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.

Board Of Trustees Of Southern Illinois University (NPI 1497002182)

Field	Value
Entity Type	Organization
Organization	Board Of Trustees Of Southern Illinois University
Address	520 N 4th St
City	Springfield
State	IL
ZIP	62702
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 13, 2012

Payer Source	Total Paid
Medicaid	$25.7M
Medicare	$0

Key Findings

This provider reports $25.7M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single‑payer (Medicaid) billing entity in the available data. The precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, indicating extreme revenue concentration at the code level.

T1015 is the dominant revenue driver: 227.3K claims generated $25.5M (99.0% of Medicaid revenue) and the provider ranks #20 of 846 in-state (98th percentile), which the source labels as notably above typical state volume. This pattern is consistent with an FQHC operating model that receives all‑inclusive clinic/encounter payments as its primary reimbursement mechanism.

Secondary revenue items are small by comparison: T1040 produced $244.7K (1.0% of Medicaid revenue) across 3.1K claims and ranks #34 of 191 in-state (characterized as typical, unremarkable volume), while 0012A contributed $7.9K across 187 claims and ranks #71 of 335 (typical). Together with T1015 these three codes represent 100.0% of Medicaid dollars, underscoring that nearly all paid Medicaid activity is concentrated in a narrow set of billing categories.

Claims-level activity shows a broad service mix beyond the paid line items: high claim counts appear for behavioral health and preventive codes (for example 90832, 90834, 90853, 96110) and for lab/screening codes (for example 80305, 81025), even where many of those codes report $0 avg paid/claim. That claim pattern suggests the provider delivers behavioral health, preventive visits, and point‑of‑care lab testing as part of its operational mix, with reimbursement largely captured via bundled T1015 payments rather than as separately paid line items.

Several high-volume CPTs are labeled in the source as outliers: 99213 (120.3K claims), 99214 (19.6K claims), and 99203 (5.1K claims) are described as extreme outliers or far above typical state volume yet show $0 revenue in the file. These statistical outlier labels combined with zero‑paid line items are consistent with a billing/packaging effect where encounter-level all‑inclusive payments absorb the economic value of individual E/M codes.

From a competitive standing perspective within Illinois the provider is a major participant for clinic/encounter payments (T1015 ranked in the 98th percentile statewide) but is only a typical participant for niche behavioral health per‑diem billing (T1040 in the typical range). The ranking profile implies the organization is an important clinic‑level provider in the Medicaid market for bundled outpatient encounters but not uniquely dominant on the narrower per‑diem behavioral health code set.

Tenure data show the NPI was enumerated on 2012-08-13 (~14 years ago), indicating an established presence in the market. That multi‑year tenure aligns with the large accumulated claim volumes and the entrenched use of encounter‑based reimbursement visible in the billing mix.

Business and risk implications for payers: because T1015 accounts for $25.5M (99.0%) of this provider's Medicaid revenue and the top 3 codes account for 100.0% of Medicaid revenue, any contractual or policy change affecting clinic/encounter payment rules or FQHC bundling could materially affect this provider's Medicaid revenue. Payer analytics and contract teams should therefore track shifts in T1015 utilization and the distribution of high‑volume, zero‑paid ancillary codes as indicators of changing service mix or billing practice.

Medicaid: Complete Services Breakdown

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

81 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	227,270	$110	$25.5M
T1040	Medicaid certified community behavioral health clinic services, per diem	3,100	$80	$244.7K
0012A	N/A	190	$40	$7.9K
0011A	N/A	210	$30	$7.2K
0001A	N/A	20	$40	$630
99381	The provider performs a well–baby visit for a child under the age of one.	70	$10	$580
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	260	$1	$260
0500F	No Summary found for this code	180	$0	$0
0502F	No Summary found for this code	4,900	$0	$0
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	100	$0	$0

Showing 1–10 of 81

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

Board Of Trustees Of Southern Illinois University — 1 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

81 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	20	850	7,490	$120	$3.9M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	28	130	70	$120	$240.2K
T1040	Medicaid certified community behavioral health clinic services, per diem	34	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…	175	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…	140	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…	17	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…	57	14,680	300	$50	$48.7K
0502F	No Summary found for this code	90	1,170	550	$30	$48.2K
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…	82	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…	85	1,270	370	$40	$40.8K

Showing 1–10 of 81

Related Providers

Other providers that share a Tax Identification Number (TIN) with Board Of Trustees Of Southern Illinois University, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$9.4M
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$8.6M
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$4.5M
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$3.5M
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$3M
Obiora Onwuameze	IL	Psychiatry Physician	$76.6K	$775.8K
Jordan Bruce	IL	Internal Medicine Physician	$173.1K	$381.4K
James Love	IL	Internal Medicine Physician	$162.8K	$0
Jeffrey Cozzens	IL	Neurological Surgery Physician	$13.1K	$4.5K

Nearby Providers

Other providers in the same ZIP code as Board Of Trustees Of Southern Illinois University, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mental Health Centers Of Central Illinois	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$38.4M
Zhenqiang Gao	IL	Anatomic Pathology & Clinical Pathology Physician	$67.5K	$19.5M
Advanced Medical Transport Of Springfield Inc	IL	Ambulance	$879.6K	$8.4M
Memorial Home Services Of Central Illinois, Inc	IL	Durable Medical Equipment & Medical Supplies	$0	$8.9M
Lifestar Ambulance Service, Inc.	IL	Ambulance	$249.2K	$5.6M
Timothy Gillison	IL	Hematology & Oncology Physician	$1.7M	$54.1K
Scott Mink	IL	Hematology & Oncology Physician	$1.6M	$60.3K
Amit Gupta	IL	Hematology & Oncology Physician	$1.5M	$9.4K
Mhd Yahia Zeino	IL	Obstetrics & Gynecology Physician	$9.2K	$1.3M
David Gelber	IL	Neurology Physician	$1.2M	$122.3K

Board Of Trustees Of Southern Illinois University — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References