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.

Near North Health Service Corporation (NPI 1720404494)

Field	Value
Entity Type	Organization
Organization	Near North Health Service Corporation
Address	1520 N Kostner Ave
City	Chicago
State	IL
ZIP	60651
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 5, 2014

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	29,250	$140	$4.2M
D0999	N/A	1,990	$60	$117.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10,410	$1	$10.4K
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…	2,740	$1	$8.2K
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…	1,110	$1	$1.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,050	$1	$1.1K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	330	$1	$670
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	280	$1	$280
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	230	$1	$230
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	70	$1	$70

Showing 1–10 of 80

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

Near North Health Service Corporation — 1 of 13 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

80 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	219	850	7,490	$120	$3.9M
D0999	N/A	90	220	1,090	$110	$610.1K
D1120	Prophylaxis–child	2,025	2,140	960	$40	$89.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	640	740	960	$10	$75.9K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	488	530	840	$10	$73.9K
D0120	Periodic oral evaluation - established patient	1,955	2,170	1,010	$30	$64.3K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	1,165	1,230	450	$40	$54.1K
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…	1,129	14,680	300	$50	$48.7K
0502F	No Summary found for this code	684	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…	403	1,380	370	$40	$46.2K

Showing 1–10 of 80

Related Providers

Other providers that share a Tax Identification Number (TIN) with Near North Health Service Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Near North Health Service Corporation	IL	Federally Qualified Health Center (FQHC)	$0	$17.8M
Near North Health Service Corporation	IL	Federally Qualified Health Center (FQHC)	$0	$12.6M
Wayne Presutti	IN	Psychiatric/Mental Health Nurse Practitioner	$166.4K	$119.2K
Carol Schmidt	IL	Ophthalmology Physician	$109.5K	$27.9K
Stephanie Cox-batson	DC	Obstetrics & Gynecology Physician	$0	$3.8K

Nearby Providers

Other providers in the same ZIP code as Near North Health Service Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Association House Of Chicago	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.7M
Rincon Family Services	IL	Substance Use Disorder Rehabilitation Clinic/Center	$279K	$7.7M
Cook County	IL	Primary Care Clinic/Center	$0	$5.6M
New Life K.n.e.w. Solutions	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.9M
Healthcare Alternative Systems, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$111.4K	$1.5M

Near North Health Service Corporation — Billing Profile & Reimbursement Data

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Near North Health Service Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References