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 1144613746)

Field	Value
Entity Type	Organization
Organization	Lutheran Social Services Of Illinois
Address	5215 N California Ave
City	Chicago
State	IL
ZIP	60625
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	March 6, 2015

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	20,600	$100	$2M
H2000	Comprehensive multidisciplinary evaluation	10,580	$80	$867.6K
H2011	Crisis intervention service, per 15 minutes	2,970	$170	$495.5K
T1016	Case management, each 15 minutes	10,820	$30	$303.1K
H2010	Comprehensive medication services, per 15 minutes	8,080	$30	$266.5K
H2015	Comprehensive community support services, per 15 minutes	1,290	$50	$60.5K
H0034	Medication training and support, per 15 minutes	1,250	$50	$58.9K
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…	670	$40	$28.9K
H0031	Mental health assessment, by non-physician	250	$100	$24.3K
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…	390	$40	$14.3K

Showing 1–10 of 15

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 — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	327	360	1,340	$910	$4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	277	340	1,050	$770	$2.8M
H2015	Comprehensive community support services, per 15 minutes	275	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	112	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	57	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	67	420	1,450	$100	$631.8K
A0425	Ground mileage, per statute mile	335	450	2,450	$40	$602.5K
T1016	Case management, each 15 minutes	91	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	53	110	1,030	$40	$179.2K
H2010	Comprehensive medication services, per 15 minutes	33	250	690	$30	$145.6K

Showing 1–10 of 15

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	$51.1M
Terrill Applewhite	IL	Internal Medicine Physician	$491.2K	$1.3M
Colleen Mikula	MI	Adult Health Nurse Practitioner	$117.6K	$349.9K

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
Erie Family Health Center Inc	IL	Federally Qualified Health Center (FQHC)	$0	$13.8M
Northshore Clinical Laboratories Inc	IL	Clinical Medical Laboratory	$164.7K	$10.8M
Erie Family Health Center, Inc	IL	Federally Qualified Health Center (FQHC)	$0	$6.7M
Loren Dardi	IL	Anatomic Pathology & Clinical Pathology Physician	$12.1K	$3.7M
Swedish Covenant Health	IL	General Acute Care Hospital	$0	$3.2M
Zaki Siddiqui	IL	Pediatrics Physician	$0	$3.2M
Robert Pearlman	IL	Ophthalmology Physician	$1M	$1.2M
Nicholas Manolitsis	IL	Physical Medicine & Rehabilitation Physician	$1.8M	$0
Arun Nagaraju	IL	Diagnostic Radiology Physician	$283.9K	$908.4K
Dorothy Lam	IL	Diagnostic Radiology Physician	$106.5K	$990.5K

Lutheran Social Services Of Illinois — 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