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    OpenPayerNPI Medicare & MedicaidCrusaders Central Clinic Association
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    Crusaders Central Clinic Association — Billing Profile & Reimbursement Data

    NPI 1902972557 · Rockford, IL · Federally Qualified Health Center (FQHC)

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    Crusaders Central Clinic Association is a federally qualified health center (fqhc) provider located in Rockford, Illinois. This profile covers 0 Medicare and 139 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
    OrganizationCrusaders Central Clinic Association
    Address1200 W State St
    CityRockford
    StateIL
    ZIP61102
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedNovember 27, 2006

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

    Payer SourceTotal Paid
    Medicaid$62.7M
    Medicare$0

    Key Findings

    CRUSADERS CENTRAL CLINIC ASSOCIATION is effectively a Medicaid-focused provider: the profile shows $62.7M in lifetime Medicaid revenue and explicitly lists no Medicare billing on file, indicating the organization operates as a single-payer (Medicaid) revenue base rather than a mixed Medicare/Medicaid billing profile. This concentration on Medicaid shapes both service mix and competitive dynamics in-state.

    Revenue is extremely concentrated in a few codes: the precomputed top three Medicaid codes account for 96.4% of the provider's total Medicaid revenue, led by T1015 which alone represents $56M (89.5% of Medicaid revenue). That degree of concentration signals that the clinic’s financial health is tightly tied to FQHC-style all-inclusive clinic encounter payments.

    The dominant code, T1015 (Clinic visit/encounter, all-inclusive), and the provider taxonomy as a Federally Qualified Health Center together indicate the operation is primarily delivering comprehensive ambulatory primary care under an FQHC payment model. High volume for T1015 (408.8K claims, $137 avg paid/claim) suggests ongoing, large-scale primary care and wraparound services typical of community health centers.

    Maternal and newborn care is a significant service line: 59409 ($1.7M, ranks #1 of 174 providers in-state, 100th percentile; extreme outlier) and 59514 ($828.2K, ranks #1 of 43 providers in-state, 100th percentile; extreme outlier) are both top revenue drivers, and related codes such as 99460 and 59430 also appear on the top-25 list. This pattern indicates the clinic handles a high volume of deliveries and associated inpatient/newborn management, not just outpatient primary care.

    The provider is a statewide outlier and a dominant player on several codes: T1015 ranks #10 of 846 providers (99th percentile; extreme outlier) and both major delivery codes rank at the top statewide (59409 and 59514 rank #1, 100th percentile; extreme outlier). Those ranks characterize CRUSADERS as a major revenue leader for clinic encounter and delivery services within Illinois.

    Several other codes point to robust family planning and reproductive health services: J7307 (etonogestrel implant system, 906 claims, $503 avg paid/claim, $455.7K revenue) ranks #2 of 36 providers in-state (97th percentile; notably above typical state volume), and J7298 (Mirena) appears on the list as well. The presence and rank of these codes suggest the clinic provides a high-volume contraceptive implant/IUD service line alongside its obstetric care.

    High pediatric/preventive service volumes are evident from multiple vaccine codes appearing as extreme outliers: 90651 (7.3K claims, $4 avg, ranks #7 of 773 providers, 99th percentile; extreme outlier), 90734 (5.4K claims, $4 avg, ranks #7 of 849, 99th percentile; extreme outlier), 90710 (4.8K claims, $3 avg, ranks #8 of 454, 98th percentile; extreme outlier), and 90670 (12K claims, $1 avg, ranks #7 of 989, 99th percentile; extreme outlier). These volumes point to a substantial pediatric immunization and preventive care footprint within the Medicaid population.

    The organization's long tenure (NPI enumerated 2006-11-27, ~20 years ago) combined with the large claim volumes and top-state rankings indicates an established, high-capacity FQHC serving a broad Medicaid population. That operational maturity likely supports the clinic’s ability to sustain very large T1015 encounter volumes and high delivery caseloads in-state.

    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.

    139 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive408,840$140$56M
    D0999N/A27,860$90$2.6M
    59409In 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…1,880$900$1.7M
    59514The 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…790$1,050$828.2K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies910$500$455.7K
    T1040Medicaid certified community behavioral health clinic services, per diem3,570$80$274.7K
    99234The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…1,880$60$111K
    D1120Prophylaxis–child7,420$10$103.9K
    D0274N/A5,200$10$67.5K
    D2392Post 2 surface resin‑based composite2,260$20$45.2K

    Showing 1–10 of 139

    • More pages

    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

    139 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive108507,490$120$3.9M
    D0999N/A132201,090$110$610.1K
    J7298Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg510120$830$372.2K
    59409In 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…117050$910$144.1K
    T1040Medicaid certified community behavioral health clinic services, per diem28190880$70$128.2K
    90837In 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…1,1401,180370$90$109.7K
    J7307Etonogestrel (contraceptive) implant system, including implant and supplies24020$630$97.6K
    D1120Prophylaxis–child1702,140960$40$89.1K
    D1351Sealant - per tooth6331,270530$60$87.1K
    90792In 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…529760140$110$67.3K

    Showing 1–10 of 139

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Crusaders Central Clinic Association, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$38.9M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$16.4M
    Sara FlemingILAnatomic Pathology & Clinical Pathology Physician$24.6K$12.9M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$10.6M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$10.5M
    Wendewessen AmdeILOphthalmology Physician$1.5M$2.7M
    Andrew JunILOtolaryngology Physician$2.3M$0
    Robert PearlmanILOphthalmology Physician$1M$1.2M
    Andrzej JasekILRheumatology Physician$1.6M$4.9K
    John LeeNJInterventional Cardiology Physician$1.6M$0

    Nearby Providers

    Other providers in the same ZIP code as Crusaders Central Clinic Association, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hemina DesaiILGeneral Practice Dentistry$0$4.3M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Crusaders Central Clinic Association — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois