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.

Infant Welfare Society Of Chicago (NPI 1497872543)

Field	Value
Entity Type	Organization
Organization	Infant Welfare Society Of Chicago
Address	3600 W Fullerton Ave
City	Chicago
State	IL
ZIP	60647
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 23, 2007

Payer Source	Total Paid
Medicaid	$29.6M
Medicare	$0

Key Findings

INFANT WELFARE SOCIETY OF CHICAGO is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and the organization reports $29.6M in lifetime Medicaid revenue. Its taxonomy as a Federally Qualified Health Center (FQHC) and the absence of Medicare activity indicate a safety‑net, Medicaid‑focused operating model rather than mixed Medicare/Medicaid care delivery.

The provider has an established operating history: NPI enumerated 2007-03-23 (~19 years ago), which supports a multi‑year presence in the state Medicaid market and likely sustained relationships with payers and referral sources. That tenure aligns with the heavy clinic‑visit volumes observed in the claims dataset.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 99.5% of this provider’s total Medicaid revenue, led by T1015 at $25.2M (85.4%) and D0999 at $4.1M (14.0%), with T1040 contributing $32.4K (0.1%). This extreme concentration means the provider’s financial performance is driven almost entirely by a very small set of code lines.

T1015 (Clinic visit/encounter, all‑inclusive) dominates operations, with $25.2M in revenue and 174K claims, indicating a very high ambulatory visit throughput consistent with comprehensive primary care delivery typical of FQHCs. T1015 ranks #25 of 846 in‑state (97th percentile; notably above typical state volume for this code), marking the provider as a major state player for all‑inclusive clinic visits.

D0999 (no description available) is a clear outlier in the provider’s mix: 47.5K claims produced $4.1M and the code ranks #3 of 219 in‑state (99th percentile; extreme outlier). Because D0999 represents a substantial, distinct revenue stream but lacks a description in the dataset, it signals a material non‑T1015 service line that should be clarified for contracting or utilization review.

Vaccination and pediatric preventive services show high volume but low per‑claim revenue: codes such as 90651 (5.5K claims, $27.3K revenue; rank #9 of 773, 99th percentile; extreme outlier), 90734 (4.4K claims, $13.3K revenue; rank #8 of 849, 99th percentile; extreme outlier), 90710 (2.3K claims; rank #18 of 454, 96th percentile; notably above typical), and 90633 (4.2K claims; rank #23 of 769, 97th percentile; notably above typical) point to a robust immunization program. These high volumes suggest the provider delivers substantial pediatric and preventive services even though those codes contribute only small shares of total Medicaid revenue.

Ancillary therapies and allied‑health codes appear across the ledger but are modest revenue contributors: examples include 92507 (577 claims, $23.7K), 97110 (441 claims, $16.3K), and several ophthalmology/vision codes. Ranks for these codes are typically mid‑ to lower‑percentile in‑state (for example, 92507 at the 37th percentile and 97110 at the 47th percentile), indicating breadth of services rather than dominance in these ancillary lines.

From a competitive and risk perspective, the provider’s state market position is strong for core clinic visits and for the unspecified D0999 line (high percentile ranks noted above), which could provide negotiating leverage with Medicaid plans. Conversely, the 99.5% revenue concentration in the top three codes creates operational vulnerability if reimbursement policies or utilization patterns change for T1015 or D0999, so monitoring reimbursement rules and clarifying the nature of D0999 are high priorities.

Medicaid: Complete Services Breakdown

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

183 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	174,020	$150	$25.2M
D0999	N/A	47,540	$90	$4.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	460	$70	$32.4K
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,…	5,460	$10	$27.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	580	$40	$23.7K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	20	$1,090	$16.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	440	$40	$16.3K
90734	The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…	4,430	$1	$13.3K
90710	This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox).	2,260	$1	$9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	290	$20	$6K

Showing 1–10 of 183

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

Infant Welfare Society Of Chicago — 7 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

183 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	25	850	7,490	$120	$3.9M
D0999	N/A	3	220	1,090	$110	$610.1K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	34	250	450	$40	$185.7K
D2930	N/A	19	140	190	$160	$180.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	641	1,220	540	$60	$179.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	62	360	600	$30	$165.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	50	360	630	$30	$165K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	120	160	300	$20	$145.2K
T1040	Medicaid certified community behavioral health clinic services, per diem	120	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…	1,009	1,180	370	$90	$109.7K

Showing 1–10 of 183

Nearby Providers

Other providers in the same ZIP code as Infant Welfare Society Of Chicago, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Erie Family Health Center, Inc	IL	Federally Qualified Health Center (FQHC)	$0	$12.7M
Healthcare Alternative Systems, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.3M
Flavia Lamberghini	IL	Pediatric Dentistry	$0	$7.9M
Paul Pladziewicz	IL	Dentist	$0	$4.9M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$4.7M
Primecare Community Health, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$4.3M
Rabeh Salamah-mohammad	IL	General Practice Dentistry	$0	$3.2M
Lawrence Kaufman	IL	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$6.3K	$2.8M
Fullerton Kimball Medical & Surgical Center	IL	Ambulatory Surgical Clinic/Center	$993.7K	$0
Paras Parekh	IL	Foot & Ankle Surgery Podiatrist	$133.1K	$305.5K

Infant Welfare Society Of Chicago — 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