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.

Human Service Center (NPI 1922311679)

Field	Value
Entity Type	Organization
Organization	Human Service Center
Address	228 Ne Jefferson Ave
City	Peoria
State	IL
ZIP	61603
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 23, 2010

Payer Source	Total Paid
Medicaid	$26.7M
Medicare	$0

Key Findings

HUMAN SERVICE CENTER is effectively a single-payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $26.7M. This one-sided payer mix suggests the organization’s financial performance and contracting leverage are driven almost entirely by Medicaid program rules and managed-Medicaid relationships.

Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 95.9% of this provider’s total Medicaid revenue. Those three codes are H0039 ($22M, 82.4% of Medicaid revenue), H2015 ($2M, 7.3%), and T1016 ($1.6M, 6.1%), indicating a narrow set of revenue drivers.

The code mix and volumes point to an intensive community-based behavioral health operation: H0039 (Assertive community treatment, face-to-face, per 15 minutes) alone has 169.1K claims at a $130 avg paid/claim and generates $22M in revenue, which is consistent with frequent, time-based outreach and wraparound services typical of ACT programs. High per-15-minute billing counts suggest continuous, high-touch field services rather than predominantly clinic-based encounters.

H0039 is a statewide market outlier: the provider ranks #2 of 47 in-state and sits in the 98th percentile for this code, described as "notably above typical state volume." That ranking indicates the organization is a dominant provider of Assertive Community Treatment in its state and likely a go-to vendor for high-intensity community mental health services.

The other two top codes show more typical participation: H2015 (Comprehensive community support services, per 15 minutes) ranks #88 of 431 providers in-state (80th percentile) and T1016 (Case management, each 15 minutes) ranks #37 of 465 providers in-state (92th percentile), both flagged as typical or unremarkable volumes. These placements suggest that outside of ACT, the provider participates at a common level in broader community support and case-management services rather than leading the state across those lines.

The extreme revenue concentration in H0039 creates both operational risk and a negotiating opportunity: dependence on a single code that generates $22M and 82.4% of Medicaid revenue makes the provider vulnerable to reimbursement or eligibility changes affecting ACT services, but its clear specialty could be leveraged in payer contracting or program expansion focused on high-intensity community care.

The organization shows operational longevity consistent with established service delivery: the NPI was enumerated on 2010-07-23 (~16 years ago), and the sustained $26.7M in Medicaid billing implies an established footprint and likely programmatic continuity in community mental health services.

Lower-revenue codes such as H2000 ($579.1K, 2.2%), H2010 ($202.5K, 0.8%), and H0004 ($182.7K, 0.7%) indicate the provider also delivers evaluations, medication services, and counseling but these are adjunct to the dominant ACT offering; telehealth usage is negligible (Q3014: 14 claims, $350 revenue), suggesting in-person community-based care remains the operational focus.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	169,150	$130	$22M
H2015	Comprehensive community support services, per 15 minutes	23,340	$80	$2M
T1016	Case management, each 15 minutes	25,200	$70	$1.6M
H2000	Comprehensive multidisciplinary evaluation	6,160	$90	$579.1K
H2010	Comprehensive medication services, per 15 minutes	7,500	$30	$202.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,770	$100	$182.7K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	4,220	$20	$63.2K
H2017	Psychosocial rehabilitation services, per 15 minutes	840	$50	$37.9K
H0031	Mental health assessment, by non-physician	80	$120	$9.8K
H2011	Crisis intervention service, per 15 minutes	50	$170	$8.4K

Showing 1–10 of 12

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

Human Service Center — 1 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	2	50	14,910	$140	$4.1M
H2015	Comprehensive community support services, per 15 minutes	88	430	3,260	$80	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	444	800	2,480	$90	$962.2K
H2011	Crisis intervention service, per 15 minutes	124	160	1,060	$180	$959.9K
H2000	Comprehensive multidisciplinary evaluation	112	420	1,450	$100	$631.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	48	60	5,920	$50	$621.3K
T1016	Case management, each 15 minutes	37	470	1,830	$60	$475.9K
H2010	Comprehensive medication services, per 15 minutes	39	250	690	$30	$145.6K
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	82	230	2,330	$10	$66.5K
H0031	Mental health assessment, by non-physician	162	220	190	$90	$33.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Human Service Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$16.4M
Heartland Community Health Clinic	IL	Federally Qualified Health Center (FQHC)	$0	$10.3M
Peoria School District 150	IL	Local Education Agency (LEA)	$0	$4.3M
Alexander Adler	IL	Cardiovascular Disease Physician	$115.4K	$189.7K
Marc Knepp	IL	Pediatric Cardiology Physician	$4.9K	$214.3K
Matthew Mcmillin	IL	Family Medicine Physician	$70.5K	$145.3K
Timothy Oconnor	IL	Transplant Surgery Physician	$207.4K	$1.3K
Kavya Moravineni	IL	Neurology Physician	$200.8K	$1.8K
Todd Mccall	IL	Neurological Surgery Physician	$150.7K	$17.1K
Timothy Pflederer	IL	Nephrology Physician	$90K	$50.9K

Human Service Center — Billing Profile & Reimbursement Data

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Human Service 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

Nearby Providers

Frequently Asked Questions

References