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.

Knox Community Health Center Nfp (NPI 1649526773)

Field	Value
Entity Type	Organization
Organization	Knox Community Health Center Nfp
Address	1361 W Fremont St
City	Galesburg
State	IL
ZIP	61401
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 26, 2012

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0999	N/A	18,620	$110	$2M
T1015	Clinic visit/encounter, all-inclusive	20,630	$90	$1.8M
T1040	Medicaid certified community behavioral health clinic services, per diem	4,900	$70	$362.3K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	930	$20	$21.5K
D1120	Prophylaxis–child	5,420	$1	$16.3K
D0140	Limited oral evaluation – problem focused	3,680	$1	$7.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,130	$1	$4.3K
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…	2,860	$1	$2.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,170	$1	$2.2K
D2392	Post 2 surface resin‑based composite	1,720	$1	$1.7K

Showing 1–10 of 46

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

Knox Community Health Center Nfp — 1 of 14 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	264	850	7,490	$120	$3.9M
D0999	N/A	21	220	1,090	$110	$610.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	16	190	880	$70	$128.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	366	1,180	370	$90	$109.7K
D1120	Prophylaxis–child	263	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	492	1,270	530	$60	$87.1K
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…	306	760	140	$110	$67.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	321	490	160	$100	$64.4K
D0120	Periodic oral evaluation - established patient	311	2,170	1,010	$30	$64.3K
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…	80	960	330	$30	$51K

Showing 1–10 of 46

Nearby Providers

Other providers in the same ZIP code as Knox Community Health Center Nfp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Galesburg Hospitals' Ambulance Service	IL	Ambulance	$1.3M	$7.2M
Bridgeway Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6M
St Mary Medical Center	IL	Home Health Agency	$0	$5.1M
Nestor Pamatmat	IL	Anatomic Pathology & Clinical Pathology Physician	$33.9K	$1.3M
Vladimir Strunin	IL	Obstetrics & Gynecology Physician	$46K	$559.3K
Julio Santiago	IL	Family Medicine Physician	$136.9K	$392.2K
Usman Cheema	IL	Pulmonary Disease Physician	$222K	$132.4K
Linda Auer	IL	Ophthalmology Physician	$223.7K	$56.8K
Sam Fayman	IL	Dermatology Physician	$247.9K	$0
Jeffrey Hershkowitz	IL	Internal Medicine Physician	$19.4K	$223.6K

Knox Community Health Center Nfp — Billing Profile & Reimbursement Data

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Knox Community Health Center Nfp — 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