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.

Centerstone Of Illinois, Inc (NPI 1851757579)

Field	Value
Entity Type	Organization
Organization	Centerstone Of Illinois, Inc
Address	2615 Edwards St
City	Alton
State	IL
ZIP	62002
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	January 11, 2016

Payer Source	Total Paid
Medicaid	$36.7M
Medicare	$0

Key Findings

CENTERSTONE OF ILLINOIS, INC is effectively a Medicaid-focused behavioral health provider: it has no Medicare billing on file and reports $36.7M in lifetime Medicaid revenue, indicating its operations and revenue base are concentrated within Medicaid programs rather than senior care or Medicare-covered services.

Revenue concentration is high: the precomputed top three Medicaid codes by revenue account for 76.3% of the provider’s total Medicaid revenue. This level of concentration signals that a few service lines—specifically H2015, H0004, and T1016—are the primary drivers of the organization’s financial performance under Medicaid.

The provider’s top revenue code is H2015 (Comprehensive community support services, per 15 minutes) with $14.6M in revenue, representing 39.7% of its Medicaid revenue. CENTERSTONE ranks #5 of 431 providers in-state for H2015 and is described as an extreme outlier, indicating it is a major regional provider of comprehensive community support services and delivers these services at volumes far above typical state peers.

H0004 (Behavioral health counseling and therapy, per 15 minutes) is the second-largest revenue source at $9.3M (25.4% of Medicaid revenue) and ranks #11 of 804 providers in-state; this too is labeled an extreme outlier. Together with H2015, the high volumes in therapy and community support imply a service mix centered on intensive outpatient and community-based behavioral health care.

T1016 (Case management, each 15 minutes) contributes $4.1M (11.3% of Medicaid revenue) and ranks #6 of 465 providers in-state, also an extreme outlier. Elevated case management billing alongside community support and counseling suggests the organization operates integrated care coordination and community-based service models, likely managing high caseloads and frequent, short-interval contacts.

Several other codes show notable but smaller contributions: H2000 (Comprehensive multidisciplinary evaluation) accounts for $3.9M (10.6%) and ranks in the 96th percentile in-state, while H2010 (Comprehensive medication services) and H0032 (Service plan development) are also notably above typical state volume. These patterns point to a broad behavioral health service portfolio that extends from evaluation and medication services to care planning.

Competitive standing across key Medicaid codes is dominant in Illinois: multiple codes are at or near the top of state rankings (for example H2015 at #5/431, H0004 at #11/804, T1016 at #6/465) and are explicitly characterized as extreme outliers, indicating the provider is a major in-state player for community behavioral health services. For less prominent codes, ranking and percentile data are more typical, showing some service lines remain modest in scale relative to statewide peers.

Tenure is established but not long-standing relative to very old institutions: the provider’s NPI was enumerated on 2016-01-11 (~10 years ago). That tenure aligns with the accumulation of substantial Medicaid billing and the development of high-volume community-based behavioral health programs in Illinois.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	175,500	$80	$14.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	106,920	$90	$9.3M
T1016	Case management, each 15 minutes	84,570	$50	$4.1M
H2000	Comprehensive multidisciplinary evaluation	37,300	$100	$3.9M
S9484	Crisis intervention mental health services, per hour	8,630	$250	$2.1M
H2011	Crisis intervention service, per 15 minutes	13,370	$100	$1.4M
H2010	Comprehensive medication services, per 15 minutes	30,780	$20	$677K
H0031	Mental health assessment, by non-physician	1,550	$100	$160K
H0032	Mental health service plan development by non-physician	2,430	$60	$140.8K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	430	$320	$137.6K

Showing 1–10 of 16

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

Centerstone Of Illinois, Inc — 7 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	46	50	14,910	$140	$4.1M
H2015	Comprehensive community support services, per 15 minutes	5	430	3,260	$80	$1.3M
S9484	Crisis intervention mental health services, per hour	13	80	1,600	$260	$972.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	11	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	20	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	17	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	6	470	1,830	$60	$475.9K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	45	50	1,770	$60	$223.4K
H2010	Comprehensive medication services, per 15 minutes	9	250	690	$30	$145.6K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	15	50	230	$340	$119.5K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Centerstone Of Illinois, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.1M
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.4M
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.3M
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.6M
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4M
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M
Centerstone Of Illinois, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Centerstone Of Illinois, Inc	IL	Substance Use Disorder Rehabilitation Clinic/Center	$133.7K	$1.9M
Arif Habib	IL	Psychiatry Physician	$91.4K	$1.9M

Nearby Providers

Other providers in the same ZIP code as Centerstone Of Illinois, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Emergency Physicians Of Memphis LLC	IL	Emergency Medicine Physician	$0	$26.5M
Southern Illinois Health Care Foundation, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$21.1M
Nu-crown, LLC	IL	Optometrist	$0	$5.8M
Alton Memorial Hospital	IL	Ambulance	$0	$4.1M
City Of Alton Ill	IL	Ambulance	$254.8K	$3.4M
Osf Healthcare System	IL	Home Health Agency	$0	$3.4M
Wynndel Buenger	IL	Pain Medicine Physician	$399.4K	$4.5K
Paolo Masetti	IL	Surgical Critical Care Physician	$94.1K	$182.7K
John Stirton	IL	Orthopaedic Surgery Physician	$202.4K	$20.2K
Aaron Omotola	IL	Orthopaedic Surgery Physician	$157.3K	$44.2K

Centerstone Of Illinois, Inc — 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