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.

Springfield Clinic, LLP (NPI 1780893578)

Field	Value
Entity Type	Organization
Organization	Springfield Clinic, LLP
Address	600 N Main St
City	Taylorville
State	IL
ZIP	62568
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 21, 2007

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	120,100	$80	$9.4M
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	3,220	$1	$3.2K
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…	650	$1	$1.3K
90710	This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox).	740	$1	$740
3008F	No Summary found for this code	2,250	$0	$0
3074F	No Summary found for this code	2,810	$0	$0
3075F	No Summary found for this code	430	$0	$0
3077F	No Summary found for this code	270	$0	$0
3078F	No Summary found for this code	2,490	$0	$0
3079F	No Summary found for this code	850	$0	$0

Showing 1–10 of 57

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

Springfield Clinic, LLP — 0 of 4 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

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	44	850	7,490	$120	$3.9M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	691	1,180	370	$90	$109.7K
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…	44	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…	46	1,380	370	$40	$46.2K
99391	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…	55	1,270	370	$40	$40.8K
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…	43	14,190	280	$20	$38.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	340	890	90	$40	$35K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	87	1,670	160	$40	$26.4K
90834	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…	361	720	250	$30	$25.7K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,493	1,590	360	$10	$23K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with Springfield Clinic, LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unity Healthcare	IA	General Acute Care Hospital	$0	$12.7M
Springfield Clinic, LLP	IL	Clinical Medical Laboratory	$3.5M	$7.4M
Aleksandr Kagan	IL	Ophthalmology Physician	$2.8M	$1.5M
Springfield Clinic LLP	IL	Ambulatory Surgical Clinic/Center	$3.5M	$0
Robert Lowenthal	IL	Ophthalmology Physician	$3.2M	$62.6K
Lanny Odin	IL	Ophthalmology Physician	$2.5M	$406.4K
Macoupin Family Practice Center, LLP	IL	Family Medicine Physician	$0	$2.9M
Ramanath Bhandari	IL	Ophthalmology Physician	$2.5M	$144.9K
Timothy Gillison	IL	Hematology & Oncology Physician	$1.7M	$54.1K
Scott Mink	IL	Hematology & Oncology Physician	$1.6M	$60.3K

Nearby Providers

Other providers in the same ZIP code as Springfield Clinic, LLP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dunns Ambulance Service Inc	IL	Non-emergency Medical Transport (VAN)	$568.9K	$2.6M
Maxx Craggs	IL	Optometrist	$82.4K	$262K

Springfield Clinic, LLP — Billing Profile & Reimbursement Data

Sign up for Springfield Clinic, LLP — Billing Profile & Reimbursement Data policy alerts

Springfield Clinic, LLP — Billing Profile & Reimbursement Data

Sign up for Springfield Clinic, LLP — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References