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    OpenPayerNPI Medicare & MedicaidCommunity Counseling Centers Of Chicago
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    Community Counseling Centers Of Chicago — Billing Profile & Reimbursement Data

    NPI 1083634901 · Chicago, IL · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Community Counseling Centers Of Chicago is a mental health clinic/center (including community mental health center) provider located in Chicago, Illinois. This profile covers 0 Medicare and 17 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
    OrganizationCommunity Counseling Centers Of Chicago
    Address4740 N Clark St
    CityChicago
    StateIL
    ZIP60640
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedJuly 21, 2006

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

    Payer SourceTotal Paid
    Medicaid$41.1M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in scope: there is no Medicare billing on file while Medicaid revenue totals $41.1M, and the NPI was enumerated on 2006-07-21 (~20 years ago), indicating long-standing Medicaid-only activity rather than a mixed Medicare/Medicaid billing footprint. Analysts should treat Medicaid performance as the primary commercial signal for this organization.

    Revenue is highly concentrated in a small set of services: the top three Medicaid codes (H0004, H0039, T1016) together account for 60.4% of the provider's total Medicaid revenue. Those three codes individually contribute $12.6M (H0004, 30.7%), $6.9M (H0039, 16.8%), and $5.3M (T1016, 12.9%), which underscores that a few service lines drive the majority of receipts.

    The code mix shows an operational focus on intensive, community-based behavioral health services: H0004 (behavioral health counseling and therapy per 15 minutes), H0039 (assertive community treatment per 15 minutes), and T1016 (case management per 15 minutes) are the top revenue drivers, indicating the organization delivers high-volume, time-based outpatient and community care rather than episodic inpatient or medical-specialty services. Complementary codes such as H2011 (crisis intervention), H2000 (comprehensive multidisciplinary evaluation) and H2015/H2016 (community support services) further signal a multi-disciplinary community mental health model.

    The provider is a dominant statewide player on several codes: H0004 ranks #8 of 804 providers in Illinois at the 99th percentile and is labeled an extreme outlier, and T1016 ranks #4 of 465 providers at the 99th percentile (also an extreme outlier), while Q3014 (telehealth originating site) ranks #3 of 174 at the 99th percentile. These rank/percentile positions indicate the organization operates at volumes far above typical state providers for multiple key services, suggesting market leadership in community counseling and telehealth origination.

    Several crisis and intensive-service codes are notably above typical state volumes, supporting an inference of strong emergency and outreach capacity: S9484 (crisis intervention services per hour) is $3.5M and ranks #2 of 77 (99th percentile; notably above typical state volume), and H2011 (crisis intervention per 15 minutes) is $4.3M and ranks #4 of 155 (98th percentile). Together with high H0004 volume, this profile implies substantial capacity for rapid-response and intensive outpatient interventions.

    Operationally, the preponderance of high-frequency 15-minute units (H0004, H0039, T1016, H2011) points to a staffing- and time-intensive delivery model that likely depends on large numbers of billable contact minutes. For analysts, this suggests cost structure and capacity should be evaluated against reimbursement per-unit figures (for example, $108 avg paid/claim for H0004 and $55 avg paid/claim for T1016) and that throughput and workforce availability will materially affect revenue.

    Because 60.4% of Medicaid revenue is tied to three codes, policy, rate, or authorization changes affecting H0004, H0039, or T1016 could materially impact overall revenue; monitoring state Medicaid program changes and utilization management for these specific codes is therefore especially important. At the same time, the provider’s exceptionally high ranks on several codes (multiple 99th-percentile positions) suggest both a concentrated specialization and a competitive advantage that may be resilient if reimbursement and demand remain stable.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0004Behavioral health counseling and therapy, per 15 minutes116,670$110$12.6M
    H0039Assertive community treatment, face-to-face, per 15 minutes52,270$130$6.9M
    T1016Case management, each 15 minutes96,200$60$5.3M
    H2011Crisis intervention service, per 15 minutes33,800$130$4.3M
    H2000Comprehensive multidisciplinary evaluation39,440$90$3.5M
    S9484Crisis intervention mental health services, per hour18,540$190$3.5M
    H2015Comprehensive community support services, per 15 minutes31,940$90$2.7M
    H2016Comprehensive community support services, per diem9,350$100$972.3K
    T1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter1,370$350$476.4K
    H2010Comprehensive medication services, per 15 minutes7,830$40$328.7K

    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.

    Full comparison — all codes billed, vs. Illinois median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0039Assertive community treatment, face-to-face, per 15 minutes65014,910$140$4.1M
    H2016Comprehensive community support services, per diem326011,700$130$3.5M
    H2015Comprehensive community support services, per 15 minutes634303,260$80$1.3M
    S9484Crisis intervention mental health services, per hour2801,600$260$972.5K
    H0004Behavioral health counseling and therapy, per 15 minutes88002,480$90$962.2K
    H2011Crisis intervention service, per 15 minutes41601,060$180$959.9K
    H2000Comprehensive multidisciplinary evaluation144201,450$100$631.8K
    T1016Case management, each 15 minutes44701,830$60$475.9K
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…1620130$110$161.4K
    H2010Comprehensive medication services, per 15 minutes36250690$30$145.6K

    Showing 1–10 of 17

    Nearby Providers

    Other providers in the same ZIP code as Community Counseling Centers Of Chicago, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The ThresholdsILMental Health Clinic/Center (Including Community Mental Health Center)$0$33.9M
    Envision UnlimitedILMental Health Clinic/Center (Including Community Mental Health Center)$0$23.5M
    Heartland Alliance HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$8.5M
    Lester And Rosalie Anixter CenterILMental Health Clinic/Center (Including Community Mental Health Center)$0$7.1M
    Ab4u, Inc.ILDurable Medical Equipment & Medical Supplies$0$6.5M
    Shephali PatelILPsychiatry Physician$186.4K$3.8M
    Sundance Methadone Treatment Center,llcILMethadone Clinic$164.3K$3.1M
    Victor C. Neumann AssociationILCommunity/Behavioral Health Agency$0$3.3M
    Erie Family Health Center, IncILFederally Qualified Health Center (FQHC)$0$2.9M
    Jody ReedILPsychiatry Physician$128.4K$2.6M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Community Counseling Centers Of Chicago — 7 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois