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.

Envision Unlimited (NPI 1568954105)

Field	Value
Entity Type	Organization
Organization	Envision Unlimited
Address	4411 N Ravenswood Ave Fl 1
City	Chicago
State	IL
ZIP	60640
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 30, 2018

Payer Source	Total Paid
Medicaid	$23.5M
Medicare	$0

Key Findings

ENVISION UNLIMITED reports no Medicare billing on file and $23.5M in lifetime Medicaid revenue, making it effectively a Medicaid-centric provider based on the available claims data. The absence of Medicare activity indicates payer concentration risk tied to state Medicaid programs rather than federal Medicare revenues.

Revenue is highly concentrated: the top three Medicaid codes (H2015, H2017, H0039) account for 76.4% of the provider's total Medicaid revenue. H2015 alone generates $13M (55.3% of Medicaid revenue), with H2017 at $2.7M (11.4%) and H0039 at $2.3M (9.7%), showing the business depends heavily on a small set of community-based behavioral health services.

The code mix indicates a programmatic focus on intensive, community-based behavioral health: H2015 (comprehensive community support services, per 15 minutes) and H2017 (psychosocial rehabilitation, per 15 minutes) are the top revenue drivers, and H0039 (assertive community treatment, per 15 minutes) is also material. This pattern suggests operations organized around frequent, time‑based therapeutic and support visits rather than episodic inpatient or medical procedures.

Competitive standing is strong for several high-volume ambulatory behavioral services in Illinois: H2015 ranks #11 of 431 providers statewide (98th percentile), and H2017 ranks #3 of 58 providers (96th percentile), indicating the provider is a major in-state supplier for those service lines. By contrast, H0039 ranks #22 of 47 (54th percentile), which is typical volume for that specific service, so dominance is concentrated in particular community-support and rehab codes rather than uniformly across all ACT services.

Several codes are flagged as statistical outliers in state comparisons: H0034 (medication training and support) is described as an "extreme outlier" and ranks #3 of 112 providers (98th percentile), while H2015 is "notably above typical" state volume. Other codes such as H0039 and H2016 are characterized as "typical, unremarkable" (54th and 40th percentiles respectively), showing that outlier status is code-specific rather than system-wide.

Beyond the top three, the provider records additional meaningful Medicaid revenue across related community services—H0034 $1.5M (6.5%), T1016 $1.3M (5.7%), H0004 $1.1M (4.9%), and H2016 $1M (4.3%)—which together indicate a breadth of community support, case management, and therapy offerings that complement the dominant per‑15‑minute service lines. This mix provides some revenue diversification within behavioral health, even though the top three codes still drive the majority of revenue.

Operationally, the service mix (multiple high-volume per‑15‑minute codes plus per‑diem H2016) implies staffing and scheduling optimized for frequent, time-based encounters and multidisciplinary teams. Payer contracting, staffing models, and capacity planning are likely tuned to sustained outpatient/community visit volume rather than short episodic encounters.

ENVISION UNLIMITED was enumerated on 2018-05-30 (~8 years ago) and has, within that timeframe, built a $23.5M Medicaid revenue profile that positions it as an established Medicaid behavioral health provider in Chicago. The combination of relatively recent enumeration and high rankings on key community-support codes suggests rapid scaling in specific service lines since enrollment.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	108,160	$120	$13M
H2017	Psychosocial rehabilitation services, per 15 minutes	40,550	$70	$2.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	15,530	$150	$2.3M
H0034	Medication training and support, per 15 minutes	35,480	$40	$1.5M
T1016	Case management, each 15 minutes	19,770	$70	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	11,630	$100	$1.1M
H2016	Comprehensive community support services, per diem	8,730	$120	$1M
H2000	Comprehensive multidisciplinary evaluation	6,230	$80	$517.3K
H2010	Comprehensive medication services, per 15 minutes	660	$30	$18.5K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	20	$30	$430

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

Envision Unlimited — 3 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	22	50	14,910	$140	$4.1M
H2016	Comprehensive community support services, per diem	35	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	11	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	183	800	2,480	$90	$962.2K
H2000	Comprehensive multidisciplinary evaluation	110	420	1,450	$100	$631.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	3	60	5,920	$50	$621.3K
T1016	Case management, each 15 minutes	48	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	3	110	1,030	$40	$179.2K
H2010	Comprehensive medication services, per 15 minutes	128	250	690	$30	$145.6K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	232	230	2,330	$10	$66.5K

Nearby Providers

Other providers in the same ZIP code as Envision Unlimited, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Counseling Centers Of Chicago	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$41.1M
The Thresholds	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$33.9M
Heartland Alliance Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
Lester And Rosalie Anixter Center	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.1M
Ab4u, Inc.	IL	Durable Medical Equipment & Medical Supplies	$0	$6.5M
Shephali Patel	IL	Psychiatry Physician	$186.4K	$3.8M
Sundance Methadone Treatment Center,llc	IL	Methadone Clinic	$164.3K	$3.1M
Victor C. Neumann Association	IL	Community/Behavioral Health Agency	$0	$3.3M
Erie Family Health Center, Inc	IL	Federally Qualified Health Center (FQHC)	$0	$2.9M
Jody Reed	IL	Psychiatry Physician	$128.4K	$2.6M

Envision Unlimited — Billing Profile & Reimbursement Data

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Envision Unlimited — 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