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.

Access Community Health Network (NPI 1699701383)

Field	Value
Entity Type	Organization
Organization	Access Community Health Network
Address	600 W Fulton St
City	Chicago
State	IL
ZIP	60661
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 24, 2006

Payer Source	Total Paid
Medicaid	$122.4M
Medicare	$0

Key Findings

ACCESS COMMUNITY HEALTH NETWORK is effectively a single-payer Medicare/Medicaid participant: there is no Medicare billing on file and reported lifetime Medicaid revenue totals $122.4M, indicating its operations are overwhelmingly supported by Medicaid reimbursement rather than Medicare. This payer mix aligns with its Federally Qualified Health Center (FQHC) taxonomy and suggests a safety-net patient base concentrated in Medicaid-covered populations.

Revenue is extremely concentrated in a single encounter code: the top 3 Medicaid codes together account for 99.2% of the provider's Medicaid revenue, with T1015 alone representing $119.8M and 97.8% of Medicaid revenue. That level of concentration means most of the organization’s billing and cash flow depends on the all-inclusive clinic visit/encounter payment represented by T1015, making reimbursement policy or rate changes for that code a material operational risk.

The provider’s code mix and volumes reflect an FQHC-style primary care and integrated services model: T1015 (Clinic visit/encounter, all-inclusive) dominates revenue, while T1040 (Medicaid certified community behavioral health clinic services, per diem) and obstetric delivery codes such as 59409 appear among the top three revenue drivers. Together these codes indicate routine, high-volume ambulatory encounters with embedded behavioral health and maternity services rather than specialty or inpatient procedural lines.

ACCESS COMMUNITY HEALTH NETWORK ranks as a statewide volume leader for its highest-volume codes: T1015 ranks #2 of 846 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and T1040 ranks #3 of 191 providers in-state (99th percentile; extreme outlier). These standings characterize the provider as a dominant Medicaid clinic visit and community behavioral health per-diem supplier within Illinois rather than a modest participant.

The network also shows elevated volumes in reproductive and family-planning services: J1050 (Injection, medroxyprogesterone acetate) is #1 of 281 providers in-state (100th percentile; extreme outlier) and J7307 (etonogestrel implant system) and J7298 (levonorgestrel IUD) appear on the top list, while 59409 (vaginal delivery) ranks #11 of 174 (94th percentile; notably above typical state volume). These patterns support a strong emphasis on contraception, prenatal and postpartum care in the provider’s service mix.

Preventive and immunization activity is substantial: several vaccine codes show very high claim volumes and top-state ranks—90651 (HPV vaccine) 21.6K claims, $86.2K revenue and ranks #1 of 773 providers (100th percentile; extreme outlier); 90734 (meningococcal) 18.6K claims, $37.3K revenue and ranks #1 of 849 providers (100th percentile; extreme outlier); and 90698 (combination DTaP/Hib/polio) 12.4K claims, $12.4K revenue and ranks #1 of 428 providers (100th percentile; extreme outlier). The immunization footprint suggests active pediatric/adolescent and preventive care programs that drive very large claim counts even if individual vaccine reimbursement per claim is low.

Operationally, the extreme reliance on T1015 and a cluster of high-volume preventive and reproductive services implies the clinic operates as a high-throughput ambulatory safety-net provider: year-to-year revenue fluctuations will be sensitive to Medicaid encounter rate changes, managed-care contract terms, or policy shifts affecting bundled clinic visit payments. Because there is no Medicare billing on file, financial and contracting strategies are likely focused on Medicaid payers and public health vaccination or family-planning programs.

The provider has an established presence in the market, with the NPI enumerated on 2006-06-24 (~20 years ago), which combined with its high statewide ranks suggests long-standing, concentrated Medicaid operations and likely deep ties to local Medicaid networks and community health programs. This tenure supports its position as a high-volume FQHC in Illinois but reinforces the strategic importance of Medicaid reimbursement stability for ongoing operations.

Medicaid: Complete Services Breakdown

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

140 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	782,750	$150	$119.8M
T1040	Medicaid certified community behavioral health clinic services, per diem	14,200	$80	$1.1M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	650	$920	$590.8K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	510	$460	$235.9K
J1050	Injection, medroxyprogesterone acetate, 1 mg	5,910	$30	$189.2K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	370	$390	$144.6K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	21,550	$1	$86.2K
0012A	N/A	1,110	$40	$46.7K
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.	1,970	$20	$45.2K
0011A	N/A	1,190	$40	$44.1K

Showing 1–10 of 140

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

Access Community Health Network — 16 of 25 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

140 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	2	850	7,490	$120	$3.9M
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	2	10	120	$830	$372.2K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	11	170	50	$910	$144.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	3	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…	187	1,180	370	$90	$109.7K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	4	40	20	$630	$97.6K
90833	In 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…	79	360	300	$50	$67.4K
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…	597	760	140	$110	$67.3K
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…	6	960	330	$30	$51K
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…	4	14,680	300	$50	$48.7K

Showing 1–10 of 140

Related Providers

Other providers that share a Tax Identification Number (TIN) with Access Community Health Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$12.6M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$11.9M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$11.7M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$10.8M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.6M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.2M
Sally Campbell-lee	IL	Clinical Pathology Physician	$0	$8.7M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$8.3M

Nearby Providers

Other providers in the same ZIP code as Access Community Health Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raghavendra Rao Sathyanarayana Rao	IL	Surgery Physician	$645.5K	$4K
Siddharth Tambar	IL	Rheumatology Physician	$167.9K	$0

Access Community Health Network — Billing Profile & Reimbursement Data

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Access Community Health Network — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References