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.

Lawndale Christian Health Center (NPI 1245289214)

Field	Value
Entity Type	Organization
Organization	Lawndale Christian Health Center
Address	3860 W Ogden Ave
City	Chicago
State	IL
ZIP	60623
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicaid	$103.6M
Medicare	$0

Key Findings

LAWNDALE CHRISTIAN HEALTH CENTER is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while Medicaid revenue totals $103.6M, indicating the organization’s operations and scale are dominated by Medicaid payment flows. Analysts should treat Medicaid as the primary—and for these data, essentially exclusive—payer when modeling revenue or utilization for this entity.

Revenue is highly concentrated in a very small number of codes: the precomputed top‑3 Medicaid codes account for 98.7% of the provider’s total Medicaid revenue, with T1015 alone representing 92.8% of Medicaid revenue. This extreme revenue concentration means business and reimbursement risk is tightly linked to volume and payment policy for a single bundled clinic visit code.

The code mix and taxonomy (FQHC) indicate a high‑volume, comprehensive primary‑care and community clinic operation: T1015 (Clinic visit/encounter, all‑inclusive) dominates billing and suggests most encounters are billed under an FQHC all‑inclusive visit model rather than a diversified fee‑for‑service mix. The prominence of T1015 alongside codes for vaccines, dental fluoride (D1206), and behavioral health supports a broad ambulatory, preventive, and wraparound services footprint typical of FQHCs.

Competitive standing for the top drivers is exceptionally strong within Illinois: T1015 is listed at $95.9M revenue (92.8%) and ranks #4 of 846 providers in‑state at the 100th percentile, described as an "extreme outlier" in volume; D0999 ($5.4M, 5.3%) ranks #1 of 219 providers in‑state and is also an "extreme outlier." These ranks indicate LAWNDALE is among the leading statewide providers for the very codes that generate nearly all of its Medicaid revenue.

Maternal and obstetric services appear present but represent a small revenue share: 59410 accounts for $711K (0.7% of Medicaid revenue) and ranks #1 of 9 providers in‑state (100th percentile; notably above typical state volume). While not a major revenue driver, the high rank suggests the site is a leading in‑state provider of this specific global delivery service among a small cohort of billers.

Preventive, immunization, and dental preventive activity is high volume even if individually low paid amounts: examples include 90686 (40.4K claims, $40.4K revenue, rank #2 of 2637, 100th percentile), D1206 (28.4K claims, $56.7K revenue, rank #3 of 1297, 100th percentile), and 90651 (8.8K claims, $17.7K revenue, rank #6 of 773, 99th percentile). These high claim counts across vaccines and dental fluoride indicate substantial preventive and pediatric service throughput that supports the FQHC model.

Behavioral health and certified community mental health services are integrated but not dominant revenue sources: T1040 (9.9K claims, $664.2K revenue, 0.6% of Medicaid revenue) ranks #7 of 191 (97th percentile), and 90791 (16K claims, $16K revenue) ranks #1 of 752 (100th percentile, extreme outlier). Together these data point to meaningful behavioral health capacity and high utilization of low‑paid behavioral health codes consistent with integrated primary‑behavioral care at scale.

The provider’s NPI has been enumerated since 2006‑05‑08 (~20 years ago), reflecting long tenure in the market; the persistence of a concentrated Medicaid billing profile over an extended period suggests stable operational reliance on FQHC all‑inclusive encounter billing and established referral/volume patterns in its service area.

Medicaid: Complete Services Breakdown

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

256 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	680,350	$140	$95.9M
D0999	N/A	55,570	$100	$5.4M
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	760	$940	$711K
T1040	Medicaid certified community behavioral health clinic services, per diem	9,910	$70	$664.2K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	160	$640	$100.8K
0012A	N/A	1,940	$40	$73.8K
0011A	N/A	2,150	$30	$68.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	28,370	$1	$56.7K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	40,400	$1	$40.4K
0013A	N/A	910	$40	$38.3K

Showing 1–10 of 256

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

Lawndale Christian Health Center — 18 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

256 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	4	850	7,490	$120	$3.9M
D0999	N/A	1	220	1,090	$110	$610.1K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	21	250	450	$40	$185.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	51	360	630	$30	$165K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	27	160	300	$20	$145.2K
T1040	Medicaid certified community behavioral health clinic services, per diem	7	190	880	$70	$128.2K
59410	In this global service, the provider admits the patient to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal…	1	10	30	$930	$109.2K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	18	70	370	$20	$104.1K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	6	40	20	$630	$97.6K
87536	A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.	26	50	290	$50	$94.7K

Showing 1–10 of 256

Nearby Providers

Other providers in the same ZIP code as Lawndale Christian Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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	$12.6M
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
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$3.8M
Jaideep Atwal	IL	Dentist	$0	$3.5M
Cook County	IL	Primary Care Clinic/Center	$0	$3.3M

Lawndale Christian Health Center — Billing Profile & Reimbursement Data

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Lawndale Christian Health Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References