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.

Heartland Community Health Clinic (NPI 1568883718)

Field	Value
Entity Type	Organization
Organization	Heartland Community Health Clinic
Address	1800 N Knoxville Ave Ste A
City	Peoria
State	IL
ZIP	61603
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 13, 2013

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	121,100	$140	$16.3M
T1040	Medicaid certified community behavioral health clinic services, per diem	130	$80	$9.8K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	320	$20	$5.1K
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,…	1,860	$1	$1.9K
0001A	N/A	40	$40	$1.8K
0124A	N/A	60	$30	$1.6K
0002A	N/A	30	$40	$1.2K
0503F	No Summary found for this code	1,070	$1	$1.1K
0003A	N/A	10	$40	$550
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	30	$1	$30

Showing 1–10 of 77

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

Heartland Community Health Clinic — 1 of 10 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

77 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	43	850	7,490	$120	$3.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	156	190	880	$70	$128.2K
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…	346	760	140	$110	$67.3K
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…	74	14,680	300	$50	$48.7K
0502F	No Summary found for this code	28	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…	32	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…	26	1,270	370	$40	$40.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	55	14,190	280	$20	$38.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	41	1,670	160	$40	$26.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	67	1,590	110	$40	$21.4K

Showing 1–10 of 77

Related Providers

Other providers that share a Tax Identification Number (TIN) with Heartland Community Health Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$10.3M
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$7M
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$5.1M
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$3.4M
Aftab Qazi	CA	Family Medicine Physician	$88.7K	$540.6K
Umair Ahmed	IN	Hospitalist Physician	$434.6K	$9.4K
Rachael Davis	IL	Pulmonary Disease Physician	$140.4K	$134.4K
Joshua Croland	IL	Obstetrics & Gynecology Physician	$111.5K	$40.9K
Rebecca Byler Dann	IL	Gynecologic Oncology Physician	$38.4K	$40.9K
Zohair Ahmed	IL	Gastroenterology Physician	$76.2K	$0

Nearby Providers

Other providers in the same ZIP code as Heartland Community Health Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Service Center	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.7M
Peoria School District 150	IL	Local Education Agency (LEA)	$0	$4.3M
Alexander Adler	IL	Cardiovascular Disease Physician	$115.4K	$189.7K
Marc Knepp	IL	Pediatric Cardiology Physician	$4.9K	$214.3K
Matthew Mcmillin	IL	Family Medicine Physician	$70.5K	$145.3K
Timothy Oconnor	IL	Transplant Surgery Physician	$207.4K	$1.3K
Kavya Moravineni	IL	Neurology Physician	$200.8K	$1.8K
Todd Mccall	IL	Neurological Surgery Physician	$150.7K	$17.1K
Timothy Pflederer	IL	Nephrology Physician	$90K	$50.9K
Sarah Kneip	IL	Nurse Practitioner	$116.6K	$14.1K

Heartland Community Health Clinic — Billing Profile & Reimbursement Data

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Heartland Community Health Clinic — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References