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    The Board Of Trustees Of The University Of Illinois — Billing Profile & Reimbursement Data

    NPI 1669493466 · Chicago, IL · Federally Qualified Health Center (FQHC)

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    Table of contents

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    The Board Of Trustees Of The University Of Illinois is a federally qualified health center (fqhc) provider located in Chicago, Illinois. This profile covers 0 Medicare and 153 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Board Of Trustees Of The University Of Illinois
    Address1220 S. Wood Street
    CityChicago
    StateIL
    ZIP60608
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJuly 21, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$72.7M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer on file: there is no Medicare billing on file and all recorded government revenue is Medicaid totaling $72.7M. The absence of Medicare revenue means Medicaid policy, participation and reimbursement changes are likely to have outsized impact on this entity's financials and contracting leverage.

    Revenue is extremely concentrated in a single encounter payment model: the top 3 Medicaid codes account for 98.6% of this provider's total Medicaid revenue, with T1015 alone generating $69.9M (96.5% of Medicaid revenue). That concentration indicates the organization's financial performance is driven almost entirely by a single code class rather than a diversified procedure mix.

    The code mix and taxonomy align with an FQHC-style, encounter-based operating model: T1015 (Clinic visit/encounter, all‑inclusive) dominates revenue and the provider is listed as a Federally Qualified Health Center (FQHC). This pattern suggests services are delivered under bundled or all‑inclusive clinic encounters typical of community health centers rather than fee‑for‑service specialty procedures.

    Behavioral health is a visible service line embedded in the clinic model: T1040 (community behavioral health clinic per diem) accounts for $912.9K (1.3% of Medicaid revenue) and 90792, 90832, 90834 and 90791 also appear in the top codes list. Several of those behavioral health codes are described as extreme outliers or notably above typical state volume, supporting a substantive integrated behavioral health footprint within the FQHC structure.

    The provider operates on very high volume with low per‑claim Medicaid payments: for example 99213 shows 200.3K claims at $3 avg paid/claim ($600.8K revenue) and 99214 shows 53K claims at $5 avg paid/claim ($265K revenue). These entries indicate revenue is volume‑driven through frequent, low‑unit encounters rather than high‑margin procedures, consistent with primary care and clinic visit reimbursement patterns.

    Statewide competitive standing is strong across multiple outpatient and preventive codes: T1015 ranks #7 of 846 providers in‑state (99th percentile; extreme outlier) and 99213 ranks #9 of 14,191 providers in‑state (100th percentile; extreme outlier). Numerous other codes (eg, 90471, 90472, 99393, 99392, 99394) also sit in the 95th–100th percentile range, indicating this provider is a dominant volume player among Illinois Medicaid providers for clinic encounters, immunizations and pediatric/preventive visits.

    Preventive care, pediatric well visits and immunizations are material operational capabilities: high claim counts for immunization codes (90471: 53.1K claims; 90472: 21.7K claims; 91320: 735 claims) and well-child/preventive codes (99393: 13.9K claims; 99392: 13.1K claims) point to substantial vaccination and child preventive service throughput. Many of these codes are ranked in the top percentiles in‑state (some labeled extreme outlier), reinforcing a broad primary-care and public‑health role.

    The provider has long tenure in the NPI file (enumerated 2006-07-21, ~20 years ago), which implies an established operational presence; however, the combination of long tenure with extreme revenue concentration (T1015 at $69.9M and top 3 codes = 98.6%) creates a strategic vulnerability to Medicaid reimbursement or policy changes affecting FQHC encounter payments. Analysts should treat the organization as a large, stable Medicaid FQHC operator with single‑payer concentration risk rather than a diversified multi‑payer provider.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    153 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive472,580$150$69.9M
    T1040Medicaid certified community behavioral health clinic services, per diem13,230$70$912.9K
    99213The 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…200,280$1$600.8K
    99214The 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…53,010$10$265K
    D0999N/A880$120$109.1K
    90792In 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…5,510$20$104.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…48,370$1$96.7K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.740$100$75K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.53,100$1$53.1K
    99203The provider sees a new 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 provider…14,930$1$44.8K

    Showing 1–10 of 153

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    153 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive78507,490$120$3.9M
    D0999N/A1182201,090$110$610.1K
    T1040Medicaid certified community behavioral health clinic services, per diem4190880$70$128.2K
    90837In 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…2691,180370$90$109.7K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies334020$630$97.6K
    D1120Prophylaxis–child1,7832,140960$40$89.1K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…122360300$50$67.4K
    90792In 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…13760140$110$67.3K
    D0120Periodic oral evaluation - established patient1,9682,1701,010$30$64.3K
    90832In 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…9960330$30$51K

    Showing 1–10 of 153

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with The Board Of Trustees Of The University Of Illinois, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frederick BehmILAnatomic Pathology & Clinical Pathology Physician$440$32.3M
    The Board Of Trustees Of The University Of IllinoisILInternal Medicine Physician$0$11.9M
    Michael MiloroILOral & Maxillofacial Surgery (D.M.D.)$0$9.5M
    Sally Campbell-leeILClinical Pathology Physician$0$8.7M
    The Board Of Trustees Of The University Of IllinoisILFederally Qualified Health Center (FQHC)$0$7.1M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Guillermo FontILMaternal & Fetal Medicine Physician$0$4.9M
    Randall McgivneyILClinical Pathology/Laboratory Medicine Physician$27.6K$4.1M
    Omprakash SawlaniILPediatrics Physician$0$3.3M
    Ru-ik CheeNYSurgery Physician$1M$2M

    Nearby Providers

    Other providers in the same ZIP code as The Board Of Trustees Of The University Of Illinois, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pilsen Little Village Community Mental Health Center, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$110.7M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$40M
    Russell FiorellaILClinical Pathology/Laboratory Medicine Physician$4K$17.3M
    Mount Sinai Hospital Medical CenterILMental Health Clinic/Center (Including Community Mental Health Center)$0$15.6M
    Alivio Medical Center, Inc.ILFederally Qualified Health Center (FQHC)$0$12.3M
    Alivio Medical Center, Inc.ILFederally Qualified Health Center (FQHC)$0$12M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$11.7M
    Easter Seals Metropolitan ChicagoILCase Management Agency$0$8.9M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$7.6M
    Catholic Charities Of The Archdiocese Of ChicagoILMental Health Clinic/Center (Including Community Mental Health Center)$0$6.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    The Board Of Trustees Of The University Of Illinois — 20 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois