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.

Pilsen Little Village Community Mental Health Center, Inc. (NPI 1588840045)

Field	Value
Entity Type	Organization
Organization	Pilsen Little Village Community Mental Health Center, Inc.
Address	2316 S Damen Ave
City	Chicago
State	IL
ZIP	60608
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 15, 2008

Payer Source	Total Paid
Medicaid	$110.7M
Medicare	$0

Key Findings

PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $110.7M in lifetime Medicaid revenue, indicating the organization operates as a near-single-payer Medicaid provider in scale. The absence of Medicare activity suggests its clinical and billing footprint is concentrated entirely within state behavioral health programs rather than dual Medicare/Medicaid service lines.

Revenue is highly concentrated in a small set of Medicaid service codes: the top three codes H0004, H2015, and H2000 together account for 70.9% of this provider's total Medicaid revenue. Specifically, H0004 generated $36.4M (32.9% of Medicaid revenue), H2015 generated $22.8M (20.6%), and H2000 generated $19.3M (17.5%), which shows a heavy dependence on these core outpatient and community support services.

The code mix points to an operational model built around high-volume behavioral health counseling, community support, and multidisciplinary evaluation. H0004 (behavioral health counseling and therapy, per 15 minutes) is the single largest revenue driver and, together with H2015 (comprehensive community support services) and H2000 (comprehensive multidisciplinary evaluation), implies sustained outpatient therapy throughput, extensive community-based supports, and systematic intake/assessment workflows.

This provider is a dominant statewide player for several Medicaid behavioral-health codes: H0004 ranks #1 of 804 providers in-state (100th percentile; extreme outlier), H2000 ranks #1 of 423 providers (100th percentile; extreme outlier), and H2015 ranks #10 of 431 providers (98th percentile; extreme outlier). Those rank/percentile positions characterize the center as an outlier with materially higher volume and revenue for these services compared with typical state peers.

Claim volumes underscore the operational intensity behind the revenue figures: H0004 shows 321.9K claims, T1016 has 260.1K claims, H2015 has 125.3K claims, and H2000 has 154.7K claims. These very large claim counts indicate continuous, high-frequency service delivery and a large client base requiring repeated short-interval services (15-minute units and case management intervals).

Beyond the top three, the provider also reports outsized statewide positions in other targeted service lines associated with community mental health: H2010 (comprehensive medication services) generated $2.4M and ranks #1 of 250 providers (100th percentile; extreme outlier), and H0032 (service plan development) generated $253.3K and ranks #1 of 221 providers (100th percentile; extreme outlier). Together these rankings indicate the organization offers a broader set of wraparound services (medication services, treatment planning) in addition to therapy and case management.

Although the center demonstrates considerable scale and dominance in several Medicaid codes, its revenue concentration is a notable structural characteristic: the top three codes represent 70.9% of Medicaid revenue, and top-four codes (including T1016 at 16.9%) together form an even larger share. That concentration means changes in reimbursement, program rules, or utilization for those specific services could materially affect the provider's revenue profile.

The provider has an established tenure in the NPI registry, enumerated on 2008-01-15 (~18 years ago), which coupled with its high-volume Medicaid footprint suggests a long-running community mental health operation. Longevity plus the extreme-outlier statewide rankings support the interpretation of a mature, specialized provider embedded in the Illinois Medicaid behavioral health delivery system.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	321,940	$110	$36.4M
H2015	Comprehensive community support services, per 15 minutes	125,280	$180	$22.8M
H2000	Comprehensive multidisciplinary evaluation	154,720	$130	$19.3M
T1016	Case management, each 15 minutes	260,110	$70	$18.7M
H2016	Comprehensive community support services, per diem	45,670	$170	$7.9M
H2010	Comprehensive medication services, per 15 minutes	76,020	$30	$2.4M
H0034	Medication training and support, per 15 minutes	54,910	$30	$1.5M
H2011	Crisis intervention service, per 15 minutes	4,170	$170	$713.4K
H0031	Mental health assessment, by non-physician	3,390	$100	$328.7K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	4,020	$70	$277.2K

Showing 1–10 of 13

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

Pilsen Little Village Community Mental Health Center, Inc. — 8 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	11	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	10	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	1	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	46	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	1	420	1,450	$100	$631.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	41	60	5,920	$50	$621.3K
T1016	Case management, each 15 minutes	1	470	1,830	$60	$475.9K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	13	50	1,770	$60	$223.4K
H0034	Medication training and support, per 15 minutes	1	110	1,030	$40	$179.2K
H2010	Comprehensive medication services, per 15 minutes	1	250	690	$30	$145.6K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Pilsen Little Village Community Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Board Of Trustees Of The University Of Illinois	IL	Federally Qualified Health Center (FQHC)	$0	$72.7M
Esperanza Health Centers	IL	Federally Qualified Health Center (FQHC)	$0	$40M
Russell Fiorella	IL	Clinical Pathology/Laboratory Medicine Physician	$4K	$17.3M
Mount Sinai Hospital Medical Center	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.6M
Alivio Medical Center, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$12.3M
Alivio Medical Center, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$12M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$11.7M
Easter Seals Metropolitan Chicago	IL	Case Management Agency	$0	$8.9M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$7.6M
Catholic Charities Of The Archdiocese Of Chicago	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.5M

Pilsen Little Village Community Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Pilsen Little Village Community Mental Health Center, Inc. — 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