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 Christian Health Center (NPI 1093855736)

Field	Value
Entity Type	Organization
Organization	Family Christian Health Center
Address	31 W 155th St
City	Harvey
State	IL
ZIP	60426
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 8, 2007

Payer Source	Total Paid
Medicaid	$34.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer on the claim/revenue side: there is no Medicare billing on file while total Medicaid revenue is $34.1M, so Medicaid is the material and near‑exclusive source of recorded program revenue for this entity. The absence of Medicare billing suggests a very limited Medicare patient mix, or that services to Medicare beneficiaries are not billed under this NPI.

Revenue concentration is extreme: the precomputed top three Medicaid codes account for 99.9% of the provider's Medicaid revenue, and a single code, T1015, alone represents 94.4% of Medicaid revenue ($32.2M). This indicates payments are heavily centralized in the all‑inclusive clinic/encounter bundle rather than in numerous fee‑for‑service lines.

The billing mix and code descriptions align with operation as an FQHC delivering broad primary‑care and bundled encounter services: T1015 (Clinic visit/encounter, all‑inclusive) dominates revenue, while ancillary codes for vaccinations (90651, 90734, 90471, 90472) and dental evaluations (D0120, D0150) appear frequently by claim count but contribute little revenue. This pattern is consistent with an FQHC model where encounter bundles capture most Medicaid dollars while a high volume of specific service line items are recorded for clinical documentation and program management.

Competitive standing on its top revenue driver is strong statewide: T1015 ranks #19 of 846 providers in Illinois (98th percentile) and is described as notably above typical state volume for this code, underscoring that FAMILY CHRISTIAN HEALTH CENTER is a major Medicaid clinic for bundled primary‑care encounters in the state. The second‑ and third‑ranked revenue drivers, D0999 ($1.7M, 5.0% of revenue) and T1040 ($133.3K, 0.4% of revenue), rank #24 of 219 (89th percentile) and #49 of 191 (75th percentile) respectively, which are consistent with typical to above‑typical in‑state participation for those services.

Operational volume metrics show many high claim counts with negligible per‑claim paid amounts (many codes with $0 avg paid/claim), for example 99213 (103.3K claims, $0 avg paid/claim) and 99212 (25.7K claims, $0 avg paid/claim). This disconnect between claim volume and recorded Medicaid revenue reinforces that encounter/bundle payment (T1015) is capturing the economic value while discrete E/M line items are used operationally and do not drive separate Medicaid dollars.

Behavioral‑health capacity is present but not a primary revenue driver: T1040 (Medicaid certified community behavioral health clinic services, per diem) contributes $133.3K (0.4% of Medicaid revenue) and ranks in the 75th percentile in‑state, indicating the provider offers certified behavioral‑health services at a modestly typical level relative to peers. The presence of T1040 alongside the dominant T1015 suggests integrated primary‑care and behavioral‑health offerings within the FQHC structure rather than standalone behavioral‑health operations.

Several prevention and vaccine codes are statistical outliers by volume, indicating a high immunization throughput relative to peers: 90651 ranks #11 of 773 (99th percentile; extreme outlier) and 90734 ranks #9 of 849 (99th percentile; extreme outlier), while vaccine administration codes 90471 and 90472 also rank in the top deciles statewide. Although these vaccine codes contribute very little direct Medicaid revenue (payments per claim are $0–$1 in the dataset), the outsized claim volumes suggest substantive pediatric and preventive‑care activity and public‑health program participation.

Provider tenure is long enough to be operationally established: the NPI was enumerated on 2007-02-08 (~19 years ago), which supports sustained Medicaid relationships and explains the scale captured here. Taken together, the pattern is a high‑volume FQHC with concentrated Medicaid revenues in encounter/bundle payments, broad service delivery including dental, immunizations, and behavioral health, and prominent statewide standing for its primary clinic encounter volume.

Medicaid: Complete Services Breakdown

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

121 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	234,760	$140	$32.2M
D0999	N/A	17,280	$100	$1.7M
T1040	Medicaid certified community behavioral health clinic services, per diem	1,960	$70	$133.3K
D0120	Periodic oral evaluation - established patient	4,350	$1	$13.1K
D0150	Comprehensive oral evaluation – new or established patient	2,980	$1	$6K
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,…	4,810	$1	$4.8K
D0140	Limited oral evaluation – problem focused	2,010	$1	$4K
90734	The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…	3,880	$1	$3.9K
D2392	Post 2 surface resin‑based composite	900	$1	$3.6K
D0220	Intraoral - periapical first radiographic image	3,110	$1	$3.1K

Showing 1–10 of 121

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 Christian Health Center — 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

121 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	19	850	7,490	$120	$3.9M
D0999	N/A	24	220	1,090	$110	$610.1K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	57	80	530	$130	$505.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	49	190	880	$70	$128.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	731	1,180	370	$90	$109.7K
D1120	Prophylaxis–child	540	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	828	1,270	530	$60	$87.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	443	510	230	$160	$83.3K
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…	15	360	300	$50	$67.4K
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…	195	760	140	$110	$67.3K

Showing 1–10 of 121

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family Christian Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carl Vancol	IL	Adult Medicine Physician	$29.7K	$171.7K

Nearby Providers

Other providers in the same ZIP code as Family Christian Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Choice Intervention, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.2M
Enric Solans	IL	Anatomic Pathology & Clinical Pathology Physician	$58.5K	$7.9M
Zac Ravage	IL	Retina Specialist (Ophthalmology) Physician	$4.2M	$167.5K
Jack Cohen	IL	Retina Specialist (Ophthalmology) Physician	$3.8M	$445.2K
Mathew Maccumber	IL	Retina Specialist (Ophthalmology) Physician	$2.7M	$1.1M
Sohail Hasan	IL	Retina Specialist (Ophthalmology) Physician	$3.4M	$34.2K
Joseph Civantos	IL	Retina Specialist (Ophthalmology) Physician	$2.7M	$537.4K
Vivek Chaturvedi	IL	Retina Specialist (Ophthalmology) Physician	$2.3M	$918.3K
Kourous Rezaei	IL	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Naryan Sabherwal	IL	Retina Specialist (Ophthalmology) Physician	$1.2M	$949.6K

Family Christian Health Center — 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