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.

Family Counseling Service Of Aurora (NPI 1063591303)

Field	Value
Entity Type	Organization
Organization	Family Counseling Service Of Aurora
Address	70 S. River St.
City	Aurora
State	IL
ZIP	60506
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 6, 2006

Payer Source	Total Paid
Medicaid	$25.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: there is no Medicare billing on file and lifetime Medicaid revenue totals $25.6M. The absence of Medicare activity means payer analysis and revenue risk should concentrate on Medicaid program policies and rates rather than dual-payer dynamics.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 94.1% of the providers total Medicaid revenue. Specifically, H0004 accounts for $19.1M (74.4%), H2000 accounts for $4.2M (16.2%), and H2015 accounts for $866.9K (3.4%), so changes to reimbursement or utilization for those codes would materially affect overall revenue.

The service mix indicates a high-volume outpatient behavioral health and community mental health model: H0004 (behavioral health counseling and therapy, per 15 minutes) and H2000 (comprehensive multidisciplinary evaluation) together drive the majority of revenue, implying intensive delivery of therapy sessions and formal evaluations as core services. The presence of H2015 (comprehensive community support services) and H2010 (comprehensive medication services) further signals bundled community support and medication-management capabilities alongside therapy.

For H0004 the provider is a statewide volume leader: H0004 is $19.1M (74.4% of Medicaid revenue) and the provider ranks #4 of 804 in-state, labeled an "extreme outlier, far above typical state volume for this code." This rank and label indicate the organization operates at an outlier scale for direct counseling/therapy relative to peers, making it a dominant local supplier of those services.

H2000 and H2010 show high relative standing for evaluation and medication services: H2000 is $4.2M (16.2% of Medicaid revenue) and ranks #13 of 423 in-state (97th percentile, described as "notably above typical state volume for this code"). H2010 is $859.2K (3.4% of Medicaid revenue) and ranks #11 of 250 in-state (96th percentile, also "notably above typical state volume for this code"), suggesting robust capacity for multidisciplinary evaluations and medication management compared with peers.

While a few other service lines are present, they represent small shares and generally typical volumes: for example, T1016 (case management) accounts for $459.1K (1.8% of revenue) and ranks #73 of 465 (84th percentile, "typical, unremarkable volume for this code"), and H0031 (mental health assessment by non-physician) accounts for $103.6K (0.4% of revenue) and ranks #16 of 222 (93rd percentile, "typical, unremarkable volume for this code"). These items appear supplementary to the core counseling/evaluation footprint rather than primary revenue drivers.

The concentration of $25.6M in Medicaid and the top-three-code share of 94.1% create operational and reimbursement risk: a small set of codes (H0004, H2000, H2015) drive almost all revenue, so policy, coverage, or audit focus on those services would disproportionately affect this provider. Analysts should prioritize monitoring reimbursement changes, utilization controls, and authorization requirements for those high-impact codes.

The provider has a long tenure in the NPI registry (enumerated 2006-11-06, noted as ~20 years ago), which supports interpretation of its high volumes as established practice patterns rather than recent growth artifacts. Combined with $25.6M lifetime Medicaid revenue, the longevity and scale reinforce that this is an established Medicaid behavioral health provider with concentrated service lines.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	183,550	$100	$19.1M
H2000	Comprehensive multidisciplinary evaluation	40,050	$100	$4.2M
H2015	Comprehensive community support services, per 15 minutes	14,210	$60	$866.9K
H2010	Comprehensive medication services, per 15 minutes	25,270	$30	$859.2K
T1016	Case management, each 15 minutes	13,500	$30	$459.1K
H0031	Mental health assessment, by non-physician	1,260	$80	$103.6K
H0032	Mental health service plan development by non-physician	760	$70	$51.5K
H2011	Crisis intervention service, per 15 minutes	110	$200	$22.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	160	$80	$12.8K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	200	$40	$8.5K

Showing 1–10 of 11

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

Family Counseling Service Of Aurora — 3 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	124	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	4	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	115	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	13	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	73	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	85	110	1,030	$40	$179.2K
H2010	Comprehensive medication services, per 15 minutes	11	250	690	$30	$145.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	171	330	210	$110	$97.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	367	760	140	$110	$67.3K
H0031	Mental health assessment, by non-physician	16	220	190	$90	$33.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Family Counseling Service Of Aurora, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Association For Individual Development	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.8M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$42.8M
Aurora West 129	IL	Local Education Agency (LEA)	$0	$7.6M
Shweta Kamal	IL	General Practice Dentistry	$0	$4.2M
Goat Mass Swabs Inc	IL	Clinical Medical Laboratory	$161.3K	$3.7M
Association For Individual Development	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Sravani Thikkavarapu	IL	Dentist	$0	$3.1M
Dreyer Ambulatory Surgery Center, LLC	IL	Ambulatory Surgical Clinic/Center	$1.3M	$0
Richard Zak	IL	Ophthalmology Physician	$526.2K	$460
John Lamiot	IL	Foot & Ankle Surgery Podiatrist	$128.8K	$354.4K

Family Counseling Service Of Aurora — Billing Profile & Reimbursement Data

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Family Counseling Service Of Aurora — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References