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    OpenPayerNPI Medicare & MedicaidAdvocate Northside Health System
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    Advocate Northside Health System — Billing Profile & Reimbursement Data

    NPI 1861774408 · Chicago, IL · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Advocate Northside Health System is a mental health clinic/center (including community mental health center) provider located in Chicago, Illinois. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAdvocate Northside Health System
    Address913 W Wellington Ave Fl 2
    CityChicago
    StateIL
    ZIP60657
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedSeptember 9, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2011Crisis intervention service, per 15 minutes10,070$260$2.6M
    H2000Comprehensive multidisciplinary evaluation21,650$90$1.8M
    H0004Behavioral health counseling and therapy, per 15 minutes17,970$80$1.4M
    H2015Comprehensive community support services, per 15 minutes12,190$70$792.3K
    T1016Case management, each 15 minutes11,770$50$611.8K
    H0002Behavioral health screening to determine eligibility for admission to treatment program970$40$40.8K
    T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit1,470$10$17.6K
    G8510Screening for depression is documented as negative, a follow-up plan is not required340$20$5K
    G8431Screening for depression is documented as being positive and a follow-up plan is documented320$20$4.8K
    H0031Mental health assessment, by non-physician50$70$3.5K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2015Comprehensive community support services, per 15 minutes1344303,260$80$1.3M
    H0004Behavioral health counseling and therapy, per 15 minutes1268002,480$90$962.2K
    H2011Crisis intervention service, per 15 minutes241601,060$180$959.9K
    H2000Comprehensive multidisciplinary evaluation254201,450$100$631.8K
    T1016Case management, each 15 minutes834701,830$60$475.9K
    H0034Medication training and support, per 15 minutes981101,030$40$179.2K
    H0002Behavioral health screening to determine eligibility for admission to treatment program76330210$110$97.4K
    T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit1432302,330$10$66.5K
    H0031Mental health assessment, by non-physician177220190$90$33.7K
    H0032Mental health service plan development by non-physician210220190$60$20.2K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Advocate Northside Health System, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advocate Health And Hospitals CorporationILMulti-Specialty Clinic/Center$258.2K$145.6K
    Gina SchuenemanILFamily Medicine Physician$23.6K$39.1K
    Eddie MarkulILEmergency Medicine Physician$12.1K$33.2K

    Nearby Providers

    Other providers in the same ZIP code as Advocate Northside Health System, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanjeet ParmarILGeneral Practice Dentistry$0$5.9M
    Cranial Technologies IncILProsthetic/Orthotic Supplier$0$3.1M
    Rajesh IyengarILFamily Medicine Physician$1.2M$1.6M
    Tarek KaramanILHospitalist Physician$1.1M$770.6K
    Amritbhai PatelILGastroenterology Physician$150.9K$948.3K
    Maurice BrownleeILPsychiatric/Mental Health Nurse Practitioner$128.5K$955K
    Shilpa PuppalaILDiagnostic Radiology Physician$864.2K$0
    Abdul MohammedILRheumatology Physician$654.5K$133.8K
    Anil KachruILPulmonary Disease Physician$212.8K$452.5K
    Sonia ChristianILHematology & Oncology Physician$545.5K$5.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Advocate Northside Health System — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois