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.

Quincy Physicians & Surgeons Clinic, PLLC (NPI 1851608780)

Field	Value
Entity Type	Organization
Organization	Quincy Physicians & Surgeons Clinic, PLLC
Address	1025 Maine St
City	Quincy
State	IL
ZIP	62301
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 14, 2010

Payer Source	Total Paid
Medicaid	$21.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: Total Medicaid revenue is $21.3M while there is none below for Medicare (no Medicare billing on file), making the practice highly dependent on Medicaid for its operating revenue. The absence of Medicare activity means payer concentration is heavily skewed toward state Medicaid programs rather than a mixed Medicare/Medicaid panel.

Medicaid revenue is extremely concentrated in a single encounter-style code: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, led by T1015 which generates $20.7M (97.0% of Medicaid revenue), followed by T1040 at $642.6K (3.0%) and S5190 at $6.4K (0.0%). This degree of concentration exposes the provider to outsized revenue risk from any change to T1015 reimbursement or bundling policies.

The provider’s taxonomy (Rural Health Clinic/Center) and the dominance of T1015 (T1015 – Clinic visit/encounter, all-inclusive) indicate its operations are organized around all-inclusive clinic encounters rather than fee-for-service itemized billing. The presence of T1040 (T1040 – Medicaid certified community behavioral health clinic services, per diem) as the second revenue driver points to an operational mix that includes Medicaid-certified behavioral health per-diem services alongside general clinic visits.

Competitive standing for the primary revenue driver is unusually strong in-state: T1015 ranks #13 of 846 providers in-state (99th percentile; extreme outlier), marking the clinic as one of the highest-volume billers of that code in Illinois. T1040 likewise ranks highly at #9 of 191 providers in-state (96th percentile; notably above typical state volume), indicating the clinic is a meaningful regional participant in certified behavioral health per-diem services.

A large set of commonly billed CPT/HCPCS codes show very high claim counts but $0 avg paid/claim and $0 revenue (examples include 99213 with 125.1K claims, 90837 with 26.3K claims, 99214 with 23.1K claims and 90834 with 13.8K claims), and many of these codes are in the high state percentiles (95–100th). This pattern suggests those E/M, psychotherapy, preventive, vaccine, and injection services may be captured within the all-inclusive T1015 payment or are not separately reimbursed, reflecting an encounter-level billing model rather than standalone fee-for-service reimbursement for each line item.

Behavioral-health service volume appears substantial: psychotherapy and psychiatric evaluation codes show large claim counts and high state ranks (for example, 90837 26.3K claims rank #5 of 1175 providers in-state (100th percentile; extreme outlier); 90834 13.8K claims rank #2 of 718 providers in-state (100th percentile; extreme outlier); 90791 4K claims rank #13 of 752 providers in-state (98th percentile; extreme outlier)). Coupled with T1040 per-diem revenue, these data indicate sizable behavioral-health capacity integrated with the clinic’s service mix.

Preventive care and immunization activity is also prominent in encounter volumes even though separate payments are minimal: codes such as 99392 (8.4K claims, rank #25 of 1382, 98th percentile), 99393 (6.1K claims, rank #29 of 1667, 98th percentile), and vaccine codes like 90633 (2.8K claims, rank #39 of 769, 95th percentile) appear frequently. These volumes point to routine well visits and vaccination programs being delivered at scale in the clinic, consistent with a community-facing rural health center model where preventive services are part of the standard encounter bundle.

The NPI was enumerated on 2010-09-14 (~16 years ago), indicating long tenure in the market as a Rural Health Clinic/Center. Combined with the concentrated Medicaid revenue ($21.3M) and the extreme in-state ranking on T1015, the profile is of a long-established rural clinic highly reliant on Medicaid encounter/per-diem reimbursement and therefore sensitive to state Medicaid policy and rate changes for bundled clinic and behavioral-health services.

Medicaid: Complete Services Breakdown

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

69 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	271,880	$80	$20.7M
T1040	Medicaid certified community behavioral health clinic services, per diem	8,930	$70	$642.6K
S5190	Wellness assessment, performed by non-physician	150	$40	$6.4K
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.	100	$0	$0
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	50	$0	$0
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	40	$0	$0
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	990	$0	$0
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	30	$0	$0
90474	In this procedure, the provider administers an additional live attenuated vaccine either via oral or intranasal route after the administration of the first vaccine.	60	$0	$0
90619	Report this code for meningococcal conjugate vaccine in a tetanus toxoid carrier for intramuscular administration that protects against four common forms of the virus and to prevent the patient from…	240	$0	$0

Showing 1–10 of 69

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

Quincy Physicians & Surgeons Clinic, PLLC — 2 of 3 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

69 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	13	850	7,490	$120	$3.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	9	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…	5	1,180	370	$90	$109.7K
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…	45	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…	46	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…	25	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…	25	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…	13	14,190	280	$20	$38.9K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	569	1,540	410	$20	$30.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	29	1,670	160	$40	$26.4K

Showing 1–10 of 69

Related Providers

Other providers that share a Tax Identification Number (TIN) with Quincy Physicians & Surgeons Clinic, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Lester E Cox Medical Centers	MO	General Practice Physician	$0	$9.2M
Quincy Physicians & Surgeons Clinic, PLLC	IL	Clinical Medical Laboratory	$1.6M	$4.1M
Quincy Physicians & Surgeons Clinic, PLLC	IL	Rural Health Clinic/Center	$0	$5.7M
Quincy Physicians & Surgeons Clinic, PLLC	IL	Ambulatory Surgical Clinic/Center	$2.5M	$0
Abram Geisendorfer	IL	Ophthalmology Physician	$1.8M	$116.2K
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Linda Cooke	MO	Dermatology Physician	$1.8M	$0
Raymond Smith	IL	Hematology & Oncology Physician	$1.5M	$54.4K
Quincy Physicians & Surgeons Clinic, PLLC	IA	Rural Health Clinic/Center	$0	$1.4M

Nearby Providers

Other providers in the same ZIP code as Quincy Physicians & Surgeons Clinic, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Board Of Trustees Of Southern Illinois University	IL	Federally Qualified Health Center (FQHC)	$0	$9.4M
Blessing Hospital	IL	Rural Health Clinic/Center	$0	$5.1M
International Eyecare Center LLC	IL	Optometrist	$0	$3.6M
Denman Services, Inc.	IL	Durable Medical Equipment & Medical Supplies	$0	$2.9M
Robert Haag	IL	Diagnostic Radiology Physician	$946.5K	$416.5K
Muhammad Ali	IL	Hematology & Oncology Physician	$1.2M	$64.9K
Travis Moore	IL	Family Medicine Physician	$1.2M	$15.9K
Gerald Riley	IL	Diagnostic Radiology Physician	$816.6K	$285.5K
Air Evac Ems Inc.	IL	Air Ambulance	$823.9K	$37.7K
Ernest Wallace	IL	Family Medicine Physician	$829.9K	$23.3K

Quincy Physicians & Surgeons Clinic, PLLC — Billing Profile & Reimbursement Data

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Quincy Physicians & Surgeons Clinic, PLLC — 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