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.

Iberia Comprehensive Community Health Center,inc. (NPI 1922046549)

Field	Value
Entity Type	Organization
Organization	Iberia Comprehensive Community Health Center,inc.
Address	806 Jefferson Ter
City	New Iberia
State	LA
ZIP	70562
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicaid	$34.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: there is no Medicare billing on file while total Medicaid revenue is $34.7M, indicating near‑exclusive reliance on Medicaid as the revenue source. The organization's NPI was enumerated on 2006-06-04 (~20 years ago), signaling a long-established presence in the New Iberia market.

Medicaid revenue is extremely concentrated: the top three Medicaid codes account for 99.5% of the provider's total Medicaid revenue, exposing the provider's financials to changes in reimbursement or utilization for a very small set of services. Those top drivers are T1015 (64.3%, $22.3M), H2020 (18.6%, $6.5M), and D0999 (16.5%, $5.7M).

The code mix aligns with an FQHC operating a high‑volume clinic model supplemented by behavioral health and dental services. T1015 (Clinic visit/encounter, all‑inclusive) has 146K claims at $153 avg paid/claim generating $22.3M, while H2020 (Therapeutic behavioral services, per diem) has 61.6K claims and $6.5M, and D0999 (no description available) reports 52.5K claims and $5.7M, together indicating primary care encounters plus significant per‑diem behavioral and dental activity.

Competitive standing in Louisiana is dominant for the top Medicaid codes: T1015 ranks #8 of 806 providers in‑state (99th percentile; extreme outlier), H2020 ranks #7 of 319 (98th percentile; extreme outlier), and D0999 ranks #3 of 166 (99th percentile; extreme outlier). These ranks indicate the provider is far above typical state volume for each of its main revenue drivers and functions as a major in‑state player for those service lines.

Operationally, the provider manages very large claim volumes with widely varying average payments per claim across codes, which has implications for resource allocation and coding workflows. Examples include T1015 with 146K claims at $153 avg paid/claim versus dental extraction D7140 with 15.1K claims at $5 avg paid/claim ($75.6K revenue), and multiple dental evaluation and radiographic codes with thousands of claims but very low avg paid/claim amounts.

The provider also files extremely large volumes of F‑codes and other measure/reporting codes that show $0 avg paid/claim, suggesting heavy use of administrative or quality/reporting submissions alongside billable services. Notable examples are 2010F (133.1K claims, $0 avg paid/claim), 1003F (129.8K claims, $0 avg paid/claim), and 2001F (136.9K claims, $0 avg paid/claim), which are ranked at or near the top in‑state for claim counts.

Given the 99.5% revenue concentration in three Medicaid codes and a total Medicaid revenue of $34.7M, the provider faces concentrated reimbursement risk: any policy, rate, or utilization changes affecting T1015, H2020, or D0999 would materially impact overall revenue. This profile suggests payer negotiations or state Medicaid policy changes tied to clinic encounter rates, behavioral per‑diems, or dental coding could disproportionately affect the organization.

The provider's FQHC taxonomy combined with nearly two decades of enrollment (NPI enumerated 2006-06-04 (~20 years ago)) and extreme state‑level volumes for core codes indicate an established community health center with scale in primary care encounters and behavioral health per‑diem services. Analysts should view the organization as an entrenched Medicaid‑centric FQHC with a small number of high‑volume revenue streams that define its market role and financial profile.

Medicaid: Complete Services Breakdown

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

147 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	146,040	$150	$22.3M
H2020	Therapeutic behavioral services, per diem	61,640	$110	$6.5M
D0999	N/A	52,520	$110	$5.7M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	15,130	$10	$75.6K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	6,200	$10	$37.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,540	$1	$17.1K
D0150	Comprehensive oral evaluation – new or established patient	7,560	$1	$15.1K
D0220	Intraoral - periapical first radiographic image	13,890	$1	$13.9K
D0120	Periodic oral evaluation - established patient	8,120	$1	$8.1K
D0272	N/A	5,200	$1	$5.2K

Showing 1–10 of 147

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

Iberia Comprehensive Community Health Center,inc. — 6 of 16 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

147 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	810	4,280	$110	$1.8M
H2020	Therapeutic behavioral services, per diem	7	320	2,270	$90	$637.8K
D0999	N/A	3	170	1,120	$90	$447K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	38	50	590	$110	$249.9K
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…	72	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…	46	3,230	1,120	$30	$204.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	59	110	560	$50	$173.1K
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…	183	360	780	$50	$141.5K
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…	151	420	740	$50	$137.3K
D2392	Post 2 surface resin‑based composite	347	400	470	$90	$135.5K

Showing 1–10 of 147

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iberia Comprehensive Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$8.1M
Iberia Comprehensive Community Health Center Inc	LA	Federally Qualified Health Center (FQHC)	$0	$6.9M
Iberia Comprehensive Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$6.6M
Erron Pujol	LA	Family Nurse Practitioner	$33.7K	$0

Iberia Comprehensive Community Health Center,inc. — Billing Profile & Reimbursement Data

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Iberia Comprehensive Community Health Center,inc. — 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

Frequently Asked Questions

References