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    Gro Community — Billing Profile & Reimbursement Data

    NPI 1013414150 · Chicago, IL · Adolescent and Children Mental Health Clinic/Center

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    Gro Community is a adolescent and children mental health clinic/center provider located in Chicago, Illinois. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGro Community
    Address259 E 115th St
    CityChicago
    StateIL
    ZIP60628
    TaxonomyAdolescent and Children Mental Health Clinic/Center
    NPI EnumeratedApril 6, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$22.8M
    Medicare$0

    Key Findings

    GRO COMMUNITY appears to operate as a specialized adolescent and children mental health clinic, with its top Medicaid codes reflecting intensive behavioral health services: H2015 (comprehensive community support services), H0004 (behavioral health counseling and therapy), and T1016 (case management) together account for 87.9% of its Medicaid revenue, indicating day-to-day operations are heavily focused on therapy, community support, and care coordination. The presence of H2000 (comprehensive multidisciplinary evaluation) and H0037 (community psychiatric supportive treatment program, per diem) further supports a model combining outpatient counseling, structured program days, and periodic multidisciplinary assessments. This code mix suggests a service-line emphasis on ongoing therapeutic contact, case management, and program-based supportive treatment rather than episodic medical procedures.

    Medicaid revenue concentration is high: the top three codes by revenue drive 87.9% of total Medicaid revenue, with H2015 alone representing $8.4M (36.7%) and H0004 contributing $8.3M (36.2%). This concentration implies revenue risk is concentrated in a small set of community-based and counseling services; operational or reimbursement changes affecting those codes would materially affect the provider's financial profile.

    GRO COMMUNITY is effectively single-payer at present for traditional public programs—there is no Medicare billing on file while Medicaid revenue totals $22.8M—so the organization is heavily dependent on Medicaid reimbursement and state program participation rather than serving an older Medicare population.

    In-state competitive standing is mixed by code: for H0004 the provider ranks #27 of 804 (97th percentile), which is described as notably above typical state volume and indicates a leading role in delivering behavioral health counseling/therapy in Illinois. By contrast, H2015 ranks #76 of 431 (83th percentile) and is characterized as typical/unremarkable volume, so the provider is a strong but not dominant statewide player for comprehensive community support services.

    For case management (T1016) GRO COMMUNITY ranks #33 of 465 (93th percentile), which the source labels as typical/unremarkable volume; this indicates substantial scale in care coordination relative to peers but not an extreme outlier. The programmatic per-diem H0037 shows $879K and is listed as rank #1 of 1 providers in-state with no peer comparison available, signaling a unique billing footprint for that specific per-diem program within the dataset rather than a measurable competitive ranking.

    The provider’s tenure is long enough to have an established Medicaid presence: its NPI was enumerated on 2018-04-06 (~8 years ago), consistent with sustained program billing history that produced $22.8M in lifetime Medicaid revenue. This duration supports the interpretation that observed code concentrations are persistent operational patterns rather than brief anomalies.

    Lower-volume codes such as H2000 ($1.9M, 8.2% of Medicaid revenue) and H2011 ($13.3K, 0.1%) contribute meaningfully to service breadth; H2000 sits in the 69th percentile statewide (typical/unremarkable) suggesting routine use of multidisciplinary evaluations, while H2011’s low rank (18th percentile) and small dollar contribution indicate crisis intervention is a minor component of billed activity.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2015Comprehensive community support services, per 15 minutes28,490$290$8.4M
    H0004Behavioral health counseling and therapy, per 15 minutes59,030$140$8.3M
    T1016Case management, each 15 minutes30,990$110$3.4M
    H2000Comprehensive multidisciplinary evaluation4,660$400$1.9M
    H0037Community psychiatric supportive treatment program, per diem4,650$190$879K
    H2011Crisis intervention service, per 15 minutes40$320$13.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2015Comprehensive community support services, per 15 minutes764303,260$80$1.3M
    H0004Behavioral health counseling and therapy, per 15 minutes278002,480$90$962.2K
    H2011Crisis intervention service, per 15 minutes1281601,060$180$959.9K
    H0037Community psychiatric supportive treatment program, per diem1104,650$190$877.2K
    H2000Comprehensive multidisciplinary evaluation1324201,450$100$631.8K
    T1016Case management, each 15 minutes334701,830$60$475.9K

    Nearby Providers

    Other providers in the same ZIP code as Gro Community, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christian Community Health CenterILFederally Qualified Health Center (FQHC)$0$30.5M
    Tca Health Inc NfpILFederally Qualified Health Center (FQHC)$0$13.3M
    Human Resources Development Institute, IncILCase Management Agency$0$13.1M
    Eva Mae Recovery Hope Inc.ILSubstance Use Disorder Rehabilitation Clinic/Center$95.4K$5.2M
    Midway Turning Point Community CenterILSubstance Use Disorder Rehabilitation Clinic/Center$0$4.5M
    Human Resources Development Institute, IncILSubstance Use Disorder Rehabilitation Clinic/Center$0$3.8M
    Olusoji PeterILInternal Medicine Physician$264.9K$242.7K
    Carl VancolILAdult Medicine Physician$29.7K$171.7K
    Ashley BakerILClinical Social Worker$63.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Illinois Providers
    5 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Gro Community — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois