Micrographic Surgery Physician	$457.5K	$0
Jonathon Brown	PA	Adult Reconstructive Orthopaedic Surgery Physician	$441.1K	$440

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Luke's Hospital	PA	General Acute Care Hospital	$0	$23.4M
Loving Care Agency, Inc.	PA	Home Health Agency	$0	$21.2M
The Salvation Army	PA	Nursing Care Agency	$0	$17.9M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$16M
Pyramid Healthcare Inc.	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11M
Horizon House, Inc.	PA	Community/Behavioral Health Agency	$0	$8.2M
Lehigh Valley Physician Group	PA	Pediatrics Physician	$0	$7.6M
Cetronia Ambulance Corps, Inc	PA	Land Ambulance	$1.7M	$4.3M
Alan Listhaus	PA	Ophthalmology Physician	$2.6M	$0
Surgery Center Of Allentown LLC	PA	Ambulatory Surgical Clinic/Center	$2M	$0

Valley Health Partners Community Health Center — Billing Profile & Reimbursement Data

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Valley Health Partners Community 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