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.

Radius Foundation, Inc (NPI 1215171293)

Field	Value
Entity Type	Organization
Organization	Radius Foundation, Inc
Address	11952 S Harlem Ave
City	Palos Heights
State	IL
ZIP	60463
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	April 22, 2009

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.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	29,070	$60	$1.8M
H0005	Alcohol and/or drug services; group counseling by a clinician	22,190	$70	$1.6M
H2010	Comprehensive medication services, per 15 minutes	20,470	$20	$307.1K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1,360	$70	$92.1K

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

Radius Foundation, Inc — 1 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	70	800	2,480	$90	$962.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	31	240	2,810	$60	$602.7K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	30	50	1,770	$60	$223.4K
H2010	Comprehensive medication services, per 15 minutes	12	250	690	$30	$145.6K

Nearby Providers

Other providers in the same ZIP code as Radius Foundation, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Noorun Khan	IL	Internal Medicine Physician	$272.1K	$3.1M
High Technology Inc	IL	Radiology Clinic/Center	$3.1M	$10
Helen (min) Chen	IL	Anatomic Pathology & Clinical Pathology Physician	$108.8K	$2.9M
Palos Surgicenter, LLC	IL	Ambulatory Surgical Clinic/Center	$1.7M	$0
Ahmed Elgamal	IL	Physical Medicine & Rehabilitation Physician	$974.1K	$239.8K
Chiedozie Mkpolulu	IL	Diagnostic Radiology Physician	$676K	$59.3K
Elizabeth Ghera	IL	Family Nurse Practitioner	$639.9K	$9.9K
Abdul-hamid Shahbain	IL	Internal Medicine Physician	$461.9K	$168.2K
Daniel Frankel	IL	Diagnostic Radiology Physician	$551.7K	$32.5K
Mhd Firas Zakaria	IL	Internal Medicine Physician	$551.7K	$29.2K

Radius Foundation, Inc — Billing Profile & Reimbursement Data

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Radius Foundation, 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