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.

Lutheran Social Services Of Illinois (NPI 1063637684)

Field	Value
Entity Type	Organization
Organization	Lutheran Social Services Of Illinois
Address	4840 W Byron St
City	Chicago
State	IL
ZIP	60641
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 17, 2007

Payer Source	Total Paid
Medicaid	$51.1M
Medicare	$0

Key Findings

LUTHERAN SOCIAL SERVICES OF ILLINOIS is effectively a single-payer Medicaid provider with no Medicare billing on file; the organization reports $51.1M in lifetime Medicaid revenue and zero Medicare revenue, indicating its Medicaid relationships dominate both service delivery and reimbursement scale.

Revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (H2011, H0004, H2000) together account for 68.0% of the provider’s total Medicaid revenue, signaling that crisis intervention, behavioral counseling/therapy, and comprehensive multidisciplinary evaluation are the primary revenue drivers.

H2011 (Crisis intervention service, per 15 minutes) is the single largest revenue source at $20.1M (39.4% of Medicaid revenue) with 86.1K claims; the provider ranks #1 of 155 in-state and is described as an extreme outlier, meaning it is a dominant state-level provider for crisis intervention services and likely operates at much higher volume for this code than typical peers.

H0004 (Behavioral health counseling and therapy, per 15 minutes) and H2000 (Comprehensive multidisciplinary evaluation) together contribute $7.9M (15.5%) and $6.7M (13.0%) respectively, and both rank at high percentiles statewide (#18 of 804 for H0004 at the 98th percentile; #4 of 423 for H2000 at the 99th percentile). These ranks and percentiles indicate the organization is a major regional provider for both therapy and multidisciplinary evaluations.

Beyond the top three, the provider bills a mix of community support and case management services (H2015, H2016, T1016) and a separate crisis-hour code S9484, which together suggest an operational model focused on intensive community-based behavioral health, crisis response, and ongoing care coordination rather than office-based primary medical services.

The provider’s claims profile shows extreme volume for time-based behavioral health intervention codes (large claim counts for 15-minute and per-diem codes such as H2011, H0004, H2000, H2015, H2016), implying service delivery likely emphasizes frequent, time-segmented encounters and wraparound supports typical of community mental health centers.

Competitive standing is strongest in crisis intervention: ranking #1 for H2011 at the 100th percentile marks the organization as an outlier in the state market and a likely go-to provider for crisis services. For other codes the provider ranges from notably above typical volume (H0004) to typical/unremarkable volumes (many ancillary codes), indicating concentrated expertise rather than broad parity across all Medicaid behavioral-health codes.

The NPI was enumerated on 2007-04-17 (about 19 years ago), indicating long tenure in the market; this longevity combined with dominant code-level positions suggests established contractual relationships with Medicaid and operational capacity to sustain high-volume crisis and evaluation services.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2011	Crisis intervention service, per 15 minutes	86,050	$230	$20.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	80,190	$100	$7.9M
H2000	Comprehensive multidisciplinary evaluation	79,320	$80	$6.7M
H2015	Comprehensive community support services, per 15 minutes	48,010	$130	$6.4M
H2016	Comprehensive community support services, per diem	35,740	$160	$5.6M
S9484	Crisis intervention mental health services, per hour	10,620	$270	$2.9M
T1016	Case management, each 15 minutes	25,410	$40	$1.1M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	330	$350	$112.8K
G9007	Coordinated care fee, scheduled team conference	240	$330	$76.4K
H0031	Mental health assessment, by non-physician	780	$90	$68.9K

Showing 1–10 of 17

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

Lutheran Social Services Of Illinois — 3 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	14	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	41	430	3,260	$80	$1.3M
S9484	Crisis intervention mental health services, per hour	8	80	1,600	$260	$972.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	18	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	1	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	4	420	1,450	$100	$631.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	51	60	5,920	$50	$621.3K
T1016	Case management, each 15 minutes	36	470	1,830	$60	$475.9K
H2010	Comprehensive medication services, per 15 minutes	111	250	690	$30	$145.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	23	50	230	$340	$119.5K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lutheran Social Services Of Illinois, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Social Services Of Illinois	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.2M
Terrill Applewhite	IL	Internal Medicine Physician	$491.2K	$1.3M
Colleen Mikula	MI	Adult Health Nurse Practitioner	$117.6K	$349.9K
Calsey Fasching	MN	Clinical Neuropsychologist	$28.9K	$0

Nearby Providers

Other providers in the same ZIP code as Lutheran Social Services Of Illinois, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unic Labs LLC	IL	Clinical Medical Laboratory	$6.7M	$0
Advanced Medical Supply Inc	IL	Durable Medical Equipment & Medical Supplies	$0	$5.4M
Lydia Home Association	IL	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$5M
Esmilkrys Ramirez	IL	Obesity Medicine (Preventive Medicine) Physician	$135.8K	$1.7M
Javier Flores	IL	Family Medicine Physician	$312.2K	$5.3K
Hong Vo	IL	Interventional Pain Medicine Physician	$259.4K	$20.4K
Sophia Zamudio Rasof	IL	Family Medicine Physician	$31.4K	$174.1K
Pierpaolo Di Cocco	IL	Transplant Surgery Physician	$145.4K	$25.7K
Ramon Castro	IL	Internal Medicine Physician	$100.6K	$0
Chicago Pcr Lab Services Inc	IL	Clinical Medical Laboratory	$90.1K	$0

Lutheran Social Services Of Illinois — Billing Profile & Reimbursement Data

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Lutheran Social Services Of Illinois — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References