The document provides statistics on Federally Qualified Health Centers (FQHCs) in the United States, including their growth over time, regional distribution, performance, and sources of revenue. It notes that FQHCs have grown exponentially since the 1960s from only 8 centers to over 1,400 organizations today serving around 25 million patients annually. The document also shares data on FQHC revenues by state and payer source, with the largest sources being Medicaid, Medicare, federal grants, and private insurance. It concludes that FQHCs have the potential to serve more patients by improving quality of care through investments in technology.

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1
FQHC Statistics
Growth, Region, Performance and
Revenue
Federally Qualified Health Centers across USA
www.healthviewx.com
Learn how FQHCs across USA have performed over the decades

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According to Medicare and Medicaid statutes, an FQHC is a health center that
receives federal funding under Section 330 of the Public Health Service Act to
provide comprehensive primary care services to uninsured and underinsured
populations.
FQHCs as defined by Medicare and
Medicaid
Health centers originated under the Economic Opportunity Act of 1964 as
“neighborhood health centers”. Section 330 of the Public Health Service Act
established the Health Center Program, which provides federal funding for
health centers.

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It also provided federal grants to community and migrant health centers to
serve the uninsured.
FQHCs as defined by Medicare and
Medicaid
The FQHC program of today was enacted under the Omnibus Budget
Reconciliation Act (OBRA) of 1989 and expanded under OBRA of 1990.
The legislation provided cost-based reimbursements to health centers for
Medicare and Medicaid services specified under Section 330.

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In the early 1960s, there were only 8 health centers in U.S. Ever since then, the
numbers have increased exponentially.
The Growth of FQHCs
By 2001, there were 748 health centers at 4,128 service sites around the nation,
serving approximately 10 million individuals.
Federal funding for health centers has increased from $750 million in 1996 to
$2.2 billion in 2010.

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The federal support has increased tremendously over the last 10 years. In
2011, there were 1,128 health centers providing care to more than 8,000 rural
and urban delivery sites in U.S. and territories.
The Growth of FQHCs
Today, there are 1400 organizations with 11200 facilities serving about 25
million individuals every year.

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The Growth of FQHCs
The above chart shows the growth of health centers from the time it started in 1980 till 2018.
Also, the chart shows the exponential increase in the number of patients served over the
years.
Figure 1 - Growth of Health Centers (1980 - 2018)

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FQHCs in various regions across U.S
State State Code Number of FQHC's
California CA 176
Texas TX 73
New York NY 65
Florida FL 48
Illinois IL 45
Ohio OH 45
Pennsylvania PA 44
Michigan MI 39
Massachusetts MA 39
North Carolina NC 38
Georgia GA 35

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FQHCs in various regions across U.S
State State Code Number of FQHC's
Louisiana LA 34
Oregon OR 31
Tennessee TN 29
Alaska AK 28
Missouri MO 28
West Virginia WV 27
Washington WA 27
Virginia VA 26
Indiana IN 25
Kentucky KY 23
New Jersey NJ 23

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FQHCs in various regions across U.S
State State Code Number of FQHC's
South Carolina SC 22
Arizona AZ 21
Mississippi MS 21
Colorado CO 20
Oklahoma OK 20
Kansas KA 18
Maine ME 18
Maryland MD 17
Montana MT 17
New Mexico NM 17
Wisconsin WI 17

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FQHCs in various regions across U.S
State State Code Number of FQHC's
Connecticut CT 16
Minnesota MN 16
Hawaii HI 14
Iowa IA 14
Idaho ID 14
Alabama AL 14
Puerto Rico PR 14
Utah UT 13
Arkansas AR 12
New Hampshire NH 11
Vermont VT 11

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FQHCs in various regions across U.S
State State Code Number of FQHC's
District of Columbia WDC 8
Rhode Island RI 8
Nebraska NE 7
Wyoming WY 6
Nevada NV 5
South Dakota SD 5
North Dakota ND 4
Delaware DE 3
Virgin Islands VI 3
Guam GU 2
Northern Mariana Islands MP 2

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Performance of FQHCs
The above chart shows how health centers have outperformed private practice physicians in
every aspect of service.
Figure 2 - Health Centers Perform Better on Ambulatory Care Quality Measures than Private Practice
Physicians

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Performance of FQHCs
The above chart shows a comparison between health centers and other providers based on
the number of patient visits for various ailments.
Figure 3 - Health Centers Provide More Preventive Services than Other Primary Care Providers

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Performance of FQHCs
The above chart shows the level of satisfaction of low-income patients. Health center patients
have a huge level of satisfaction as compared to other low-income patients nationally.
Figure 4 - Health Center Patients Are More Satisfied with the Overall Care Received Compared with Low
Income Patients Nationally

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FQHCs are required by law to provide services to all people, regardless of ability to pay. The
uninsured are charged for services on a board-approved sliding-fee scale, which is based on a
patient’s family income and size.
FQHCs are financed through a mix of Medicaid and Medicare reimbursements (with different
payment methodologies), direct patient revenue, other third-party payers (private insurers), state
funding, local funding, philanthropic organizations, and grant funding from the Bureau of
Primary Health Care (BPHC) of HRSA of the U.S. Department of Health and Human Services
(HHS).
Financing and Reimbursements for FQHCs

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Financing and Reimbursements for FQHCs
The above chart shows the revenue distribution of FQHCs based on payer source.
Figure 5 - FQHC Revenues by Payer Source

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
United States $10,544M $1,692M $2,227M $1,004M $4,422M $2,916M $943M $23,752M
Alabama $44M $14M $13M $10M $76M $10M $2M $173M
Alaska $79M $12M $28M $9M $64M $119M $2M $316M
Arizona $257M $37M $59M $24M $78M $43M $5M $506M
Arkansas $51M $15M $18M $10M $47M $11M $1M $157M
California $2,889M $300M $205M $118M $607M $529M $272M $4,922M

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
Colorado $259M $30M $30M $33M $98M $88M $30M $571M
Connecticut $206M $25M $24M $8M $53M $49M $9M $376M
Delaware $10M $1M $2M $4M $12M $5M $201K $37M
District of
Columbia
$130M $19M $20M $3M $22M $37M $5M $239M
Florida $376M $58M $134M $59M $219M $160M $23M $1,033M
Georgia $52M $34M $39M $27M $108M $25M $6M $294M

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
Hawaii $87M $13M $14M $5M $26M $30M $3M $181M
Idaho $31M $15M $35M $16M $44M $24M $6M $174M
Illinois $363M $45M $116M $29M $184M $113M $44M $897M
Indiana $161M $14M $25M $14M $68M $32M $27M $343M
Iowa $63M $10M $18M $9M $40M $16M $5M $163M
Kansas $29M $9M $17M $10M $36M $14M $4M $123M

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
Kentucky $156M $32M $56M $17M $67M $8M $5M $344M
Louisiana $82M $14M $47M $12M $90M $32M $9M $288M
Maine $37M $32M $43M $9M $40M $8M $6M $179M
Maryland $163M $32M $45M $13M $51M $33M $29M $370M
Massachusetts $314M $91M $141M $19M $114M $246M $117M $1,044M
Michigan $268M $50M $71M $22M $119M $40M $7M $580M

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
Minnesota $67M $10M $14M $10M $37M $27M $3M $171M
Mississippi $33M $16M $18M $17M $72M $16M $1M $177M
Missouri $203M $21M $39M $23M $97M $39M $6M $431M
Montana $24M $8M $15M $6M $35M $10M $4M $104M
Nebraska $15M $1M $6M $7M $19M $20M $1M $72M
Nevada $23M $4M $10M $3M $18M $12M $757K $73M

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
New Hampshire $19M $12M $18M $4M $22M $9M $2M $89M
New Jersey $147M $11M $11M $16M $80M $60M $4M $330M
New Mexico $112M $20M $22M $18M $68M $51M $3M $298M
New York $1,099M $138M $184M $43M $243M $239M $74M $2,023M
North Carolina $69M $55M $39M $38M $120M $38M $9M $370M
North Dakota $8M $3M $7M $3M $10M $687K $1M $35M

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
Ohio $181M $32M $41M $15M $134M $35M $25M $465M
Oklahoma $46M $12M $18M $12M $52M $9M $2M $155M
Oregon $325M $39M $20M $12M $85M $71M $14M $570M
Pennsylvania $277M $54M $83M $17M $110M $38M $640K $588M
Rhode Island $90M $12M $15M $3M $25M $13M $2M $162M
South Carolina $79M $42M $68M $20M $79M $24M $34M $349M

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
South Dakota $10M $4M $8M $5M $19M $3M $2M $55M
Tennessee $66M $20M $30M $13M $78M $28M $7M $244M
Texas $335M $46M $69M $78M $245M $265M $58M $1100M
Utah $27M $9M $13M $9M $35M $25M $3M $125M
Vermont $43M $24M $26M $17M $20M $6M $7M $147M
Virginia $35M $28M $32M $20M $82M $14M $3M $217M

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
Washington $650M $68M $80M $44M $132M $87M $20M $1,084M
West Virginia $100M $45M $79M $24M $65M $17M $6M $338M
Wisconsin $162M $7M $24M $10M $40M $46M $3M $296M
Wyoming $1M $1M $2M $1M $7M $1M $1M $17M
American
Samoa
$0 $0 $0 $293K $2M $792K $0 $4M
Federated States
of Micronesia
$0 $0 $23K $56K $1M $143K $0 $2M

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FQHC Revenue across all regions in U.S (approx. 2018)
Location Medicaid Medicare Private
Insurance
Self-Pay Federal
Section
330
Grants
Other
Grants
and
Contracts
Other Total
Guam $3M $8,975 $25K $139K $2M $1M $0 $7M
Marshall Islands $0 $0 $0 $29KK $527K $1M $0 $1M
Northern
Mariana Islands
$116K $0 $3139 $1410 $799K $0 $0 $920K
Puerto Rico $157M $22M $11M $7M $90M $8M $2M $300M
Republic of
Palau
$0 $0 $39K $1M $674K $50K $0 $2M
U.S. Virgin
Islands
$5M $776K $815K $603K $3M $4M $0 $15M

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FQHCs have had a significant growth in the past decades. The above statistical data prove that
FQHCs have the potential to serve more patients thereby improving the quality of care.
In order to provide quality care improve patient experience, FQHC must invest in the right
technology. HealthViewX Patient Referral Management software has provided the best use
cases for the major challenges faced by the FQHC.
Future of FQHCs

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EMR/EHR integration
1Our System integrates directly with electronic health records (EHRs). This
enables healthcare professionals to easily obtain prior authorizations in real
time at the point of care. It also eliminates time-consuming paper forms,
faxes, and phone calls.
HealthViewX Patient Referral
Management Software for FQHCs
HealthViewX has completely analyzed the workflow of FQHCs. We have
implemented the following features for many of our FQHC clients thus positively
impacting their workflow.

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Insurance pre-authorization
2There are two ways in which HealthViewX solution automates the insurance
pre-authorization process. The first one is the api-based method. Through
this, we retrieve information regarding the forms and communicate
information back and forth between the FQHC and the insurance company.
The second one is the form automation method. Through this, we get all
payer-specific form, fill in the necessary information and send it to the
insurance company via efax.
Challenges in the existing referral
workflow

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Intelligent Provider Match
3
The system has a smart search feature that enables PCPs to filter
receiving providers according to their preference. The list is always up to
date with the newly added specialty and imaging centers which makes it
easy for the PCP.
Challenges in the existing referral
workflow

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To and fro Communication
4
At any time of the referral process, the PCP and the center can
communicate with the help of the inbuilt secure messaging and voice call
applications. By this, the physicians can get referral updates easily.
Challenges in the existing referral
workflow

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Referral Analytics
5
Customizable dashboards and reports provide information about the
number of referrals sent, referrals in various status, referrals that were
missed, processed and pending. It gives a clear picture for the FQHC and
helps them in making informed decisions.
Challenges in the existing referral
workflow

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