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.

Access Community Health Network (NPI 1760552541)

Field	Value
Entity Type	Organization
Organization	Access Community Health Network
Address	3202 W North Ave
City	Chicago
State	IL
ZIP	60647
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	39,740	$120	$4.7M
T1040	Medicaid certified community behavioral health clinic services, per diem	100	$50	$4.6K
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,…	250	$10	$1.2K
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…	150	$1	$600
J1050	Injection, medroxyprogesterone acetate, 1 mg	10	$30	$330
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	190	$1	$190
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	80	$1	$80
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	1,760	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	7,960	$0	$0
3074F	No Summary found for this code	7,470	$0	$0

Showing 1–10 of 44

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

Access Community Health Network — 0 of 7 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

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	175	850	7,490	$120	$3.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	165	190	880	$70	$128.2K
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…	356	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…	129	14,680	300	$50	$48.7K
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…	1,004	1,380	370	$40	$46.2K
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…	337	14,190	280	$20	$38.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	724	1,670	160	$40	$26.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	567	1,590	110	$40	$21.4K
99204	The provider sees a new 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 provider…	2,201	2,800	60	$80	$17.7K
J1050	Injection, medroxyprogesterone acetate, 1 mg	266	280	120	$30	$15.9K

Showing 1–10 of 44

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$122.4M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$12.6M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$11.9M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$11.7M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$10.8M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.6M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.3M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$9.2M
Sally Campbell-lee	IL	Clinical Pathology Physician	$0	$8.7M

Nearby Providers

Other providers in the same ZIP code as Access Community Health Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Infant Welfare Society Of Chicago	IL	Federally Qualified Health Center (FQHC)	$0	$29.6M
Erie Family Health Center, Inc	IL	Federally Qualified Health Center (FQHC)	$0	$12.7M
Healthcare Alternative Systems, Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.3M
Flavia Lamberghini	IL	Pediatric Dentistry	$0	$7.9M
Paul Pladziewicz	IL	Dentist	$0	$4.9M
Primecare Community Health, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$4.3M
Rabeh Salamah-mohammad	IL	General Practice Dentistry	$0	$3.2M
Lawrence Kaufman	IL	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$6.3K	$2.8M
Fullerton Kimball Medical & Surgical Center	IL	Ambulatory Surgical Clinic/Center	$993.7K	$0
Paras Parekh	IL	Foot & Ankle Surgery Podiatrist	$133.1K	$305.5K

Access Community Health Network — Billing Profile & Reimbursement Data

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Access Community Health Network — 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