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.

Shawnee Health Service And Development Corp (NPI 1457381774)

Field	Value
Entity Type	Organization
Organization	Shawnee Health Service And Development Corp
Address	101 S Wall St
City	Carbondale
State	IL
ZIP	62901
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	47,370	$140	$6.6M
T1040	Medicaid certified community behavioral health clinic services, per diem	310	$80	$23.5K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	480	$20	$9K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,220	$1	$1.2K
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…	70	$10	$740
0500F	No Summary found for this code	290	$1	$290
58300	In this procedure, the provider places a contraceptive intrauterine device (IUD) in the uterine cavity.	50	$1	$100
0502F	No Summary found for this code	100	$0	$0
1034F	No Summary found for this code	70	$0	$0
1036F	N/A	12,060	$0	$0

Showing 1–10 of 50

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

Shawnee Health Service And Development Corp — 0 of 7 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	144	850	7,490	$120	$3.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	130	190	880	$70	$128.2K
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…	707	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…	339	14,680	300	$50	$48.7K
0502F	No Summary found for this code	937	1,170	550	$30	$48.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	50	320	290	$50	$48K
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…	970	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…	157	14,190	280	$20	$38.9K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	27	140	190	$30	$33.7K
90834	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…	698	720	250	$30	$25.7K

Showing 1–10 of 50

Related Providers

Other providers that share a Tax Identification Number (TIN) with Shawnee Health Service And Development Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$13.2M
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$11.1M
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$9.7M
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$6.8M
Shawnee Health Service And Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$6.1M
Shawnee Health Service & Development Corp	IL	Federally Qualified Health Center (FQHC)	$0	$4M
Kalpesh Patel	IL	Internal Medicine Physician	$229.4K	$37.8K
Kimberly Middleton	TX	Family Medicine Physician	$111K	$0

Nearby Providers

Other providers in the same ZIP code as Shawnee Health Service And Development Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Comprehensive Services, Inc.	IL	Rehabilitation Hospital	$0	$20.4M
Southern Illinois Medical Services, Nfp	IL	Rural Health Clinic/Center	$0	$15.2M
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.6M
Gateway Foundation, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.1M
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$3M
Nader Dababneh	IL	Gastroenterology Physician	$111.5K	$813.7K
Zahoor Makhdoom	IL	Gastroenterology Physician	$850.9K	$61.2K
Susan Schaberg	IL	Dermatology Physician	$831.8K	$0
Fakhre Alam	IL	Neurology Physician	$282.6K	$468.2K
Gerson Criste	IL	Pain Medicine (Psychiatry & Neurology) Physician	$181.3K	$514.7K

Shawnee Health Service And Development Corp — Billing Profile & Reimbursement Data

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Shawnee Health Service And Development Corp — 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