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.

The South Suburban Council On Alcoholism And Substance Abuse (NPI 1710049820)

Field	Value
Entity Type	Organization
Organization	The South Suburban Council On Alcoholism And Substance Abuse
Address	1909 174th St
City	Hazel Crest
State	IL
ZIP	60429
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	34,690	$70	$2.4M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	7,650	$120	$926.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	4,690	$70	$323.9K
H0006	Alcohol and/or drug services; case management	2,930	$40	$102.6K
T1016	Case management, each 15 minutes	260	$20	$5.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$90	$2.3K

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

The South Suburban Council On Alcoholism And Substance Abuse — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	297	800	2,480	$90	$962.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	17	240	2,810	$60	$602.7K
T1016	Case management, each 15 minutes	351	470	1,830	$60	$475.9K
H0006	Alcohol and/or drug services; case management	2	10	620	$40	$194.2K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	6	330	210	$110	$97.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	542	750	60	$50	$19.9K

Nearby Providers

Other providers in the same ZIP code as The South Suburban Council On Alcoholism And Substance Abuse, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aunt Martha's Health And Wellness, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$5.6M
Village Of Hazel Crest	IL	Land Ambulance	$148.4K	$4.9M
Recovery Concepts LLC	IL	Substance Use Disorder Rehabilitation Clinic/Center	$189K	$728.7K
Krishna Sunkara	IL	Pulmonary Disease Physician	$157.8K	$391K
Charles Van Slambrouck	IL	Anatomic Pathology & Clinical Pathology Physician	$78.7K	$194.1K
Desarey Sims	IL	Nurse Practitioner	$2K	$261.9K
Andrea Pawlak	IL	Nurse Practitioner	$1.7K	$193.6K
Ayman Alzubi	IL	Gastroenterology Physician	$65.3K	$89.9K
Agop Tepeli	IL	Pulmonary Disease Physician	$54K	$100.4K
Amarjit Bhasin	IL	Neurology Physician	$84.6K	$0

The South Suburban Council On Alcoholism And Substance Abuse — Billing Profile & Reimbursement Data

Sign up for The South Suburban Council On Alcoholism And Substance Abuse — Billing Profile & Reimbursement Data policy alerts

The South Suburban Council On Alcoholism And Substance Abuse — Billing Profile & Reimbursement Data

Sign up for The South Suburban Council On Alcoholism And Substance Abuse — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References