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.

Tca Health Inc Nfp (NPI 1184757353)

Field	Value
Entity Type	Organization
Organization	Tca Health Inc Nfp
Address	1029 E 130th St
City	Chicago
State	IL
ZIP	60628
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 14, 2007

Payer Source	Total Paid
Medicaid	$13.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	86,450	$140	$12.1M
D0999	N/A	10,830	$100	$1.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	2,270	$70	$154.6K
D0120	Periodic oral evaluation - established patient	3,540	$1	$7.1K
D0220	Intraoral - periapical first radiographic image	3,480	$1	$3.5K
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…	3,010	$1	$3K
D0274	N/A	2,370	$1	$2.4K
D1120	Prophylaxis–child	2,250	$1	$2.2K
D0140	Limited oral evaluation – problem focused	1,750	$1	$1.8K
99203	The provider sees a new 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 provider…	1,440	$1	$1.4K

Showing 1–10 of 83

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

Tca Health Inc Nfp — 1 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

83 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	65	850	7,490	$120	$3.9M
D0999	N/A	39	220	1,090	$110	$610.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	44	190	880	$70	$128.2K
D1120	Prophylaxis–child	649	2,140	960	$40	$89.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	370	510	230	$160	$83.3K
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…	518	760	140	$110	$67.3K
D0120	Periodic oral evaluation - established patient	466	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…	121	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…	502	14,680	300	$50	$48.7K
0502F	No Summary found for this code	175	1,170	550	$30	$48.2K

Showing 1–10 of 83

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammed Kaiseruddin	IL	Family Medicine Physician	$3.9K	$3.5K

Nearby Providers

Other providers in the same ZIP code as Tca Health Inc Nfp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christian Community Health Center	IL	Federally Qualified Health Center (FQHC)	$0	$30.5M
Gro Community	IL	Adolescent and Children Mental Health Clinic/Center	$0	$22.8M
Human Resources Development Institute, Inc	IL	Case Management Agency	$0	$13.1M
Eva Mae Recovery Hope Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$95.4K	$5.2M
Midway Turning Point Community Center	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.5M
Human Resources Development Institute, Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.8M
Olusoji Peter	IL	Internal Medicine Physician	$264.9K	$242.7K
Carl Vancol	IL	Adult Medicine Physician	$29.7K	$171.7K
Ashley Baker	IL	Clinical Social Worker	$63.8K	$0

Tca Health Inc Nfp — Billing Profile & Reimbursement Data

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Tca Health Inc Nfp — 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