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.

Tapestry 360 Health (NPI 1407981392)

Field	Value
Entity Type	Organization
Organization	Tapestry 360 Health
Address	1301 W Devon Ave
City	Chicago
State	IL
ZIP	60660
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$63.8M
Medicare	$0

Key Findings

TAPESTRY 360 HEALTH is effectively a Medicaid-centric Federally Qualified Health Center: it has no Medicare billing on file and reports $63.8M in lifetime Medicaid revenue, consistent with an FQHC service profile that prioritizes Medicaid-covered primary care and safety-net services. Its NPI was enumerated 2007-02-22 (~19 years ago), indicating an established presence in the Chicago market.

Revenue is extremely concentrated in a single line item: the precomputed top 3 Medicaid codes account for 99.6% of this provider’s total Medicaid revenue, with T1015 alone representing $62.8M (98.4% of total Medicaid revenue). This concentration means most of the organization’s Medicaid receipts are driven by one bundled clinic/encounter code rather than a diversified mix of procedure-level billing.

The code mix points to an operational model centered on comprehensive, encounter-based primary care: T1015 (Clinic visit/encounter, all-inclusive) dominates revenue, implying the organization bills bundled clinic visits typical of FQHCs. Secondary service lines are present but small by revenue—T1040 (community behavioral health per diem) contributes $723.7K (1.1% of Medicaid revenue), indicating a behavioral health capability layered onto the primary care platform.

T1015’s statewide competitive standing is exceptional: it ranks #8 of 846 providers in Illinois (99th percentile; extreme outlier), which positions this provider as a major volume outlier for bundled clinic encounters relative to in‑state peers. That ranking reflects very high patient encounter volume or broad use of the all-inclusive clinic code compared with most other providers in the state.

T1040 also ranks highly within its peer set (#6 of 191, 97th percentile; notably above typical state volume), suggesting the clinic is a meaningful provider of Medicaid certified community behavioral health clinic services even though that code represents only $723.7K (1.1%) of total Medicaid revenue. In contrast, D0999 ($90.7K; 0.1% of revenue) sits at #100 of 219 (55th percentile; typical, unremarkable volume), underscoring that the provider’s outlier status is concentrated in a few specific codes.

Immunization and preventive service volumes appear substantial despite low revenue impact: vaccine codes such as 90686 (26.7K claims, $26.7K revenue) and 90633 (6.1K claims, $6.1K revenue) rank at extreme/high percentiles (#5 of 2637, 100th percentile and #13 of 769, 98th percentile, respectively). These high claim counts with low per-claim payments indicate the clinic operates as a high-volume immunization and preventive services site for Medicaid patients, contributing to patient access and public health activities even though vaccines do not drive overall revenue.

The absence of any Medicare billing makes TAPESTRY 360 HEALTH effectively a single-payer (Medicaid) operation in this data set; this concentration in payer mix has implications for revenue stability and contracting strategy because fluctuations in Medicaid policy or reimbursement for T1015 would disproportionately affect total revenue. Given the provider’s long tenure (~19 years), the organization is likely embedded in Medicaid networks and local safety-net ecosystems, but its lack of Medicare activity may limit diversification of payer risk.

From a risk and strategic perspective, heavy dependence on one high-volume bundled code (T1015 at $62.8M) creates material reimbursement concentration risk: policy or rate changes to that code, or shifts in how encounters are billed, could materially affect the provider’s financials. Conversely, the provider’s extreme outlier status on T1015 and strong ranks on T1040 and several vaccine codes indicate market scale in Medicaid-reimbursed clinic encounters and behavioral health/immunization services—information payers and competitors should weigh when evaluating network value or negotiating Medicaid arrangements.

Medicaid: Complete Services Breakdown

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

161 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	441,940	$140	$62.8M
T1040	Medicaid certified community behavioral health clinic services, per diem	10,490	$70	$723.7K
D0999	N/A	1,510	$60	$90.7K
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…	26,670	$1	$26.7K
0012A	N/A	580	$40	$23.9K
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,…	5,420	$1	$21.7K
0011A	N/A	610	$40	$21.3K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	6,750	$1	$13.5K
0001A	N/A	300	$40	$12.5K
0124A	N/A	380	$30	$12.4K

Showing 1–10 of 161

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

Tapestry 360 Health — 11 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

161 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	850	7,490	$120	$3.9M
D0999	N/A	100	220	1,090	$110	$610.1K
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	3	10	190	$880	$284.9K
T1040	Medicaid certified community behavioral health clinic services, per diem	6	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…	141	1,180	370	$90	$109.7K
D1120	Prophylaxis–child	1,401	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	1,236	1,270	530	$60	$87.1K
D0120	Periodic oral evaluation - established patient	1,625	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…	7	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…	19	14,680	300	$50	$48.7K

Showing 1–10 of 161

Nearby Providers

Other providers in the same ZIP code as Tapestry 360 Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adapt Of Illinois, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.5M
Hamdard Health Alliance	IL	Federally Qualified Health Center (FQHC)	$0	$5.4M
Espoir Lab Inc	IL	Clinical Medical Laboratory	$0	$4.3M
Calling Care Services Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Community Counseling Centers Of Chicago	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Rajendra Mullapudi	IL	Internal Medicine Physician	$626.8K	$2.2M
Rachael St. Peter	IL	Podiatrist	$80.8K	$170
Gail Hajjar	IL	Anesthesiology Physician	$8.2K	$0

Tapestry 360 Health — Billing Profile & Reimbursement Data

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Tapestry 360 Health — 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