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

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

Barrio Comprehensive Family Health Care Center, Inc. (NPI 1952690463)

Field	Value
Entity Type	Organization
Organization	Barrio Comprehensive Family Health Care Center, Inc.
Address	1102 Barclay St
City	San Antonio
State	TX
ZIP	78207
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 5, 2011

Payer Source	Total Paid
Medicaid	$147.8M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused FQHC: lifetime Medicare revenue is listed as none while total Medicaid revenue is $147.8M, indicating its billed activity and Medicaid dependence are overwhelmingly dominant compared with any Medicare presence. Analysts should treat BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC. as a near single-payer (Medicaid) operation for revenue and utilization patterns.

Revenue concentration is extremely high: the top 3 Medicaid codes by revenue account for 74.3% of the provider’s total Medicaid revenue, signaling that a small set of visit-level and clinic-encounter codes drive most dollars. That concentration implies that changes in reimbursement policy or utilization for those specific codes would materially affect the provider’s financial performance.

T1015 is the single largest Medicaid revenue generator with $77.7M (53.7% of total Medicaid revenue) and 826.6K claims, and the provider ranks #2 of 766 in-state (100th percentile). This code mix and volume profile is consistent with operation as a high-volume consolidated clinic or FQHC billing an all-inclusive clinic visit/encounter, making primary-care clinic encounters the backbone of its service line and revenue model.

99213 ($21.9M, 15.1% of Medicaid revenue) and 99214 ($7.9M, 5.5% of Medicaid revenue) are the second- and third-largest contributors and both rank in the 100th percentile statewide. The prominence of mid-level established patient E/M codes indicates a large ambulatory primary care caseload with frequent follow-up and moderate-complexity visits, reinforcing that routine outpatient management and chronic care are central services.

On competitive standing, the provider is a statewide volume leader for multiple codes: several top codes (T1015, 99213, 99214, and an array of well‑visit codes) are flagged as extreme outliers and sit at the 100th percentile in state rankings. These rankings identify the center as a dominant in-state provider for clinic visit encounters and pediatric/adolescent preventive visits when compared to peers.

Preventive and pediatric services are a meaningful secondary service line: multiple well‑visit codes (99392, 99391, 99393, 99394, 99381, 99395, 99383, 99382, 99384) collectively contribute material revenue and are mostly 99th–100th percentile state outliers. This pattern suggests a large integrated primary care program with robust pediatric and preventive care throughput, consistent with FQHC mission and population health focus.

Behavioral health and reproductive services are notable ancillary lines: psychotherapy add‑on/primary codes (90832, 90833, 90833 listed as 90833 and 90832) and psychiatric evaluation codes (90791, 90792) appear in the top code list and rank at high percentiles, while J7307 (etonogestrel implant) ranks #1 in-state. These entries indicate embedded mental health and contraceptive service capacity that supplement core primary care encounters.

Tenure on file is long: the NPI enumerated date is 2011-04-05 (~15 years ago), indicating sustained Medicaid engagement over a multi‑year period. This longevity combined with concentrated high-volume clinic coding points to an established community health center footprint rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

155 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	826,550	$90	$77.7M
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…	326,690	$70	$21.9M
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…	121,370	$70	$7.9M
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,…	98,710	$60	$5.9M
D0999	N/A	44,890	$130	$5.8M
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…	53,970	$80	$4.5M
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…	50,100	$90	$4.4M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	40,780	$90	$3.5M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	28,720	$80	$2.3M
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…	27,510	$70	$2M

Showing 1–10 of 155

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Barrio Comprehensive Family Health Care Center, Inc. — 22 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

155 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	2	770	2,990	$170	$2.6M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	28	120	340	$120	$422K
D0999	N/A	1	180	390	$190	$405.3K
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…	18	270	130	$570	$318.8K
D2930	N/A	244	1,000	460	$140	$261.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	75	370	550	$80	$249.6K
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…	6	6,040	710	$40	$232.8K
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…	80	160	350	$110	$230.4K
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…	444	1,320	1,070	$60	$211.1K
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.	105	220	480	$60	$202.8K

Showing 1–10 of 155

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ole Health	CA	Federally Qualified Health Center (FQHC)	$0	$30.5M
William Wu	TX	Cardiovascular Disease Physician	$1M	$0
Harry Uy	TX	Endocrinology, Diabetes & Metabolism Physician	$332K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles S. Ramon, LLC.	TX	Home Health Agency	$0	$70.6M
Christus Santa Rosa Health Care Corporation	TX	Children's Hospital	$0	$69.1M
Community Medicine Associates	TX	Family Medicine Physician	$0	$37.4M
Baylor College Of Medicine	TX	Pediatrics Physician	$0	$26.1M
City Of San Antonio Texas	TX	Land Ambulance	$4.4M	$12.7M
Davila Pharmacy, Inc.	TX	Pharmacy	$0	$13.4M
Renal Associates, P.A.	TX	Ambulatory Surgical Clinic/Center	$2.8M	$280.7K
Darrell Baskin	TX	Ophthalmology Physician	$2.2M	$0
Mark Collazo	TX	Family Nurse Practitioner	$742.5K	$0
Erika Gonzalez	TX	Allergy & Immunology Physician	$467.9K	$5.3K

Barrio Comprehensive Family Health Care Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Barrio Comprehensive Family Health Care Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Barrio Comprehensive Family Health Care 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