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.

Christian Community Health Center (NPI 1790888238)

Field	Value
Entity Type	Organization
Organization	Christian Community Health Center
Address	9718 S Halsted
City	Chicago
State	IL
ZIP	60628
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 7, 2006

Payer Source	Total Paid
Medicaid	$30.5M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: it has no Medicare billing on file and reports $30.5M in total Medicaid revenue. The top three Medicaid codes account for 100.0% of that Medicaid revenue, with T1015 alone responsible for 98.6% of Medicaid revenue, T1040 for 0.9%, and D0999 for 0.5%.

T1015 (Clinic visit/encounter, all-inclusive) dominates the revenue mix and implies the organization operates as a high-volume, all-inclusive clinic — consistent with its Federally Qualified Health Center (FQHC) taxonomy. The presence of T1040 (Medicaid certified community behavioral health clinic services, per diem) and D0999 (unspecified) as much smaller contributors suggests behavioral health and miscellaneous services are offered but are not the primary revenue drivers.

Competitive standing for the primary revenue driver is strong: T1015 generates $30M and the provider ranks #21 of 846 in-state (98th percentile), a position described as notably above typical state volume for this code. That rank indicates the organization is a major statewide supplier of all‑inclusive clinic encounters under Medicaid.

Many high-volume CPT lines show $0 avg paid/claim and $0 revenue (examples include 99213 with 62.4K claims, 99212 with 30.6K claims, 96127 with 53.4K claims, 99214 with 19.1K claims, and 99393 with 10.7K claims). This pattern is consistent with an FQHC payment approach where individual E/M and preventive codes are billed at scale but reimbursement is captured primarily through the all-inclusive T1015 visit payment rather than separate payments for each CPT.

Several of the high-claim, $0-paid codes are labeled as statistical outliers in the state: 99213 and 99212 appear at the 100th percentile (extreme outlier), 99214 at the 100th percentile (extreme outlier), 96127 at the 100th percentile (extreme outlier), and preventive/immunization codes such as 90471 and 90472 appear in the 99th–96th percentiles. These extreme-volume signals point to very high throughput in routine office visits, preventive pediatric visits, behavioral screening, and immunizations relative to peers.

T1040 and D0999 are measurable but small revenue contributors: T1040 shows 4.4K claims and $279.7K revenue (0.9% of Medicaid revenue) and ranks #17 of 191 in-state (92th percentile), while D0999 shows 1.7K claims and $141.1K revenue (0.5% of Medicaid revenue) and ranks #95 of 219 (57th percentile). That positioning indicates community behavioral health/per‑diem services and unspecified services are present but not a major revenue base for this entity.

The provider has long operational tenure under its NPI, enumerated 2006-09-07 (~20 years ago), which supports interpretation of these utilization patterns as established practice lines rather than short-term anomalies. Longevity combined with FQHC status and concentrated Medicaid revenue suggests these coding patterns reflect sustained clinic-level operations.

For payers and contracting teams, the practical implication is that reimbursement negotiations and utilization management should focus on the T1015 all‑inclusive encounter framework and on visit volumes and preventive/behavioral service throughput. Many individual CPTs are billed at high volumes but produce no separate Medicaid revenue, so contract design, capitation or encounter-rate arrangements and audit priorities should reflect the dominant role of the T1015 all-inclusive payment.

Medicaid: Complete Services Breakdown

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

116 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	216,120	$140	$30M
T1040	Medicaid certified community behavioral health clinic services, per diem	4,440	$60	$279.7K
D0999	N/A	1,700	$80	$141.1K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	410	$10	$5.3K
0011A	N/A	110	$30	$2.9K
0012A	N/A	40	$40	$1.5K
90636	This code represents a vaccine product administered into a muscle to protect against hepatitis A and hepatitis B, which are liver infections. This code is specific to an adult dosage.	160	$10	$970
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	90	$10	$460
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	130	$1	$380
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	60	$1	$130

Showing 1–10 of 116

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

Christian Community Health Center — 1 of 10 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

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	21	850	7,490	$120	$3.9M
D0999	N/A	95	220	1,090	$110	$610.1K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	404	460	1,480	$30	$132K
T1040	Medicaid certified community behavioral health clinic services, per diem	17	190	880	$70	$128.2K
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…	998	1,180	370	$90	$109.7K
D1120	Prophylaxis–child	1,687	2,140	960	$40	$89.1K
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…	142	760	140	$110	$67.3K
D0120	Periodic oral evaluation - established patient	1,784	2,170	1,010	$30	$64.3K
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…	16	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…	60	14,680	300	$50	$48.7K

Showing 1–10 of 116

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ronald Hickombottom	IL	Internal Medicine Physician	$46K	$186.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gro Community	IL	Adolescent and Children Mental Health Clinic/Center	$0	$22.8M
Tca Health Inc Nfp	IL	Federally Qualified Health Center (FQHC)	$0	$13.3M
Human Resources Development Institute, Inc	IL	Case Management Agency	$0	$13.1M
Eva Mae Recovery Hope Inc.	IL	Substance Use Disorder Rehabilitation Clinic/Center	$95.4K	$5.2M
Midway Turning Point Community Center	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$4.5M
Human Resources Development Institute, Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.8M
Olusoji Peter	IL	Internal Medicine Physician	$264.9K	$242.7K
Carl Vancol	IL	Adult Medicine Physician	$29.7K	$171.7K
Ashley Baker	IL	Clinical Social Worker	$63.8K	$0

Christian Community Health Center — Billing Profile & Reimbursement Data

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Christian Community Health Center — 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