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

Why is the Medicaid comparison limited to Missouri 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. Missouri (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 Ctr Of Central Missouri (NPI 1972001386)

Field	Value
Entity Type	Organization
Organization	Community Health Ctr Of Central Missouri
Address	1511 Christy Dr
City	Jefferson City
State	MO
ZIP	65101
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 31, 2018

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

55 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	27,280	$70	$1.9M
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…	8,960	$110	$1M
0241U	N/A	1,210	$140	$166.2K
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…	1,510	$80	$116.3K
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…	1,030	$110	$115.6K
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…	1,150	$80	$88.8K
D0230	Intraoral - periapical each additional radiographic image	3,400	$30	$85K
D0274	N/A	1,380	$60	$83.9K
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,…	1,860	$50	$83.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	960	$80	$76.2K

Showing 1–10 of 55

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Community Health Ctr Of Central Missouri — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

55 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	234	240	1,740	$40	$353.4K
0241U	N/A	23	80	330	$110	$192.3K
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…	113	3,170	230	$70	$128.1K
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…	56	4,310	300	$60	$110.8K
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…	89	440	250	$70	$71.8K
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…	67	680	280	$90	$65.3K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	63	260	180	$60	$61.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	269	420	90	$100	$60.2K
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…	116	190	90	$90	$59.8K
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…	82	640	210	$90	$59.5K

Showing 1–10 of 55

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Health Ctr Of Central Missouri, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Hrastich	MO	Diagnostic Radiology Physician	$134.1K	$399.7K
Kimberly Harsy	MO	Family Nurse Practitioner	$164.1K	$22.7K
Mitchell Godbee	MO	Diagnostic Radiology Physician	$171.5K	$5K
Clinton Harris	MO	Pain Medicine (Anesthesiology) Physician	$118.2K	$0
Laura Sievert	MO	Diagnostic Radiology Physician	$30.1K	$470

Nearby Providers

Other providers in the same ZIP code as Community Health Ctr Of Central Missouri, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Missouri	MO	Rehabilitation Psychologist	$0	$493.6M
State Of Missouri	MO	Addiction (Substance Use Disorder) Counselor	$0	$271.2M
State Of Missouri	MO	Rehabilitation Psychologist	$0	$91.5M
State Of Missouri	MO	Local Education Agency (LEA)	$0	$39M
Cole County Residential Services, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.2M
Curators Of The University Of Missouri	MO	General Acute Care Hospital	$0	$12.1M
Central Connections, Inc	MO	Case Management Agency	$0	$8.6M
State Of Missouri	MO	Clinical Medical Laboratory	$0	$7.8M
Capital Region Medical Center	MO	Family Medicine Physician	$0	$4.4M
Paige Hedgpath Od,pc	MO	Optometrist	$0	$3.6M

Community Health Ctr Of Central Missouri — Billing Profile & Reimbursement Data

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Community Health Ctr Of Central Missouri — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References