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.

Shawnee Health Service & Development Corp (NPI 1174859870)

Field	Value
Entity Type	Organization
Organization	Shawnee Health Service & Development Corp
Address	402 S. Lewis Lane
City	Carbondale
State	IL
ZIP	62901
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 30, 2009

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0999	N/A	33,960	$120	$4M
D0120	Periodic oral evaluation - established patient	9,830	$0	$0
D0140	Limited oral evaluation – problem focused	4,960	$0	$0
D0150	Comprehensive oral evaluation – new or established patient	2,330	$0	$0
D0210	Intraoral - complete series of radiographic images	320	$0	$0
D0220	Intraoral - periapical first radiographic image	5,630	$0	$0
D0230	Intraoral - periapical each additional radiographic image	1,040	$0	$0
D0270	N/A	1,470	$0	$0
D0272	N/A	3,600	$0	$0
D0274	N/A	3,300	$0	$0

Showing 1–10 of 38

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

Shawnee Health Service & Development Corp — 1 of 1 code 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	9	220	1,090	$110	$610.1K
D2930	N/A	46	140	190	$160	$180.3K
D1120	Prophylaxis–child	111	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	441	1,270	530	$60	$87.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	306	510	230	$160	$83.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	409	490	160	$100	$64.4K
D0120	Periodic oral evaluation - established patient	111	2,170	1,010	$30	$64.3K
D3220	N/A	67	110	120	$80	$50.6K
D1208	Topical application of fluoride - excluding varnish	806	1,480	700	$20	$45.2K
D2392	Post 2 surface resin‑based composite	50	1,300	290	$60	$44K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Shawnee Health Service & Development Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$13.2M
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$11.1M
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$9.7M
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$6.8M
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$6.7M
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$6.1M
Kalpesh Patel	IL	Internal Medicine Physician	$229.4K	$37.8K
Kimberly Middleton	TX	Family Medicine Physician	$111K	$0

Nearby Providers

Other providers in the same ZIP code as Shawnee Health Service & Development Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Comprehensive Services, Inc.	IL	Rehabilitation Hospital	$0	$20.4M
Southern Illinois Medical Services, Nfp	IL	Rural Health Clinic/Center	$0	$15.2M
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.6M
Gateway Foundation, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.1M
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$3M
Nader Dababneh	IL	Gastroenterology Physician	$111.5K	$813.7K
Zahoor Makhdoom	IL	Gastroenterology Physician	$850.9K	$61.2K
Susan Schaberg	IL	Dermatology Physician	$831.8K	$0
Fakhre Alam	IL	Neurology Physician	$282.6K	$468.2K
Gerson Criste	IL	Pain Medicine (Psychiatry & Neurology) Physician	$181.3K	$514.7K

Shawnee Health Service & Development Corp — Billing Profile & Reimbursement Data

Sign up for Shawnee Health Service & Development Corp — Billing Profile & Reimbursement Data policy alerts

Shawnee Health Service & Development Corp — Billing Profile & Reimbursement Data

Sign up for Shawnee Health Service & Development Corp — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References