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.

Pillars Community Health (NPI 1174878813)

Field	Value
Entity Type	Organization
Organization	Pillars Community Health
Address	321 N La Grange Rd
City	La Grange Park
State	IL
ZIP	60526
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 18, 2012

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	64,050	$140	$9.2M
D0999	N/A	2,220	$100	$217.5K
T1040	Medicaid certified community behavioral health clinic services, per diem	2,970	$70	$208K
H0004	Behavioral health counseling and therapy, per 15 minutes	100	$90	$9K
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,…	850	$10	$6.8K
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…	570	$10	$5.1K
0011A	N/A	110	$40	$3.9K
0012A	N/A	90	$40	$3.5K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	970	$1	$2.9K
S5190	Wellness assessment, performed by non-physician	890	$1	$2.7K

Showing 1–10 of 80

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

Pillars Community Health — 0 of 25 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

80 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	105	850	7,490	$120	$3.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	702	800	2,480	$90	$962.2K
D0999	N/A	89	220	1,090	$110	$610.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	38	190	880	$70	$128.2K
D1120	Prophylaxis–child	1,250	2,140	960	$40	$89.1K
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…	327	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…	308	760	140	$110	$67.3K
D0120	Periodic oral evaluation - established patient	1,186	2,170	1,010	$30	$64.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	44	960	330	$30	$51K
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…	83	14,680	300	$50	$48.7K

Showing 1–10 of 80

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pillars Community Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.3M
Pillars Community Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.8M

Nearby Providers

Other providers in the same ZIP code as Pillars Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inna Sydorak	IL	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.2M
Mohamed Kholoki	IL	Legal Medicine	$586.8K	$29.8K
Ramesh Melvani	IL	Internal Medicine Physician	$93.5K	$4.6K
Anastasia Lageschulte	IL	Occupational Therapist	$37.1K	$0
Michelle Reynolds	IL	Occupational Therapist	$23.3K	$0

Pillars Community Health — Billing Profile & Reimbursement Data

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Pillars Community Health — 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