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.

Primo Center For Women And Children (NPI 1699065813)

Field	Value
Entity Type	Organization
Organization	Primo Center For Women And Children
Address	6212 S Sangamon St
City	Chicago
State	IL
ZIP	60621
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 8, 2011

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	20,340	$120	$2.4M
T1016	Case management, each 15 minutes	20,210	$90	$1.8M
H2000	Comprehensive multidisciplinary evaluation	4,670	$210	$994.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	8,800	$110	$924K
H2011	Crisis intervention service, per 15 minutes	20	$140	$2.7K
H2010	Comprehensive medication services, per 15 minutes	40	$60	$2.4K
H0031	Mental health assessment, by non-physician	20	$130	$1.9K
H0032	Mental health service plan development by non-physician	10	$70	$940

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

Primo Center For Women And Children — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	100	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	209	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	140	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	131	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	47	470	1,830	$60	$475.9K
H2010	Comprehensive medication services, per 15 minutes	221	250	690	$30	$145.6K
H0031	Mental health assessment, by non-physician	217	220	190	$90	$33.7K
H0032	Mental health service plan development by non-physician	214	220	190	$60	$20.2K

Nearby Providers

Other providers in the same ZIP code as Primo Center For Women And Children, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beloved Community Family Wellness Center	IL	Federally Qualified Health Center (FQHC)	$0	$12.2M
Eva Mae Recovery Hope Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$208.8K	$7.2M
Cook County	IL	Primary Care Clinic/Center	$0	$6.3M
Anuj Jain	IL	Family Medicine Physician	$140.8K	$3.9M
Krish Venoo	IL	Surgery Physician	$205.1K	$157.8K
Lori Riley	IL	Family Medicine Physician	$340.7K	$17.2K
Rosita Hernandez	IL	Internal Medicine Physician	$152.7K	$3.2K

Primo Center For Women And Children — Billing Profile & Reimbursement Data

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Primo Center For Women And Children — 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