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.

Transitions Of Western Illinois Inc. (NPI 1194784819)

Field	Value
Entity Type	Organization
Organization	Transitions Of Western Illinois Inc.
Address	4409 Maine St
City	Quincy
State	IL
ZIP	62305
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	March 21, 2006

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	42,270	$80	$3.2M
H2000	Comprehensive multidisciplinary evaluation	27,790	$90	$2.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	22,970	$90	$2.1M
T1016	Case management, each 15 minutes	24,310	$70	$1.7M
S9484	Crisis intervention mental health services, per hour	4,820	$250	$1.2M
H2011	Crisis intervention service, per 15 minutes	6,380	$120	$746.7K
H0031	Mental health assessment, by non-physician	2,130	$70	$138.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	370	$360	$132.8K
H0032	Mental health service plan development by non-physician	1,440	$50	$77.8K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	750	$40	$31.6K

Showing 1–10 of 14

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

Transitions Of Western Illinois Inc. — 3 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	48	430	3,260	$80	$1.3M
S9484	Crisis intervention mental health services, per hour	22	80	1,600	$260	$972.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	97	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	37	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	18	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	38	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	83	110	1,030	$40	$179.2K
H2010	Comprehensive medication services, per 15 minutes	137	250	690	$30	$145.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	20	50	230	$340	$119.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	89	330	210	$110	$97.4K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Transitions Of Western Illinois Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adams County Ambulance & E M S	IL	Land Ambulance	$859.2K	$6.5M
Duane Hanzel	IL	Foot Surgery Podiatrist	$136.2K	$240.6K
Hy-vee Inc	IL	Community/Retail Pharmacy	$144K	$0
Bryan Pimlott	IL	Orthopaedic Surgery Physician	$66.7K	$3.3K
Grelinda Amante	IL	Certified Registered Nurse Anesthetist	$2K	$0

Transitions Of Western Illinois Inc. — Billing Profile & Reimbursement Data

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Transitions Of Western Illinois Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References