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.

Near North Health Service Corporation (NPI 1346221553)

Field	Value
Entity Type	Organization
Organization	Near North Health Service Corporation
Address	4259 S Berkeley Ave
City	Chicago
State	IL
ZIP	60653
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 7, 2005

Payer Source	Total Paid
Medicaid	$12.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

104 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	91,110	$130	$11.8M
D0999	N/A	10,090	$80	$776.7K
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…	6,770	$1	$6.8K
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…	4,170	$1	$4.2K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	160	$20	$3.6K
0012A	N/A	90	$30	$2.7K
0011A	N/A	110	$20	$2K
0004A	N/A	20	$20	$440
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	50	$10	$370
D9995	N/A	140	$1	$290

Showing 1–10 of 104

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

Near North Health Service Corporation — 2 of 17 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

104 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	61	850	7,490	$120	$3.9M
D0999	N/A	43	220	1,090	$110	$610.1K
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…	735	1,180	370	$90	$109.7K
D1120	Prophylaxis–child	1,152	2,140	960	$40	$89.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	219	510	230	$160	$83.3K
D0120	Periodic oral evaluation - established patient	822	2,170	1,010	$30	$64.3K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	1,060	1,230	450	$40	$54.1K
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…	491	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…	282	14,680	300	$50	$48.7K
0502F	No Summary found for this code	135	1,170	550	$30	$48.2K

Showing 1–10 of 104

Related Providers

Other providers that share a Tax Identification Number (TIN) with Near North Health Service Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Near North Health Service Corporation	IL	Federally Qualified Health Center (FQHC)	$0	$17.8M
Near North Health Service Corporation	IL	Federally Qualified Health Center (FQHC)	$0	$4.3M
Wayne Presutti	IN	Psychiatric/Mental Health Nurse Practitioner	$166.4K	$119.2K
Carol Schmidt	IL	Ophthalmology Physician	$109.5K	$27.9K
Stephanie Cox-batson	DC	Obstetrics & Gynecology Physician	$0	$3.8K

Nearby Providers

Other providers in the same ZIP code as Near North Health Service Corporation, 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	$5.4M
Cook County	IL	Primary Care Clinic/Center	$0	$5.4M
Carolina Therapeutic Services, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M
Janita Simpkins	IL	Family Medicine Physician	$215.1K	$29.3K
Carlos Smith	IL	Podiatrist	$214.1K	$9.2K
Johnny Alexander	IL	Diagnostic Radiology Physician	$67.5K	$0

Near North Health Service Corporation — Billing Profile & Reimbursement Data

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Near North Health Service Corporation — 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