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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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 Center Inc (NPI 1952591851)

Field	Value
Entity Type	Organization
Organization	Community Health Center Inc
Address	675 Main St
City	Middletown
State	CT
ZIP	06457
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 26, 2007

Payer Source	Total Paid
Medicaid	$533.4M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file and total Medicaid revenue is $533.4M, indicating near-total dependence on Medicaid as the revenue source. Analysts should treat Medicaid activity as the primary lens for evaluating business risk and service capacity for this entity.

Revenue is extremely concentrated in a single code family: the precomputed top 3 codes account for 98.1% of this provider's total Medicaid revenue, and T1015 alone represents $511.9M (96.0%) of the $533.4M total. The remainder of revenue is dispersed across many low-dollar, high-volume codes, so shifts in T1015 policy or rates would materially affect overall finances.

The code mix and top revenue driver (T1015 – Clinic visit/encounter, all-inclusive) are consistent with a high-volume FQHC operating model that bills bundled, per-encounter clinic payments. Supporting codes such as G0467 and G0470 (FQHC visit types) and the presence of G2025 (telehealth for FQHC/RHC) reinforce that this organization operates as a federally qualified health center delivering broad primary care and bundled service encounters.

Behavioral health is a prominent service line: 90832 has 595.3K claims and $4.8M revenue and ranks #1 in-state, and additional psychotherapy codes (90834, 90853, 90791) appear among the top billings. These volumes indicate integrated behavioral health delivery at scale within the FQHC structure rather than a marginal ancillary offering.

The provider is a statewide volume leader and statistical outlier on many individual codes: T1015 ranks #1 of 73 providers in-state (100th percentile; extreme outlier), 99213 ranks #1 of 1714 providers (100th percentile; extreme outlier), and 90832 ranks #1 of 417 providers (100th percentile; extreme outlier). This pattern signals dominant competitive standing in Connecticut for core clinic and behavioral health CPT/HCPCS codes.

Telehealth and telephonic encounters are material components of the mix: G2025 (22.6K claims, $2.1M revenue) ranks #2 in-state (96th percentile; notably above typical volume), and phone/telehealth codes such as 99442 (189.2K claims, $1.3M revenue) and 99443 appear with substantial claim counts. The presence of these codes suggests active remote care pathways and capacity for virtual engagement with Medicaid patients.

The average paid-per-claim profile shows a mix of higher bundled FQHC payment and low-unit payments for high-volume E/M and behavioral codes: T1015 averages $166 paid/claim while high-volume codes like 99213 and 90832 average $6 and $8 paid/claim respectively. This indicates a reimbursement model that relies on very high encounter volumes for lower-paid services, with T1015 supplying the outsized share of revenue.

The organization has long-tenure NPI enrollment (enumerated 2007-07-26, ~19 years ago), which combined with the scale and code concentration suggests an established FQHC footprint and long-standing relationships in the Medicaid network. That longevity plus dominant in-state rankings imply operational scale and potential bargaining visibility with state Medicaid programs.

Medicaid: Complete Services Breakdown

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

194 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	3,083,650	$170	$511.9M
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…	1,086,910	$10	$6.5M
90832	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…	595,290	$10	$4.8M
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…	77,960	$40	$2.7M
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	22,600	$90	$2.1M
99442	N/A	189,220	$10	$1.3M
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…	90,770	$10	$816.9K
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.	97,840	$10	$782.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	105,860	$10	$635.1K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	4,860	$110	$534.3K

Showing 1–10 of 194

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Community Health Center Inc — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

194 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	70	830	$150	$24M
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	15	20	6,040	$40	$952.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	249	350	1,820	$40	$537.3K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	48	50	1,820	$100	$515.7K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	7	30	730	$110	$343.7K
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…	39	1,590	740	$50	$331.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	2	30	2,590	$60	$278.5K
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…	1	1,710	750	$30	$243.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	43	150	290	$80	$206.3K
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…	2	170	850	$80	$203.5K

Showing 1–10 of 194

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michelle Mellina	CT	Physician Assistant	$70K	$0
Sedhene Robinson	CT	Physician Assistant	$50.7K	$0
Charles Gross	CT	Podiatrist	$40.5K	$2.9K
Earl Hornbake	CT	Internal Medicine Physician	$43K	$0
Elzbieta Piekarz-dyjak	CT	Family Medicine Physician	$39.9K	$0
Jerri Hoskyn	AR	Dermatology Physician	$37.4K	$0
Christopher Smith	CT	Physician Assistant	$16.2K	$0
Shanice Nevins	CT	Family Nurse Practitioner	$6.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Middlesex Hospital	CT	General Acute Care Hospital	$0	$116.1M
Rushford Center Inc	CT	Substance Abuse Rehabilitation Facility	$0	$23M
Pursuecare, LLC	CT	Addiction Medicine (Preventive Medicine) Physician	$0	$9.8M
Gilead Community Services, Inc.	CT	Adult Mental Health Clinic/Center	$0	$8.9M
Middlesex Hospital	CT	Family Nurse Practitioner	$0	$7.5M
Mhs Primary Care, Inc	CT	Family Medicine Physician	$0	$5.4M
City Of Middletown	CT	Local Education Agency (LEA)	$0	$4.2M
Surgi-care, Inc	CT	Prosthetic/Orthotic Supplier	$0	$4.2M
Unison Health Services, Inc.	CT	Home Health Agency	$0	$3.8M
Middlesex Hospital	CT	Land Ambulance	$1.4M	$2M

Community Health Center Inc — Billing Profile & Reimbursement Data

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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

Nearby Providers

Frequently Asked Questions

References