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 1932735651)

Field	Value
Entity Type	Organization
Organization	Valley Health Partners Community Health Center
Address	1627 Chew St Ste 101
City	Allentown
State	PA
ZIP	18102
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 13, 2020

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	31,200	$320	$9.9M
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…	12,770	$10	$76.6K
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…	3,670	$10	$47.7K
3078F	No Summary found for this code	3,920	$1	$15.7K
3074F	No Summary found for this code	3,530	$1	$10.6K
3079F	No Summary found for this code	2,530	$1	$7.6K
3077F	No Summary found for this code	1,670	$1	$6.7K
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…	1,460	$1	$5.8K
3075F	No Summary found for this code	1,310	$1	$5.3K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	490	$10	$4.4K

Showing 1–10 of 37

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 — 7 of 19 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	96	1,690	760	$170	$1.2M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	931	980	310	$50	$136.6K
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…	545	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…	175	8,870	240	$40	$56.1K
99204	The provider sees a new 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 provider…	1,137	1,410	60	$90	$30.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	573	1,630	90	$30	$22K
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).…	164	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.	94	510	60	$50	$13.1K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	24	320	40	$30	$7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	727	780	70	$10	$3.6K

Showing 1–10 of 37

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	$11.9M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$11.2M
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
Hispanic American Organization	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9M
City O F Allentown	PA	Land Ambulance	$955.5K	$7.4M
Pinebrook Family Answers	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
St Luke's Hospital	PA	General Acute Care Hospital	$0	$7M
Neighborhood Health Centers Of The Lehigh Valley	PA	Federally Qualified Health Center (FQHC)	$0	$5.7M
Ron Mahlab	PA	Psychiatry Physician	$333.5K	$170
Tendai Mawindi	PA	Psychiatry Physician	$75K	$0
Faton Bytyci	PA	Family Medicine Physician	$34.5K	$34.9K
Michael Qaqish	PA	Vascular Surgery Physician	$58K	$0
Angela Rosenberg	PA	Family Nurse Practitioner	$54.1K	$0

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

Sign up for Valley Health Partners Community Health Center — Billing Profile & Reimbursement Data policy alerts

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

Sign up for Valley Health Partners Community Health Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References