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    OpenPayerNPI Medicare & MedicaidPrimecare Community Health Inc
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    Primecare Community Health Inc — Billing Profile & Reimbursement Data

    NPI 1871117937 · Chicago, IL · Federally Qualified Health Center (FQHC)

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    Primecare Community Health Inc is a federally qualified health center (fqhc) provider located in Chicago, Illinois. This profile covers 0 Medicare and 50 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
    OrganizationPrimecare Community Health Inc
    Address1431 N Western Ave Ste 202
    CityChicago
    StateIL
    ZIP60622
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJune 4, 2020

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

    Payer SourceTotal Paid
    Medicaid$5.3M
    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.

    50 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive30,650$170$5.3M
    T1040Medicaid certified community behavioral health clinic services, per diem260$70$17.8K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…350$1$350
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…10$1$30
    1036FN/A8,680$0$0
    1160FNo Summary found for this code16,540$0$0
    3008FNo Summary found for this code19,930$0$0
    3074FNo Summary found for this code12,930$0$0
    3075FNo Summary found for this code180$0$0
    3078FNo Summary found for this code12,620$0$0

    Showing 1–10 of 50

    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

    50 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive2098507,490$120$3.9M
    T1040Medicaid certified community behavioral health clinic services, per diem136190880$70$128.2K
    90832In 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…662960330$30$51K
    99214The 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…8,63214,680300$50$48.7K
    99392Preventive 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…1321,380370$40$46.2K
    99391Preventive 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…721,270370$40$40.8K
    99213The 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…30114,190280$20$38.9K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.901,670160$40$26.4K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.801,590110$40$21.4K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.30375060$50$19.9K

    Showing 1–10 of 50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Primecare Community Health Inc.ILFederally Qualified Health Center (FQHC)$0$11.7M
    Primecare Community Health, Inc.ILFederally Qualified Health Center (FQHC)$0$11.3M
    Primecare Community Health, Inc.ILFederally Qualified Health Center (FQHC)$0$10.1M
    Primecare Community Health IncILFederally Qualified Health Center (FQHC)$0$8.5M
    Primecare Community Health, Inc.ILFederally Qualified Health Center (FQHC)$0$4.3M
    Milton ChavezILFamily Medicine Physician$27.4K$384.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Erie Family Health Center, IncILFederally Qualified Health Center (FQHC)$0$143M
    Erie Family Health Center IncILFederally Qualified Health Center (FQHC)$0$11.2M
    Orbit Medical Of Chicago LLCILDurable Medical Equipment & Medical Supplies$0$10.7M
    Erie Family Health Center IncILFederally Qualified Health Center (FQHC)$0$9.5M
    Ayman JabrILFamily Medicine Physician$193.6K$4.3M
    Presence Chicago Hospitals NetworkILGeneral Acute Care Hospital$0$4.4M
    Lubov KlemineILFamily Medicine Physician$2.3K$3.6M
    James DiesfeldILInterventional Pain Medicine Physician$32.6K$3.5M
    Eric ChuangILInternal Medicine Physician$1.5M$1.7M
    Ogbonnaya AneziokoroILNephrology Physician$525.3K$1.8M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Illinois Providers
    4 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Primecare Community Health Inc — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois