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.

Greater Family Health (NPI 1720142557)

Field	Value
Entity Type	Organization
Organization	Greater Family Health
Address	370 Summit St
City	Elgin
State	IL
ZIP	60120
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$82M
Medicare	$0

Key Findings

GREATER FAMILY HEALTH is functionally a Medicaid-centered FQHC: it reports no Medicare billing on file and $82M in total Medicaid revenue, indicating an effectively single-payer (Medicaid) operating footprint concentrated on low‑income and non‑Medicare populations. Its NPI was enumerated 2006-12-19 (~20 years ago), showing it is an established provider with roughly two decades of billing history in this market.

Medicaid revenue is extremely concentrated in a single service line: T1015 (Clinic visit/encounter, all-inclusive) generates $80.7M and 545.2K claims, accounting for 98.4% of the provider's total Medicaid revenue and making up the vast majority of billed activity. A precomputed summary confirms the top 3 Medicaid codes account for 99.3% of lifetime Medicaid revenue, so financial performance and utilization are highly dependent on T1015 reimbursement and volume.

The T1015 profile signals an all‑inclusive, high‑volume primary care clinic model consistent with FQHC operations: the code’s high claim count (545.2K) with a $148 avg paid/claim suggests routine per‑encounter, bundled clinic payments rather than fee‑for‑service specialty procedures. This implies GREATER FAMILY HEALTH’s business model centers on visit-based primary care and related wraparound services rather than procedural or inpatient revenue streams.

Competitive standing for T1015 is dominant within Illinois: the provider ranks #6 of 846 in-state (99th percentile) and is described as an extreme outlier and far above typical state volume for this code, indicating it is one of the largest clinic-visit billers in the state and likely a major access point for Medicaid beneficiaries. That statewide dominance for this single code underscores how critical maintaining clinic access and capacity is to the organization’s market position.

The secondary Medicaid codes (59409 and T1040) are small in revenue but reveal service breadth: 59409 (hospital admission for delivery and related labor management) produced $406.1K (440 claims), and T1040 (community behavioral health clinic per diem) generated $369.9K (5.3K claims), each representing 0.5% of total Medicaid revenue. These volumes suggest the organization provides some maternal health and certified community behavioral health services in addition to primary care, though neither is a material revenue driver compared with T1015.

Immunization and preventive care volumes are notable even if they are low-revenue lines: multiple vaccine codes (e.g., 90670 with 17.6K claims, 90651 with 11.9K claims, 90716 with 7.4K claims, 90710 with 6.4K claims, and 90651/90715 among others) appear as extreme outliers in state ranks, indicating exceptionally high immunization throughput. The pattern points to a strong pediatric/adolescent and population-health focus typical of FQHCs—high service volume for vaccines that support public health goals but contribute little to total revenue.

Concentration risk and operational sensitivity are material: with 98.4% of Medicaid revenue tied to T1015 and the top 3 codes accounting for 99.3% of Medicaid revenue, any policy, reimbursement, or coding change affecting T1015 or its eligibility could disproportionately impact the provider’s financial stability. Analysts should treat changes to clinic encounter payment policy as a primary risk factor when modeling future revenue for this entity.

Although Medicare billing is absent, the provider’s in-state competitive metrics vary by service: for its high-volume codes GREATER FAMILY HEALTH is an extreme outlier or top‑percentile performer (e.g., T1015 rank #6/846 at the 99th percentile), while many other procedure codes show typical or modest statewide rankings. This mixed profile suggests the organization is a regional leader for bundled clinic visits and immunizations but a modest participant for many ancillary codes and procedures.

Medicaid: Complete Services Breakdown

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

108 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	545,230	$150	$80.7M
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…	440	$920	$406.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	5,280	$70	$369.9K
D0999	N/A	3,100	$100	$322.6K
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…	6,710	$1	$26.8K
0071A	N/A	540	$40	$22.6K
0072A	N/A	490	$40	$20.7K
0012A	N/A	480	$40	$19.2K
90710	This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox).	6,380	$1	$19.1K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	2,950	$10	$17.7K

Showing 1–10 of 108

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

Greater Family Health — 10 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

108 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	850	7,490	$120	$3.9M
D0999	N/A	80	220	1,090	$110	$610.1K
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…	16	170	50	$910	$144.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	13	190	880	$70	$128.2K
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…	189	760	140	$110	$67.3K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	29	40	30	$880	$63.9K
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…	450	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…	24	14,680	300	$50	$48.7K
0502F	No Summary found for this code	201	1,170	550	$30	$48.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6	1,380	370	$40	$46.2K

Showing 1–10 of 108

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Family Health	IL	Federally Qualified Health Center (FQHC)	$0	$10.8M
Greater Family Health	IL	Federally Qualified Health Center (FQHC)	$0	$5.1M
Greater Family Health	IL	Federally Qualified Health Center (FQHC)	$0	$4M
Randall Kahan	IL	Obstetrics & Gynecology Physician	$75.4K	$135.2K
Veronica Pappas	IL	Family Nurse Practitioner	$45.3K	$35K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Elgin	IL	Land Ambulance	$873K	$34.5M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$18.5M
Rapid Healthcare Laboratory LLC	IL	Clinical Medical Laboratory	$2.4M	$7.4M
School District U46	IL	Local Education Agency (LEA)	$0	$6.5M
Amjad Mahairi	IL	Dentist	$0	$4.6M
Gloria Ma	IL	Anatomic Pathology & Clinical Pathology Physician	$87.6K	$3.9M
Maurice Binns	IL	Emergency Medicine Physician	$65.5K	$522.5K
Alex Sanchez	IL	Geriatric Medicine (Internal Medicine) Physician	$361.7K	$182.9K
Heena Shyamani	IL	Internal Medicine Physician	$313.3K	$59.6K
Chadi Yaacoub	IL	Anesthesiology Physician	$155.2K	$230

Greater Family Health — Billing Profile & Reimbursement Data

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Greater Family Health — 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