Federally Qualified Health Centers (FQHCs) such as community health centers have been import¬ant sources of treatment for underserved and low-income communities, and these roles expanded even further with the passage of the ACA in 2010. Run by both private and public organizations, community health centers saw an estimated 25.9 million children and adults in 2016 according to the Kaiser Family Foundation, with growth spurred largely by Medicaid expansion.

FQHCs generally operate in urban and rural settings, often functioning as safety-net providers or expanding healthcare access in sparsely populated areas. Unsurprisingly, the FQHCs with the highest volumes are generally found in or near large cities. Ventura County, whose publicly funded centers had the highest volume, is located just outside Los Angeles. A disproportionate number of high-volume FQHCs operate in California, likely due to the state’s high population and significant enrollment in Medi-Cal, the state’s version of Medicaid. The top 25 centers also had wide variations in total compensation.

Of the centers with the greatest number of patient visits, total compensation ranged from $35 to $151 million. Neither is necessarily a strong indicator of volume, as some locations may be in rural areas and many can be staffed by physician assistants or nurses rather than physicians.

Top 25 FQHCs by Number of Visits

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Facility NameDefinitive IDTotal VisitsTotal CompensationExplore This Dataset
1.Ventura County Health Care Agency19169550,557$63,238,132 Explore This Profile
2.Family Healthcare Network19648472,555$64,485,444 Explore This Profile
3.Borrego Community Health Foundation18720446,778$96,649,650 Explore This Profile
4.County of Santa Clara19226424,079$72,816,444 Explore This Profile
5.Valley Health Center at Gilroy11841424,079$72,816,444 Explore This Profile
6.Family Healthcare Network Service Site - Ivanhoe11877392,784$54,471,590 Explore This Profile
7.Hudson River Healthcare Inc18855359,717$49,390,298 Explore This Profile
8.Family Health Centers of San Diego Inc19331352,680$151,720,099 Explore This Profile
9.Beach Area Family Health Center11906349,622$80,889,906 Explore This Profile
10.Yakima Valley Farm Workers Clinic19399345,600$77,239,453 Explore This Profile
11.Toppenish Medical-Dental Clinic18168328,287$75,197,884 Explore This Profile
12.Sea Mar CHC - Seattle Clinic17269317,619$85,580,938 Explore This Profile
13.Sea Mar Community Health Centers19207317,619$85,580,938 Explore This Profile
14.Clinicas Del Camino Real Inc19240314,681$55,035,252 Explore This Profile
15.Community Health Center12134307,392$42,006,970 Explore This Profile
16.Community Health Center Incorporated19798307,392$42,006,970 Explore This Profile
17.Pediatric Diagnostic Center12607305,033$46,553,892 Explore This Profile
18.El Nuevo San Juan Health Center14989299,101$55,046,469 Explore This Profile
19.Urban Health Plan Inc19049299,101$55,046,469 Explore This Profile
20.Peak Vista Community Health Centers19052282,715$35,424,191 Explore This Profile
21.Southern Illinois Health Care Foundation Inc18495282,131$39,013,452 Explore This Profile
22.Peekskill Area Health Center15030271,748$45,357,178 Explore This Profile
23.Clinica Sierra Vista19516264,478$36,827,954 Explore This Profile
24.Hudson Headwaters Health Network18586261,987$36,598,369 Explore This Profile
25.Schroon Lake Health Center15582261,987$36,598,369 Explore This Profile

Fig 1. Data from Definitive Healthcare based on January 2018 Medicare Cost Report. Next Scheduled release is April 2018.

Top 25 FQHCs by Total Compensation

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Facility NameDefinitive IDTotal VisitsTotal CompensationExplore This Dataset
1.Family Health Centers of San Diego Inc19331352,680$151,720,099 Explore This Profile
2.Borrego Community Health Foundation18720446,778$96,649,650 Explore This Profile
3.Sea Mar Community Health Centers19207317,619$85,580,938 Explore This Profile
4.Sea Mar CHC - Seattle Clinic17269317,619$85,580,938 Explore This Profile
5.Compass Health Inc1874451,845$84,989,355 Explore This Profile
6.OneWorld Community Health Centers Inc1941758,391$83,602,236 Explore This Profile
7.Beach Area Family Health Center11906349,622$80,889,906 Explore This Profile
8.Yakima Valley Farm Workers Clinic19399345,600$77,239,453 Explore This Profile
9.Toppenish Medical-Dental Clinic18168328,287$75,197,884 Explore This Profile
10.North Portland Health Center16129161,758$73,168,983 Explore This Profile
11.Multnomah County19261161,758$73,168,983 Explore This Profile
12.Valley Health Center at Gilroy11841424,079$72,816,444 Explore This Profile
13.County of Santa Clara19226424,079$72,816,444 Explore This Profile
14.Elm Street Family Health Center176103,058$70,830,193 Explore This Profile
15.Family Healthcare Network19648472,555$64,485,444 Explore This Profile
16.Ventura County Health Care Agency19169550,557$63,238,132 Explore This Profile
17.Compass Health Wellness - Clinton147217,561$60,524,512 Explore This Profile
18.Santa Rosa Community Health Centers18700191,260$59,771,226 Explore This Profile
19.Penobscot Community Health Center Service Site14502260,839$58,571,333 Explore This Profile
20.Penobscot Community Health Center19163260,839$58,571,333 Explore This Profile
21.El Rio Santa Cruz Neighborhood Health Center Inc19360165,564$56,500,160 Explore This Profile
22.El Rio Santa Cruz Neighborhood Health Center Inc Service Site11828165,564$56,500,160 Explore This Profile
23.Urban Health Plan Inc19049299,101$55,046,469 Explore This Profile
24.El Nuevo San Juan Health Center14989299,101$55,046,469 Explore This Profile
25.Clinicas Del Camino Real Inc19240314,681$55,035,252 Explore This Profile

Fig 2. Data is from July 2019 Medicare Cost Report release; the next scheduled Medicare Cost Report release is October 2019.