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.

The Board Of Education Of The City Of Chicago (NPI 1508063710)

Key Findings

Field	Value
Entity Type	Organization
Organization	The Board Of Education Of The City Of Chicago
Address	125 S Clark St
City	Chicago
State	IL
ZIP	60603
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	June 29, 2007

Payer Source	Total Paid
Medicaid	$122.3M
Medicare	$0

This entity is effectively a Medicaid-only biller: there is no Medicare billing on file and lifetime Medicaid revenue is $122.3M, while Medicare revenue is listed as none. The provider’s NPI was enumerated on 2007-06-29 (~19 years ago), indicating a long-established enrollment consistent with a district-level service organization.

Revenue is highly concentrated in a small set of service codes: the top three Medicaid codes (90832, 92508, 96158) together account for 51.5% of the provider’s total Medicaid revenue. Those three codes individually generate $22.7M (90832, 18.5%), $21.9M (92508, 17.9%) and $18.5M (96158, 15.1%), so payers should consider a small number of service lines as material to overall spend.

The code mix points to school-based behavioral health and allied services as the core operation. High revenue for 90832 (psychotherapy), 96158 (psychological health behavior intervention), and large volumes of speech/hearing codes like 92508 and 92507 indicate sustained, programmatic delivery of counseling, psychology, and speech/language pathology services, while nursing (T1002) and non-emergency transport (T2003) appear as substantial ancillary school health functions.

Operational scale is large in absolute claims volume, consistent with system-wide delivery across many sites: 92508 shows 1.1M claims, T2003 shows 871.5K claims, 99173 shows 737.6K claims, 92551 shows 733.3K claims, and T1002 shows 535.9K claims. These multi-hundred-thousand to million-level claim counts signal routine, high-frequency encounters rather than episodic specialty care.

The provider is a dominant statewide supplier for many of its highest-revenue services: 90832, 92508, and 96158 each rank #1 among in-state providers and are described as 100th percentile, extreme outliers, far above typical state volume for these codes. Additional codes such as T1002, T2003, 92507 and 96164 also rank #1 in-state at the 100th percentile (extreme outlier), which together characterize this entity as a primary provider of school-based therapy, nursing, and transport services in Illinois.

There is some variation in competitive standing across lower-revenue codes: T1021 (home health aide/CNA) ranks #2 of 146 providers in-state at the 99th percentile (extreme outlier), while codes like 97150 and T1003 show more modest positions (97150 at the 89th percentile described as typical/unremarkable, and T1003 reported with an unremarkable volume). This suggests the provider’s dominance is strongest in core educational health services and less uniform across all ancillary codes.

From a payer/program perspective, this provider should be treated as a strategic, Medicaid-centric partner for school-based behavioral, speech, nursing, and transportation services because a handful of codes drive a majority of reimbursement. Given that the top three codes alone make up 51.5% of Medicaid revenue, program design, rate setting, and utilization management focused on these services will capture the bulk of fiscal exposure.

The combination of extreme outlier rankings and concentrated revenue suggests targeted operational benchmarking and claims-pattern validation are appropriate for contract management and oversight. Without implying misconduct, the scale and concentration warrant comparison to program expectations and peer benchmarks to ensure coding/contracting aligns with intended school-based service models.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	294,670	$80	$22.7M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	1,092,850	$20	$21.9M
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	450,110	$40	$18.5M
T1002	Rn services, up to 15 minutes	535,920	$30	$14.5M
T2003	Non-emergency transportation; encounter/trip	871,500	$10	$11.3M
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…	357,360	$30	$11.1M
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	463,820	$10	$6M
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	131,820	$40	$5.1M
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	733,280	$10	$3.7M
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	737,630	$1	$1.5M

Showing 1–10 of 22

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

The Board Of Education Of The City Of Chicago — 20 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1003	Lpn/lvn services, up to 15 minutes	22	30	750	$400	$1.5M
T1021	Home health aide or certified nurse assistant, per visit	2	150	4,590	$30	$430.6K
T1002	Rn services, up to 15 minutes	1	140	840	$60	$428K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	1	620	5,060	$10	$205.3K
T2003	Non-emergency transportation; encounter/trip	1	320	3,390	$20	$192.4K
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…	24	1,220	540	$60	$179.4K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	1	460	1,480	$30	$132K
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…	1	1,210	1,070	$30	$102.1K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	1	230	2,330	$10	$66.5K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	1	380	2,820	$10	$64.5K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Help At Home, LLC	IL	In Home Supportive Care Agency	$0	$67M
Help At Home, LLC	IL	Home Health Agency	$0	$23.9M
Charles Lo	IL	Internal Medicine Physician	$36.2K	$0

The Board Of Education Of The City Of Chicago — Billing Profile & Reimbursement Data

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The Board Of Education Of The City 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