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.

Locust Street Resource Center (NPI 1558456210)

Field	Value
Entity Type	Organization
Organization	Locust Street Resource Center
Address	320 South Locust Street
City	Carlinville
State	IL
ZIP	62626
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
H2011	Crisis intervention service, per 15 minutes	13,540	$170	$2.3M
H2015	Comprehensive community support services, per 15 minutes	23,240	$80	$1.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	15,890	$100	$1.6M
S9484	Crisis intervention mental health services, per hour	5,250	$270	$1.4M
H2000	Comprehensive multidisciplinary evaluation	10,740	$110	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	9,890	$30	$316.5K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	250	$350	$85.8K
H0031	Mental health assessment, by non-physician	550	$100	$55.3K
H0032	Mental health service plan development by non-physician	460	$70	$30.2K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	330	$50	$14.8K

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.

Claims Volume vs. Illinois Distribution

Locust Street Resource Center — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	89	430	3,260	$80	$1.3M
S9484	Crisis intervention mental health services, per hour	20	80	1,600	$260	$972.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	137	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	19	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	64	420	1,450	$100	$631.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	25	60	5,920	$50	$621.3K
T1016	Case management, each 15 minutes	359	470	1,830	$60	$475.9K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	24	50	230	$340	$119.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	141	330	210	$110	$97.4K
H0031	Mental health assessment, by non-physician	42	220	190	$90	$33.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Locust Street Resource Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlinville Area Hospital Association	IL	Rural Health Clinic/Center	$0	$2.9M
Walmart Inc.	IL	Community/Retail Pharmacy	$76.9K	$0
Kamal Chopra	IL	Family Medicine Physician	$19.1K	$270

Locust Street Resource Center — Billing Profile & Reimbursement Data

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Locust Street Resource 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