FQHC Revenue Intelligence
Maximize every dollar of revenue to serve more patients. NPIxray helps FQHCs identify missed billing opportunities in CCM, RPM, AWV, and E&M coding.
The Challenges You Face
Razor-Thin Margins
FQHCs operate on tight budgets with high patient volumes. Every dollar of missed revenue means fewer resources for the communities you serve.
Overwhelming Reporting Burden
Between UDS reporting, HRSA requirements, and quality measures, your team barely has time to analyze billing optimization opportunities.
Underutilized Care Programs
CCM and RPM programs are tailor-made for FQHC patients with multiple chronic conditions, but adoption at community health centers remains under 10%.
Complex Patient Populations
Your patients often have multiple chronic conditions, behavioral health needs, and social determinants — all billable opportunities that are frequently missed.
How NPIxray Helps
CCM/RPM Patient Identification
See exactly how many of your Medicare patients qualify for CCM and RPM programs, and calculate the revenue potential for your center.
AWV Capture Rate Analysis
Identify how many of your Medicare patients haven't had an Annual Wellness Visit — a zero-copay service worth $119-$175 each.
Provider-Level Benchmarking
Compare each provider's coding patterns against national FQHC averages and identify where revenue is being left behind.
Per-Patient Revenue Maximization
NPIxray calculates the total revenue potential per patient when all eligible programs are captured — not just E&M visits.
Key Features for Your FQHC
- FQHC-specific benchmarking against national community health center data
- CCM opportunity analysis for high-acuity, multi-chronic patients
- RPM revenue projection for hypertension, diabetes, and COPD populations
- AWV completion rate gap analysis with revenue impact
- BHI opportunity identification for integrated behavioral health
- Provider-level coding analysis across all FQHC sites
89%
of FQHCs are not billing CCM despite serving the highest-need Medicare populations
“NPIxray showed us $320K in annual CCM revenue we were missing across our 5 sites. That's enough to hire 3 additional care coordinators.”
CFO, Federally Qualified Health Center
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See how much revenue YOUR health center is missing
Enter any NPI number to instantly see missed revenue from E&M coding gaps, CCM, RPM, BHI, and AWV programs.
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