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.

Vna Health Care (NPI 1891136149)

Field	Value
Entity Type	Organization
Organization	Vna Health Care
Address	1400 Indian Avenue
City	Aurora
State	IL
ZIP	60505
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 16, 2013

Payer Source	Total Paid
Medicaid	$22.7M
Medicare	$0

Key Findings

VNA HEALTH CARE is effectively a single-payer Medicaid provider with no Medicare billing on file and $22.7M in total Medicaid revenue reported. The absence of Medicare revenue on file indicates its public reimbursement profile is concentrated entirely in Medicaid for the period covered.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, with T1015 alone reporting 146.2K claims, $155 avg paid/claim and $22.7M revenue. This means almost all Medicaid dollars are captured through the FQHC all-inclusive clinic visit code rather than through numerous separate fee-for-service line items.

The dominant use of T1015 (Clinic visit/encounter, all-inclusive) is consistent with the provider taxonomy as a Federally Qualified Health Center and implies an encounter-based, bundled reimbursement model where primary care visits and associated preventive services are aggregated into a single Medicaid payment. The code mix—high volumes of immunization and well-visit codes alongside T1015—supports an operational focus on primary care, preventive medicine, and pediatric/adolescent services.

T1015 ranks #32 of 846 in-state (96th percentile) and is described in the data as "typical, unremarkable volume for this code," indicating VNA HEALTH CARE is a solid statewide participant for FQHC-style clinic encounters but not a dominant outlier at the state level for that specific billing line. While the provider is high-volume for this encounter code, its percentile and rank suggest comparable activity to many other FQHCs in Illinois.

Several codes show very large claim counts but little or no separate Medicaid revenue (for example, 99213 with 37.3K claims and $0 avg paid/claim, 99391 with 12.4K claims $0, and 90647 with 7.5K claims $0). Many of those entries are labeled as "extreme outlier" or in the 99th percentile for claim volume, which—taken together with the T1015 revenue concentration—strongly suggests these services are billed as part of bundled FQHC encounters rather than reimbursed separately.

There are also smaller but notable revenue entries for specific preventive or immunization codes that rank highly in-state: 0503F (3.4K claims, $2 avg paid/claim, $6.8K revenue) ranks #4 of 163 (98th percentile; extreme outlier), and 90734 (2.3K claims, $1 avg paid/claim, $2.3K revenue) ranks #23 of 849 (97th percentile; notably above typical). These items illustrate that while most dollars are captured via T1015, the clinic still documents high volumes of specific preventive interventions and quality codes that produce modest separate payments.

The presence of many preventive and vaccine codes with very high ranks (for example, 90723, 90670, 90686, 99392/99393/99394) alongside the all-inclusive T1015 encounter suggests a patient panel with significant pediatric and routine preventive care needs. That operational profile—high encounter volumes, many vaccinations and well visits—aligns with community health center activity serving families and children.

VNA HEALTH CARE has an established enrollment history (NPI enumerated 2013-07-16, ~13 years ago), indicating it is a long-standing FQHC in the Aurora, IL market; combined with its ranking data, this tenure supports interpretation of consistent, high-volume primary care operations rather than a transient or newly active billing pattern.

Medicaid: Complete Services Breakdown

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

76 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	146,250	$160	$22.7M
0503F	No Summary found for this code	3,390	$1	$6.8K
90734	The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…	2,290	$1	$2.3K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	540	$1	$1.6K
58300	In this procedure, the provider places a contraceptive intrauterine device (IUD) in the uterine cavity.	440	$1	$440
58301	In this procedure, the provider removes a contraceptive intrauterine device (IUD) from the uterine cavity.	80	$1	$80
0500F	No Summary found for this code	5,260	$0	$0
0502F	No Summary found for this code	32,870	$0	$0
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	1,490	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	17,090	$0	$0

Showing 1–10 of 76

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

Vna Health Care — 3 of 6 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

76 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	32	850	7,490	$120	$3.9M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	244	360	600	$30	$165.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	246	360	630	$30	$165K
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…	2,463	14,680	300	$50	$48.7K
0502F	No Summary found for this code	3	1,170	550	$30	$48.2K
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…	18	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…	13	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…	73	14,190	280	$20	$38.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	20	1,670	160	$40	$26.4K
86701	The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to HIV 1, human immunodeficiency virus 1.	15	30	110	$10	$24K

Showing 1–10 of 76

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$42.8M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$18.5M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$14M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$5.4M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$5.1M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$4M
Kristi Becker	IL	Family Nurse Practitioner	$300.9K	$0
Sujay Bangarulingam	IL	Pulmonary Disease Physician	$114K	$133K
Romy Patel	IL	Anesthesiology Physician	$41.7K	$15K
Melissa Verdecchia	IL	Family Nurse Practitioner	$8.2K	$7.8K

Nearby Providers

Other providers in the same ZIP code as Vna Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Aurora Illinois	IL	Land Ambulance	$946.5K	$39.5M
Aurora East 131	IL	Local Education Agency (LEA)	$0	$5M
Reena Cherian	IL	Physical Therapist	$293.3K	$30.3K
John Konopelski	IL	Family Nurse Practitioner	$100.8K	$0

Vna Health Care — 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