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

Why is the Medicaid comparison limited to Illinois 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. Illinois (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.

Access Community Health Network (NPI 1043398217)

Field	Value
Entity Type	Organization
Organization	Access Community Health Network
Address	5159 S Ashland Ave
City	Chicago
State	IL
ZIP	60609
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

73 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	61,630	$120	$7.4M
0012A	N/A	960	$40	$40.2K
0011A	N/A	1,110	$40	$39.9K
T1040	Medicaid certified community behavioral health clinic services, per diem	760	$50	$36.4K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	1,130	$20	$25.9K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	10	$150	$1.8K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	1,390	$1	$1.4K
J1050	Injection, medroxyprogesterone acetate, 1 mg	60	$20	$1.2K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	1,120	$1	$1.1K
90698	This code represents a combination vaccine product administered into the muscle to protect against five diseases: diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), and polio.	740	$1	$740

Showing 1–10 of 73

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Access Community Health Network — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

73 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	111	850	7,490	$120	$3.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	102	190	880	$70	$128.2K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	276	360	300	$50	$67.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	94	960	330	$30	$51K
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…	321	14,680	300	$50	$48.7K
0502F	No Summary found for this code	299	1,170	550	$30	$48.2K
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…	212	1,380	370	$40	$46.2K
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…	322	1,270	370	$40	$40.8K
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…	169	14,190	280	$20	$38.9K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	46	50	20	$120	$27.8K

Showing 1–10 of 73

Related Providers

Other providers that share a Tax Identification Number (TIN) with Access Community Health Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$122.4M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$12.6M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$11.9M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$11.7M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$10.8M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.6M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.2M
Sally Campbell-lee	IL	Clinical Pathology Physician	$0	$8.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.4M
Nada Aldallal	IL	Pediatrics Physician	$0	$9.5M
Pinkesh Shah	IL	Dentist	$0	$6.7M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$5.8M
Francesca Gattuso	IL	Dentist	$0	$4.4M
Minghui Tang	IL	Dentist	$0	$2.9M
Marie Rodriguez	IL	Gerontology Nurse Practitioner	$1.7M	$0

Access Community Health Network — Billing Profile & Reimbursement Data

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Access Community Health Network — 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