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.

New Hope Community Service Center (NPI 1497272884)

Field	Value
Entity Type	Organization
Organization	New Hope Community Service Center
Address	2559 W 79th St
City	Chicago
State	IL
ZIP	60652
Taxonomy	Methadone Clinic
NPI Enumerated	August 25, 2017

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	39,990	$40	$1.5M
H2010	Comprehensive medication services, per 15 minutes	37,120	$20	$816.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	6,840	$60	$417.1K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1,770	$40	$65.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	200	$90	$17.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	40	$130	$4.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$40	$1.4K
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…	20	$40	$740
H0031	Mental health assessment, by non-physician	530	$0	$0

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

New Hope Community Service Center — 1 of 8 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	56	800	2,480	$90	$962.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	82	240	2,810	$60	$602.7K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	26	50	1,770	$60	$223.4K
H2010	Comprehensive medication services, per 15 minutes	5	250	690	$30	$145.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	172	330	210	$110	$97.4K
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…	13,248	14,680	300	$50	$48.7K
H0031	Mental health assessment, by non-physician	43	220	190	$90	$33.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	459	750	60	$50	$19.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,512	2,320	70	$50	$13.8K

Nearby Providers

Other providers in the same ZIP code as New Hope Community Service Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Star Home Health Services Inc	IL	Home Health Agency	$0	$14.4M
Premier Homecare Supplies, Ltd	IL	Durable Medical Equipment & Medical Supplies	$0	$3.1M

New Hope Community Service Center — Billing Profile & Reimbursement Data

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New Hope Community Service Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References