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.

Trilogy, Inc. (NPI 1821103821)

Field	Value
Entity Type	Organization
Organization	Trilogy, Inc.
Address	1400 W Greenleaf Ave
City	Chicago
State	IL
ZIP	60626
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$143.4M
Medicare	$0

Key Findings

TRILOGY, INC. reports $143.4M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a Medicaid-focused provider. The absence of Medicare activity indicates the organization's revenue and operational model are concentrated entirely within state Medicaid programs and associated reimbursement structures.

Revenue is highly concentrated in a small set of community-based service codes: the provider's top three Medicaid codes (H0039, H2016, H2015) account for 68.0% of its total Medicaid revenue. H0039 alone generates $49.1M (34.2% of Medicaid revenue) and H2016 and H2015 generate $31.3M (21.8%) and $17.1M (11.9%) respectively, signaling dependence on a few high-volume service lines.

The code mix (H0039 – assertive community treatment; H2016 and H2015 – comprehensive community support services, per diem and per 15 minutes) indicates TRILOGY operates intensive, community-based mental health programs and likely deploys mobile/outreach or team-based care models. High claim volumes for those codes — 323K claims for H0039, 265.3K for H2016, and 189.7K for H2015 — reinforce that these are core, repeated-contact services rather than episodic procedures.

TRILOGY is a dominant statewide provider for several high-revenue services: it ranks #1 of 47 providers in-state for H0039 and #1 of 58 for H2016 (both listed as 100th percentile, extreme outliers), and ranks #4 of 431 for H2015 (99th percentile). These ranks and percentiles indicate TRILOGY delivers far higher volumes of these specific community mental health services than typical in Illinois, positioning it as a major player for those lines.

Beyond the top three codes, several additional codes contribute meaningfully to revenue and reflect a broad community-service portfolio: T1016 (260.1K claims, $14.8M; 10.3% of Medicaid revenue) ranks #2 of 465 providers (100th percentile), H0004 (168.3K claims, $15.5M; 10.8%) ranks #7 of 804 (99th percentile), and H2000 (100.6K claims, $12.4M; 8.6%) ranks #2 of 423 (100th percentile). This mix underscores a sustained emphasis on case management, therapy, and multidisciplinary evaluations in addition to ACT and comprehensive supports.

Multiple individual codes are flagged as statistical outliers relative to in-state peers: H0039 and H2016 are described as extreme outliers and several other lines (T1016, H2000, H0034, H0004) are at the 99th–100th percentiles or noted as notably above typical state volume. That pattern—high ranks across many community-service codes—signals unusually large scale in Illinois for community mental health delivery.

TRILOGY's NPI was enumerated on 2006-08-20 (~20 years ago), indicating long-tenure in the market. This two-decade presence, combined with the concentrated service volumes, suggests an established operational footprint in state Medicaid behavioral health programs.

Because TRILOGY has no Medicare billing on file and $143.4M in Medicaid revenue concentrated in time-based community mental health services, its financial and operational exposure is closely tied to Medicaid payment policies for per-diem and per-15-minute behavioral health billing. Any policy, contract, or reimbursement changes affecting H0039, H2016, H2015, T1016, or H0004 would disproportionately affect its revenue base given the concentration in those codes.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	323,040	$150	$49.1M
H2016	Comprehensive community support services, per diem	265,280	$120	$31.3M
H2015	Comprehensive community support services, per 15 minutes	189,660	$90	$17.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	168,260	$90	$15.5M
T1016	Case management, each 15 minutes	260,050	$60	$14.8M
H2000	Comprehensive multidisciplinary evaluation	100,640	$120	$12.4M
H0034	Medication training and support, per 15 minutes	47,240	$40	$2.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	13,170	$40	$500.3K
H0031	Mental health assessment, by non-physician	1,660	$120	$204.5K
H0032	Mental health service plan development by non-physician	1,910	$70	$133.6K

Showing 1–10 of 15

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

Trilogy, Inc. — 9 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	1	50	14,910	$140	$4.1M
H2016	Comprehensive community support services, per diem	1	60	11,700	$130	$3.5M
H2015	Comprehensive community support services, per 15 minutes	4	430	3,260	$80	$1.3M
S9484	Crisis intervention mental health services, per hour	61	80	1,600	$260	$972.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	7	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	87	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	2	420	1,450	$100	$631.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	22	60	5,920	$50	$621.3K
T1016	Case management, each 15 minutes	2	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	2	110	1,030	$40	$179.2K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Trilogy, Inc., 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	$4.2M
Leonid Blyumin	IL	Podiatrist	$208.9K	$69.7K

Trilogy, Inc. — Billing Profile & Reimbursement Data

Sign up for Trilogy, Inc. — Billing Profile & Reimbursement Data policy alerts

Trilogy, Inc. — Billing Profile & Reimbursement Data

Sign up for Trilogy, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References