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.

Vna Health Care (NPI 1700910981)

Field	Value
Entity Type	Organization
Organization	Vna Health Care
Address	400 N Highland Ave
City	Aurora
State	IL
ZIP	60506
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 16, 2007

Payer Source	Total Paid
Medicaid	$42.8M
Medicare	$0

Key Findings

VNA HEALTH CARE is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and the organization reports $42.8M in total Medicaid revenue, indicating Medicaid is the dominant and likely primary payer for its operations. This payer concentration makes the provider’s financial profile and service mix highly sensitive to Medicaid policy and reimbursement changes.

Revenue is extremely concentrated in a single procedure line: the top three Medicaid codes account for 99.7% of the provider’s Medicaid revenue, with T1015 alone representing $42.4M (99.0% of total Medicaid revenue) and 305.2K claims. That level of concentration means clinic encounter payments drive the vast majority of billed Medicaid dollars.

The code mix is consistent with a high‑volume ambulatory primary care and preventive services operation typical of a Federally Qualified Health Center: T1015 (clinic visit/encounter, all‑inclusive) dominance plus substantial vaccine administration codes suggest routine primary care, pediatric/adolescent immunization, and bundled clinic encounter billing are the core service lines. Vaccination and basic E/M services appear to be delivered at scale alongside the all‑inclusive clinic encounters.

On competitive standing for its top revenue driver, the provider is a statewide outlier: T1015 ranks #11 of 846 providers in Illinois (99th percentile; extreme outlier), indicating VNA HEALTH CARE bills far more clinic encounter revenue than typical in‑state peers and functions as a major clinic provider for Medicaid enrollees. This ranking signals substantial scale relative to other FQHCs and community clinics in the state for that specific payment category.

Preventive vaccination activity is a clear secondary operational focus: multiple vaccine codes show high claim volumes and elevated state percentiles — for example, 90651 (4.6K claims, $27.4K revenue, ranks #12 of 773, 99th percentile), 90716 (5.2K claims, $20.8K revenue, ranks #6 of 411, 99th percentile), and 90670 (6.4K claims, $12.9K revenue, ranks #23 of 989, 98th percentile). These patterns indicate robust immunization programs (pediatric and adolescent vaccines included) that support population health and preventive care activities.

The provider offers some behavioral health services but they are not a major revenue driver: T1040 (Medicaid certified community behavioral health clinic services, per diem) accounts for $240K (0.6% of Medicaid revenue) and ranks #29 of 191 in‑state (85th percentile), which suggests a modest but present behavioral health service line consistent with some certified community behavioral health clinic activity.

Several encounter/measure and E/M codes have very large claim counts but report $0 average paid/claim, including 3078F, 1160F, 3074F, 1159F and 99213 (158.3K claims, $0 avg paid/claim). These items show extensive encounter and quality‑measure reporting or non‑paid line items that contribute to administrative volume without directly increasing paid Medicaid revenue. Analysts should treat high claim volumes for $0‑paid codes as indicators of reporting intensity rather than paid revenue contribution.

The provider’s NPI has been active for a long period (enumerated 2007-03-16 (~19 years ago)), which, combined with an FQHC taxonomy and the concentrated Medicaid revenue profile, points to an established community safety‑net clinic built around high-volume, Medicaid‑funded outpatient encounters and preventive services. This tenure supports the interpretation of sustained operational scale rather than a recent buildup in activity.

Medicaid: Complete Services Breakdown

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

101 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	305,180	$140	$42.4M
T1040	Medicaid certified community behavioral health clinic services, per diem	3,430	$70	$240K
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,…	4,560	$10	$27.4K
90734	The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…	3,380	$10	$23.6K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	40	$520	$21.7K
90716	The provider administers a live vaccine subcutaneously to protect against varicella infection.	5,190	$1	$20.8K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	30	$600	$15.7K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	6,430	$1	$12.9K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	4,250	$1	$12.8K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	1,790	$10	$10.7K

Showing 1–10 of 101

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

Vna Health Care — 12 of 20 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

101 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	11	850	7,490	$120	$3.9M
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	7	10	120	$830	$372.2K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	206	360	600	$30	$165.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	208	360	630	$30	$165K
T1040	Medicaid certified community behavioral health clinic services, per diem	29	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…	404	1,180	370	$90	$109.7K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	14	40	20	$630	$97.6K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	50	400	550	$20	$90.8K
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…	6	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…	23	960	330	$30	$51K

Showing 1–10 of 101

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$22.7M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$18.5M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$14M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$5.4M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$5.1M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$4M
Kristi Becker	IL	Family Nurse Practitioner	$300.9K	$0
Sujay Bangarulingam	IL	Pulmonary Disease Physician	$114K	$133K
Romy Patel	IL	Anesthesiology Physician	$41.7K	$15K
Melissa Verdecchia	IL	Family Nurse Practitioner	$8.2K	$7.8K

Nearby Providers

Other providers in the same ZIP code as Vna Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Association For Individual Development	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.8M
Family Counseling Service Of Aurora	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$25.6M
Aurora West 129	IL	Local Education Agency (LEA)	$0	$7.6M
Shweta Kamal	IL	General Practice Dentistry	$0	$4.2M
Goat Mass Swabs Inc	IL	Clinical Medical Laboratory	$161.3K	$3.7M
Association For Individual Development	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Sravani Thikkavarapu	IL	Dentist	$0	$3.1M
Dreyer Ambulatory Surgery Center, LLC	IL	Ambulatory Surgical Clinic/Center	$1.3M	$0
Richard Zak	IL	Ophthalmology Physician	$526.2K	$460
John Lamiot	IL	Foot & Ankle Surgery Podiatrist	$128.8K	$354.4K

Vna Health Care — 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