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

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

Community Health Care, Inc. (NPI 1932193224)

Field	Value
Entity Type	Organization
Organization	Community Health Care, Inc.
Address	500 W River Dr
City	Davenport
State	IA
ZIP	52801
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 1, 2005

Payer Source	Total Paid
Medicaid	$86.7M
Medicare	$0

Key Findings

COMMUNITY HEALTH CARE, INC. is effectively a Medicaid-centric provider: there is no Medicare billing on file and lifetime Medicaid revenue is $86.7M, indicating the organization’s operations and revenue are overwhelmingly dependent on Medicaid payment streams. This makes the entity functionally a single-payer (Medicaid) provider for the period covered.

Revenue is extremely concentrated among a tiny number of codes: the top 3 Medicaid codes account for 99.5% of the provider’s total Medicaid revenue, with T1015 alone representing $82M (94.6% of Medicaid revenue) across 468.7K claims. That degree of concentration signals high financial exposure to changes in how clinic-encounter/per-diem services are reimbursed.

The provider’s clinical model aligns with its Federally Qualified Health Center (FQHC) taxonomy: the dominance of T1015 (T1015 – Clinic visit/encounter, all-inclusive) and the presence of G0467 (FQHC visit, established patient) indicate a high-volume, primary care and bundled clinic-visit operation, while T1040 (Medicaid certified community behavioral health clinic services, per diem) shows an explicit Medicaid behavioral-health per-diem service line. Taken together these codes suggest routine one-on-one FQHC visits and a Medicaid-certified community behavioral health offering are core service lines rather than episodic specialty care.

COMPETITIVE standing in-state is concentrated and extreme for core visit codes: T1015 ranks #1 of 327 providers in-state (100th percentile; extreme outlier), identifying the organization as a dominant statewide provider of the all-inclusive clinic-visit billing model. D0999 ranks #3 of 31 (93th percentile; notably above typical state volume), indicating strong relative volume for that auxiliary code, while G0467 is listed as having typical, unremarkable volume despite a high percentile rank — suggesting the bulk of the FQHC-style workload is flowing through T1015 rather than G0467.

The provider is a major outlier in preventive and immunization services by state peers: 90651 (HPV vaccine) is #1 of 156 providers (100th percentile; extreme outlier) and 90734 (meningococcal vaccine) is #1 of 182 providers (100th percentile; extreme outlier), with additional high-volume COVID and other vaccine codes (e.g., 91322 rank #2 of 41, 90480 rank #5 of 122). This pattern points to extensive vaccination and preventive-care throughput—consistent with community health center population health activities and public-health programs.

Several administrative/quality and low-dollar service codes are reported at scale: 3075F (14.9K claims) and 3077F (11.4K claims) are both ranked #1 of their peer sets and flagged as extreme outliers, and multiple codes show $1 average paid/claim at high claim counts. These observations reflect systematic quality-measure reporting and many low-reimbursement, high-volume activities that are typical for safety-net providers operating under bundled or per-diem Medicaid arrangements.

T1040 (Medicaid certified community behavioral health clinic services, per diem) is billed by this provider at 3.3K claims for $252.9K in revenue and is listed as #1 of 1 provider in-state (no state peer volume comparison available). That uniqueness indicates the provider may offer Medicaid-certified community behavioral health clinic services in the state that few or no other Medicaid providers bill, positioning it as a sole institutional supplier of that specific per-diem service in this dataset.

The organization has an established presence in the Medicare/Medicaid universe: its NPI was enumerated on 2005-09-01 (~21 years ago), which denotes long tenure and suggests institutional stability and sustained engagement with Medicaid billing practices over two decades.

Medicaid: Complete Services Breakdown

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

212 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	468,700	$180	$82M
D0999	N/A	22,310	$180	$3.9M
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…	7,360	$40	$316.3K
T1040	Medicaid certified community behavioral health clinic services, per diem	3,280	$80	$252.9K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	30	$890	$25.9K
D1999	N/A	80	$220	$18.1K
J1050	Injection, medroxyprogesterone acetate, 1 mg	5,540	$1	$16.6K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	180	$90	$16K
3075F	No Summary found for this code	14,920	$1	$14.9K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	410	$40	$14.6K

Showing 1–10 of 212

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Iowa Distribution

Community Health Care, Inc. — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

212 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	330	3,960	$170	$2.8M
D9999	N/A	30	40	6,850	$180	$2.7M
D0999	N/A	3	30	6,470	$210	$1.8M
90834	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…	90	680	670	$70	$343.5K
T1040	Medicaid certified community behavioral health clinic services, per diem	1	10	3,280	$80	$252.7K
D2930	N/A	29	80	850	$110	$217.2K
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…	10	1,060	480	$40	$154.5K
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…	3	1,310	760	$20	$153.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	7	140	210	$120	$152.1K
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…	153	610	550	$70	$145.9K

Showing 1–10 of 212

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Care, Inc.	IA	Dental Clinic/Center	$0	$10.9M
Community Health Care, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$4.4M
Community Health Care Inc	IA	Federally Qualified Health Center (FQHC)	$0	$3.7M
Community Health Care, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$3.3M
Community Health Care Inc	IA	Federally Qualified Health Center (FQHC)	$0	$1.9M
Valena Fiscus	MO	Internal Medicine Physician	$60.3K	$0
Kathryn Huber	IA	Medical Physician Assistant	$53.8K	$0
John Dooley	IA	Pain Medicine Physician	$18.2K	$0

Community Health Care, Inc. — Billing Profile & Reimbursement Data

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Community Health Care, 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