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.

Will County Community Health Center (NPI 1902811714)

Field	Value
Entity Type	Organization
Organization	Will County Community Health Center
Address	1106 Neal Ave
City	Joliet
State	IL
ZIP	60433
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 30, 2006

Payer Source	Total Paid
Medicaid	$20.4M
Medicare	$0

Key Findings

Payer mix is effectively single‑payer Medicaid: Total Medicare revenue is listed as none (no Medicare billing on file) while Total Medicaid revenue is $20.4M, so the provider’s public‑payer activity and financial footprint are overwhelmingly Medicaid‑driven. Analysts should treat Medicare benchmarks as not applicable for this entity and focus Medicaid comparators.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 99.0% of the provider’s Medicaid revenue, led by T1015 with $18.3M (89.7% of Medicaid revenue), followed by D0999 with $1.5M (7.3%), and 59409 with $424.7K (2.1%). This concentration means a very small set of codes determines almost all billed Medicaid dollars.

Business/service‑line implication from the code mix: T1015 (Clinic visit/encounter, all‑inclusive) dominating revenue is consistent with an FQHC operating under an all‑inclusive encounter or prospective payment structure where comprehensive clinic visits are the primary revenue vehicle. The presence of 59409 and 59514 (hospital delivery codes) shows the center also bills for labor/delivery episodes, indicating maternity services are part of its clinical mix even though they represent a small share of revenue.

Competitive standing on top codes: T1015 revenue ranks #39 of 846 providers in‑state (96th percentile), placing the center among the higher statewide performers on clinic‑visit Medicaid revenue. D0999 ranks #31 of 219 (86th percentile) and 59409 ranks #14 of 174 (92th percentile), which together suggest the center is a meaningful regional participant in these specific service lines rather than a marginal provider.

Large volumes of individual CPTs with $0 avg paid/claim suggest bundled payment reporting: several high‑claim codes (for example 99213, 81002, 99214, 99212, 81025, 90792) appear with large claim counts but $0 avg paid/claim and are described as extreme outlier or notably above typical state volume. This pattern is consistent with T1015 capturing payment as an all‑inclusive clinic encounter while those CPTs are reported for encounter detail but not paid separately.

Service breadth beyond the clinic encounter exists but is not revenue‑driving: smaller revenue contributions come from behavioral health per diem T1040 ($81.4K, 0.4%) and vaccines (e.g., 90715, 90674) and dental or unspecified dental activity (D0120, D1206 and D0999), indicating the center provides preventive, behavioral, and dental services but these are secondary to the core T1015 encounters.

Operational risk/strategic sensitivity: with $18.3M (89.7%) of Medicaid revenue tied to T1015 and the top 3 codes comprising 99.0% of Medicaid revenue, the provider’s Medicaid topline is highly sensitive to any policy, rate, or coding changes that affect all‑inclusive clinic encounter payment methodology. Any shifts toward separate payment for services currently bundled into T1015 could materially alter reported paid revenue mix.

Tenure and stability signal: the NPI was enumerated on 2006-07-30 (~20 years ago), indicating long‑standing participation in the Medicaid program; combined with large T1015 volumes and high state percentile ranks, this suggests an established FQHC footprint in the Joliet, IL market rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	128,640	$140	$18.3M
D0999	N/A	12,930	$120	$1.5M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	450	$950	$424.6K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	110	$960	$104.3K
T1040	Medicaid certified community behavioral health clinic services, per diem	1,160	$70	$81.4K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	710	$10	$3.6K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	260	$10	$2.6K
90710	This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox).	70	$20	$1.6K
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.	240	$10	$1.4K
0011A	N/A	20	$40	$680

Showing 1–10 of 84

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

Will County Community Health Center — 1 of 13 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

84 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	39	850	7,490	$120	$3.9M
D0999	N/A	31	220	1,090	$110	$610.1K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	14	170	50	$910	$144.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	77	190	880	$70	$128.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	412	1,180	370	$90	$109.7K
D1120	Prophylaxis–child	471	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	771	1,270	530	$60	$87.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	331	510	230	$160	$83.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	9	760	140	$110	$67.3K
D0120	Periodic oral evaluation - established patient	462	2,170	1,010	$30	$64.3K

Showing 1–10 of 84

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Will County Health Department	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.6M
Manamar Singh	IL	Internal Medicine Physician	$613.4K	$35.2K
Dexter Arrington	IL	Obstetrics & Gynecology Physician	$4K	$37.2K
Jaroslaw Kuna	IN	Family Medicine Physician	$39.2K	$0

Nearby Providers

Other providers in the same ZIP code as Will County Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Joliet Fire Protection District	IL	Land Ambulance	$92K	$3M
County Of Will	IL	State or Local Public Health Clinic/Center	$33.5K	$0

Will County Community Health Center — Billing Profile & Reimbursement Data

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Will County Community Health Center — 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