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.

Access Community Health Network (NPI 1194803213)

Field	Value
Entity Type	Organization
Organization	Access Community Health Network
Address	3700 W 26th St
City	Chicago
State	IL
ZIP	60623
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	29,860	$130	$3.8M
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,…	730	$10	$3.6K
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…	500	$1	$1000
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.	20	$10	$120
0502F	No Summary found for this code	950	$0	$0
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	1,380	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	8,170	$0	$0
3074F	No Summary found for this code	4,480	$0	$0
3075F	No Summary found for this code	110	$0	$0
3078F	No Summary found for this code	4,370	$0	$0

Showing 1–10 of 42

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

Access Community Health Network — 0 of 4 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	215	850	7,490	$120	$3.9M
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…	2,443	14,680	300	$50	$48.7K
0502F	No Summary found for this code	432	1,170	550	$30	$48.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	363	1,380	370	$40	$46.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	506	1,270	370	$40	$40.8K
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…	322	14,190	280	$20	$38.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	134	1,670	160	$40	$26.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	106	1,590	110	$40	$21.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	270	720	90	$30	$12.1K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	405	990	320	$10	$8.2K

Showing 1–10 of 42

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$122.4M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$12.6M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$11.9M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$11.7M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$10.8M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.6M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.2M
Sally Campbell-lee	IL	Clinical Pathology Physician	$0	$8.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lawndale Christian Health Center	IL	Federally Qualified Health Center (FQHC)	$0	$103.6M
Esperanza Health Centers	IL	Federally Qualified Health Center (FQHC)	$0	$16.5M
Pilsen-little Village Community Mental Health Center, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$15M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$5M
Saint Anthony Hospital	IL	General Acute Care Hospital	$0	$4.4M
Manish Shukla	IL	Family Medicine Physician	$39.6K	$3.8M
Walter Perez	IL	Pediatrics Physician	$0	$3.8M
Jaideep Atwal	IL	Dentist	$0	$3.5M
Cook County	IL	Primary Care Clinic/Center	$0	$3.3M
Prasod Ramachandran	IL	Optometrist	$0	$2.9M

Access Community Health Network — Billing Profile & Reimbursement Data

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Access Community Health Network — 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