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.

Sinnissippi Centers, Inc. (NPI 1710436878)

Field	Value
Entity Type	Organization
Organization	Sinnissippi Centers, Inc.
Address	325 Il Route 2
City	Dixon
State	IL
ZIP	61021
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 29, 2016

Payer Source	Total Paid
Medicaid	$48.6M
Medicare	$0

Key Findings

SINNISSIPPI CENTERS, INC. operates with effectively single‑payer exposure: Medicare billing is listed as none while total Medicaid revenue is $48.6M, so all reported federal-fee-for-service activity on file is through Medicaid. This concentration means payer negotiation and financial performance will be driven primarily by state Medicaid policy and rates rather than Medicare dynamics.

Revenue is highly concentrated in a few behavioral‑health service lines: the precomputed top three Medicaid codes account for 69.5% of the provider's Medicaid revenue. Those top codes are H0004 ($14.7M, 30.2%), H2015 ($12.5M, 25.7%), and H2016 ($6.6M, 13.5%), indicating a small set of services drives the majority of cash flow.

The code mix and volumes indicate a community‑based, high‑contact behavioral health operation: H0004 (behavioral health counseling and therapy, per 15 minutes) has 177K claims at $83 avg and H2015 (comprehensive community support services, per 15 minutes) has 208K claims at $60 avg, while H2016 (comprehensive community support services, per diem) contributes large per‑day revenue. This combination of very high per‑15‑minute contacts plus per‑diem billing suggests day‑programs and frequent short visits delivered at scale, consistent with a community mental health center model.

State competitive standing is strong and concentrated around the top services: H0004 ranks #5 of 804 providers in‑state (100th percentile; extreme outlier) and H2015 ranks #2 of 431 providers in‑state (100th percentile; extreme outlier), positioning the organization as a dominant statewide provider for those two codes. By contrast, H2016 ranks #8 of 58 providers (88th percentile) which is described as typical/unremarkable for that code, indicating dominance is focused on high‑volume, per‑15‑minute community services rather than per‑diem programs.

Beyond the top three, several secondary codes support a broader care continuum and add material revenue: H2000 (comprehensive multidisciplinary evaluation) generates $5.2M (10.6%) with 57.9K claims and ranks #6 of 423 (99th percentile; extreme outlier), while T1016 (case management, each 15 minutes) contributes $2.8M (5.7%) with 62K claims and ranks #12 of 465 (98th percentile; notably above typical state volume). These patterns show the provider supplies evaluations, case management, and crisis services in addition to therapy and community supports.

Operational scale and intensity are evident from claim counts and unit types: hundreds of thousands of short‑interval claims (e.g., 208K claims for H2015 and 177K for H0004) imply workflows built around frequent, time‑based encounters and a staffing model that supports many brief contacts per client. Telehealth and medication support are present but much smaller in revenue share (e.g., Q3014 revenue $39.8K and H2010 revenue $752.4K), indicating primary reliance on in‑person or community‑based time‑unit services.

The provider has an established presence with its NPI enumerated on 2016-09-29 (~10 years ago), which combined with dominant state rankings for several high‑volume codes suggests a sustained operational footprint in Illinois behavioral health service delivery. This tenure supports conclusions that the observed high volumes are ongoing programmatic activity rather than a transient billing spike.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	177,000	$80	$14.7M
H2015	Comprehensive community support services, per 15 minutes	208,040	$60	$12.5M
H2016	Comprehensive community support services, per diem	54,410	$120	$6.6M
H2000	Comprehensive multidisciplinary evaluation	57,900	$90	$5.2M
H2011	Crisis intervention service, per 15 minutes	19,830	$200	$4M
T1016	Case management, each 15 minutes	62,030	$50	$2.8M
S9484	Crisis intervention mental health services, per hour	5,330	$250	$1.3M
H2010	Comprehensive medication services, per 15 minutes	27,870	$30	$752.4K
H0034	Medication training and support, per 15 minutes	9,540	$50	$429.4K
H0031	Mental health assessment, by non-physician	1,300	$80	$98.8K

Showing 1–10 of 20

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

Sinnissippi Centers, Inc. — 5 of 18 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	8	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	2	430	3,260	$80	$1.3M
S9484	Crisis intervention mental health services, per hour	19	80	1,600	$260	$972.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	5	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	13	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	6	420	1,450	$100	$631.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	52	60	5,920	$50	$621.3K
T1016	Case management, each 15 minutes	12	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	18	110	1,030	$40	$179.2K
H2010	Comprehensive medication services, per 15 minutes	10	250	690	$30	$145.6K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sinnissippi Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sinnissippi Centers, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.2M
James Daly	IL	Psychiatry Physician	$23.1K	$1.1M
Dara Pumphrey-ruiz	MA	Psychiatry Physician	$19.9K	$625.6K
Debbie Kelly	IL	Psychiatric/Mental Health Nurse Practitioner	$14.8K	$436.8K

Nearby Providers

Other providers in the same ZIP code as Sinnissippi Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Illinois Correctional Industries	IL	Eyewear Supplier	$0	$3.5M
Advance Ems Of Dixon, Inc.	IL	Ambulance	$449.6K	$1.8M
Monther El Bzour	IL	Cardiovascular Disease Physician	$231.2K	$177.2K
Sohail Hanif	IL	Cardiovascular Disease Physician	$196K	$109K
Eric Simpson	IL	Urology Physician	$103.5K	$1.9K
Lakshmi Dundoo	IL	Obstetrics & Gynecology Physician	$140	$3.7K

Sinnissippi Centers, Inc. — Billing Profile & Reimbursement Data

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Sinnissippi Centers, Inc. — 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