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.

Heartland Community Health Clinic (NPI 1336193861)

Field	Value
Entity Type	Organization
Organization	Heartland Community Health Clinic
Address	1701 W Garden St
City	Peoria
State	IL
ZIP	61605
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	56,390	$120	$6.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	530	$70	$37.4K
0011A	N/A	740	$40	$27.5K
0012A	N/A	600	$40	$25K
0064A	N/A	200	$40	$7.6K
0001A	N/A	100	$40	$4.2K
0002A	N/A	90	$40	$3.7K
0134A	N/A	90	$30	$2.3K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	20	$60	$1K
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,…	740	$1	$740

Showing 1–10 of 72

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

Heartland Community Health Clinic — 1 of 15 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	124	850	7,490	$120	$3.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	114	190	880	$70	$128.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	480	1,180	370	$90	$109.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	507	760	140	$110	$67.3K
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…	507	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…	94	14,680	300	$50	$48.7K
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…	499	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…	1,071	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…	138	14,190	280	$20	$38.9K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	37	50	20	$120	$27.8K

Showing 1–10 of 72

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$16.4M
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$10.3M
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$5.1M
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$3.4M
Aftab Qazi	CA	Family Medicine Physician	$88.7K	$540.6K
Umair Ahmed	IN	Hospitalist Physician	$434.6K	$9.4K
Rachael Davis	IL	Pulmonary Disease Physician	$140.4K	$134.4K
Joshua Croland	IL	Obstetrics & Gynecology Physician	$111.5K	$40.9K
Rebecca Byler Dann	IL	Gynecologic Oncology Physician	$38.4K	$40.9K
Zohair Ahmed	IL	Gastroenterology Physician	$76.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Maxey	IL	Orthopaedic Surgery Physician	$87.9K	$149.3K
Miguel Ramirez	IL	Orthopaedic Surgery Physician	$136.5K	$39.2K
Robert Kinzinger	IL	Orthopaedic Surgery Physician	$113.4K	$13.3K
Stephen Orlevitch	IL	Sports Medicine (Orthopaedic Surgery) Physician	$83.4K	$6.2K
Jeffrey Klopfenstein	IL	Neurological Surgery Physician	$77.9K	$2.5K
Eric Pfeiffer	IL	Nurse Practitioner	$19.1K	$0

Heartland Community Health Clinic — Billing Profile & Reimbursement Data

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Heartland Community Health Clinic — 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