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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPresence Behavioral Health
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    Presence Behavioral Health — Billing Profile & Reimbursement Data

    NPI 1477622298 · Melrose Park, IL · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Presence Behavioral Health is a mental health clinic/center (including community mental health center) provider located in Melrose Park, Illinois. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPresence Behavioral Health
    Address1414 Main St
    CityMelrose Park
    StateIL
    ZIP60160
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedNovember 7, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$10.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0004Behavioral health counseling and therapy, per 15 minutes57,910$100$5.6M
    H2000Comprehensive multidisciplinary evaluation16,940$120$2M
    H2015Comprehensive community support services, per 15 minutes17,590$70$1.2M
    H2011Crisis intervention service, per 15 minutes2,690$180$489K
    H2017Psychosocial rehabilitation services, per 15 minutes9,980$50$469.2K
    T1016Case management, each 15 minutes4,540$80$363K
    H2010Comprehensive medication services, per 15 minutes4,380$30$144.6K
    H0031Mental health assessment, by non-physician370$90$34K
    H0032Mental health service plan development by non-physician200$50$9.8K
    H0002Behavioral health screening to determine eligibility for admission to treatment program70$40$3K

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2015Comprehensive community support services, per 15 minutes1124303,260$80$1.3M
    H0004Behavioral health counseling and therapy, per 15 minutes298002,480$90$962.2K
    H2011Crisis intervention service, per 15 minutes581601,060$180$959.9K
    H2000Comprehensive multidisciplinary evaluation374201,450$100$631.8K
    H2017Psychosocial rehabilitation services, per 15 minutes24605,920$50$621.3K
    T1016Case management, each 15 minutes1484701,830$60$475.9K
    H2010Comprehensive medication services, per 15 minutes59250690$30$145.6K
    H0002Behavioral health screening to determine eligibility for admission to treatment program245330210$110$97.4K
    99213The 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…11,72214,190280$20$38.9K
    H0031Mental health assessment, by non-physician64220190$90$33.7K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Presence Central And Suburban Hospitals NetworkILGeneral Acute Care Hospital$0$4.8M
    Presence Chicago Hospitals NetworkILGeneral Acute Care Hospital$0$4.4M
    Sachin BhaleraoILPsychiatry Physician$203.3K$15.6K
    Michael BrilliantILPsychiatry Physician$115.6K$52.8K
    Chris D'agostinoILGeriatric Psychiatry Physician$159.5K$4.9K
    Salahuddin SyedILPsychiatry Physician$57.4K$64.3K
    Mary WalshILPsychiatry Physician$94.7K$10.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$6.7M
    Peyman PahlavanILFamily Medicine Physician$102.1K$5.6M
    Mary UckermanILAnatomic Pathology & Clinical Pathology Physician$33.5K$4.2M
    Youngwoo LimILDentist$0$3.4M
    Village Of Melrose ParkILAmbulance$162.4K$3.2M
    Sat Pyol LeeILGeneral Practice Dentistry$0$2.8M
    Tracy CampbellILDermatology Physician$1.4M$0
    John WilsonILNeurology Physician$245.2K$649.5K
    David KrackerILNephrology Physician$249.6K$528K
    George NaratadamILNephrology Physician$317.9K$358.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Presence Behavioral Health — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois