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.

Iroquois Mental Health Center (NPI 1871674101)

Field	Value
Entity Type	Organization
Organization	Iroquois Mental Health Center
Address	323 W Mulberry St
City	Watseka
State	IL
ZIP	60970
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	56,740	$100	$5.8M
H2000	Comprehensive multidisciplinary evaluation	20,100	$90	$1.7M
T1016	Case management, each 15 minutes	6,510	$30	$162.7K
H2015	Comprehensive community support services, per 15 minutes	2,440	$50	$119.6K
H2010	Comprehensive medication services, per 15 minutes	2,420	$40	$96.6K
H0034	Medication training and support, per 15 minutes	2,700	$20	$62.1K
H0031	Mental health assessment, by non-physician	550	$90	$51.9K
H2011	Crisis intervention service, per 15 minutes	320	$140	$45.8K
H0032	Mental health service plan development by non-physician	360	$70	$24.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	340	$40	$14.3K

Showing 1–10 of 11

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

Iroquois Mental Health Center — 1 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	231	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	30	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	98	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	31	420	1,450	$100	$631.8K
T1016	Case management, each 15 minutes	127	470	1,830	$60	$475.9K
H0034	Medication training and support, per 15 minutes	40	110	1,030	$40	$179.2K
H2010	Comprehensive medication services, per 15 minutes	74	250	690	$30	$145.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	137	330	210	$110	$97.4K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	220	230	2,330	$10	$66.5K
H0031	Mental health assessment, by non-physician	39	220	190	$90	$33.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Iroquois Mental Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamzeh Badwan	IL	Family Medicine Physician	$108.3K	$164.2K
V Reddy	IL	Specialist	$131.4K	$127.9K

Iroquois Mental Health Center — Billing Profile & Reimbursement Data

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Iroquois Mental Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References