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.

Crusaders Central Clinic Association (NPI 1265601488)

Field	Value
Entity Type	Organization
Organization	Crusaders Central Clinic Association
Address	1100 Broadway
City	Rockford
State	IL
ZIP	61104
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 21, 2008

Payer Source	Total Paid
Medicaid	$38.9M
Medicare	$0

Key Findings

This provider is effectively single-payer Medicaid: there is no Medicare billing on file and total Medicaid revenue is $38.9M, indicating the organization’s financial scale is driven almost entirely by Medicaid reimbursement. The provider’s taxonomy as a Federally Qualified Health Center (FQHC) aligns with this Medicaid-centric payer mix.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 99.9% of the provider’s Medicaid revenue, led by T1015 at $36.3M (93.3% of Medicaid revenue), followed by D0999 at $2.3M (6.0%) and T1040 at $237.7K (0.6%). This concentration means changes to reimbursement or claim handling for these specific codes would materially affect overall revenue.

The code mix—dominated by T1015 (T1015 – Clinic visit/encounter, all-inclusive) with $36.3M—supports a business model centered on bundled, comprehensive clinic encounters typical of FQHC operations; the presence of T1040 (community behavioral health clinic per diem) at $237.7K also indicates a behavioral health service component. D0999 is reported as a significant secondary revenue source ($2.3M) but has no description in the feed, so it should be treated as a materially contributing, but unspecified, service line in the dataset.

Competitive standing on key Medicaid codes is strong for the provider: T1015 ranks #15 of 846 providers in-state (98th percentile; notably above typical state volume for this code), positioning the organization as a major state-level provider for FQHC-style clinic encounters. D0999 also ranks well at #17 of 219 (93th percentile; notably above typical state volume), while T1040 sits at #36 of 191 (82th percentile; typical, unremarkable volume), indicating the provider’s primary market strength is in general clinic encounters rather than per-diem behavioral-health billing.

The claims data show numerous codes with very high claim volumes but $0 average paid/claim (for example, 99213: 118.4K claims, $0 avg paid/claim, ranks #15 of 14191 providers in-state (100th percentile; extreme outlier)). These zero-paid, high-volume entries appear across many preventive, imaging, and lab codes and are consistent with encounter-reporting patterns often seen in FQHCs where encounters are bundled rather than separately reimbursed; analysts should interpret these high-volume, $0-paid lines as reporting behavior rather than as independent revenue streams.

Service mix signals a robust preventive, pediatric, and prenatal footprint: multiple preventive visit codes (99391/99392/99393) and vaccine codes (90686, 90670) are extreme outliers or in the 99th percentile for in-state volume, and fetal monitoring/ultrasound codes (59025, 76815) show top-state ranks. Together with high volumes of lab and screening codes (81002, 81025, 96110), this suggests broad primary care services that include well visits, immunizations, prenatal care, and routine screening.

The pronounced reliance on a single code family (T1015 at 93.3% of Medicaid revenue) creates both operational risk and negotiating leverage: while this concentration increases exposure to policy or rate changes affecting bundled clinic visit payments, the provider’s high statewide ranking for T1015 may confer bargaining power with managed care plans or state programs. Analysts should weigh both the vulnerability from concentration and the advantage of demonstrable scale in Medicaid clinic-encounter billing.

The provider has an established operational tenure—NPI enumerated 2008-02-21 (~18 years ago)—which, combined with $38.9M in Medicaid revenue and high in-state ranks on multiple codes, indicates a mature FQHC presence in Rockford, IL serving a sizable Medicaid population. This longevity supports interpretation of the observed reporting and service patterns as stable operational characteristics rather than short-term anomalies.

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	257,250	$140	$36.3M
D0999	N/A	22,160	$110	$2.3M
T1040	Medicaid certified community behavioral health clinic services, per diem	3,050	$80	$237.7K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	20	$850	$20.3K
99234	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	40	$60	$2.5K
0500F	No Summary found for this code	3,290	$0	$0
0502F	No Summary found for this code	32,930	$0	$0
0503F	No Summary found for this code	1,640	$0	$0
11981	The provider inserts a bioresorbable, biodegradable, or non–biodegradable implant, such as a capsule or pellet, containing a drug for long–term delivery.	130	$0	$0
11982	The provider removes a non–biodegradable implant (a capsule or pellet with controlled–release properties containing a drug for long term delivery).	70	$0	$0

Showing 1–10 of 120

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

Crusaders Central Clinic Association — 1 of 5 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

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	15	850	7,490	$120	$3.9M
D0999	N/A	17	220	1,090	$110	$610.1K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	126	170	50	$910	$144.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	36	190	880	$70	$128.2K
D1120	Prophylaxis–child	207	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	907	1,270	530	$60	$87.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	487	510	230	$160	$83.3K
D0120	Periodic oral evaluation - established patient	168	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…	61	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…	216	14,680	300	$50	$48.7K

Showing 1–10 of 120

Related Providers

Other providers that share a Tax Identification Number (TIN) with Crusaders Central Clinic Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$62.7M
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$16.4M
Sara Fleming	IL	Anatomic Pathology & Clinical Pathology Physician	$24.6K	$12.9M
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$10.6M
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$10.5M
Wendewessen Amde	IL	Ophthalmology Physician	$1.5M	$2.7M
Andrew Jun	IL	Otolaryngology Physician	$2.3M	$0
Robert Pearlman	IL	Ophthalmology Physician	$1M	$1.2M
Andrzej Jasek	IL	Rheumatology Physician	$1.6M	$4.9K
John Lee	NJ	Interventional Cardiology Physician	$1.6M	$0

Nearby Providers

Other providers in the same ZIP code as Crusaders Central Clinic Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Rockford	IL	Ambulance	$1.3M	$63.7M
Rockford Public Schools Dis205	IL	Local Education Agency (LEA)	$0	$13.7M
The Board Of Trustees Of The University Of Illinois	IL	Federally Qualified Health Center (FQHC)	$0	$7.1M
Swedishamerican Hospital	IL	General Acute Care Hospital	$0	$4.8M
Aunt Martha's Health And Wellness	IL	Federally Qualified Health Center (FQHC)	$0	$2.9M
Wei Gao	IL	General Practice Dentistry	$0	$2.9M
Juliette Strombeck	IL	Family Nurse Practitioner	$183.2K	$621K
Eric Cuasay	IL	Diagnostic Radiology Physician	$81.9K	$425.5K
Anna August	IL	Family Nurse Practitioner	$114.6K	$191.5K
Jeffrey Royce	IL	Family Medicine Physician	$20.6K	$144K

Crusaders Central Clinic Association — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References