Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ACCESS COMMUNITY HEALTH NETWORK

NPI: 1043398217 · CHICAGO, IL 60609 · Federally Qualified Health Center (FQHC) · NPI assigned 11/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more

$7.54M
Total Medicaid Paid
222,778
Total Claims
160,525
Beneficiaries
73
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMPSON, DONNA (CEO)
NPI Enumeration Date11/02/2006

Related Entities

Other providers sharing the same authorized official: THOMPSON, DONNA

ProviderCityStateTotal Paid
FORT SANDERS PERINATAL CENTER KNOXVILLE TN $46.50M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $12.70M
ACCESS COMMUNITY HEALTH NETWORK DES PLAINES IL $11.86M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $11.75M
ACCESS COMMUNITY HEALTH NETWORK BLUE ISLAND IL $10.83M
ACCESS COMMUNITY HEALTH NETWORK CICERO IL $9.58M
ACCESS COMMUNITY HEALTH NETWORK ARLINGTON HEIGHTS IL $9.33M
ACCESS COMMUNITY HEALTH NETWORK BLOOMINGDALE IL $9.26M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $9.20M
ACCESS COMMUNITY HEALTH NETWORK EVANSTON IL $8.29M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $8.16M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $8.03M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $7.60M
ACCESS COMMUNITY HEALTH NETWORK MELROSE PARK IL $6.70M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $6.28M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO HEIGHTS IL $6.05M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $5.78M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $5.42M
ACCESS COMMUNITY HEALTH NETWORK SUMMIT IL $5.36M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $4.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,065 $698K
2019 46,357 $1.19M
2020 46,279 $1.65M
2021 42,828 $1.65M
2022 34,996 $1.08M
2023 29,542 $997K
2024 4,711 $283K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 61,633 41,224 $7.39M
0011A 1,109 989 $40K
0012A 958 887 $40K
T1040 Medicaid certified community behavioral health clinic services, per diem 758 439 $36K
99000 1,127 1,076 $26K
91322 12 12 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 59 59 $1K
90670 1,394 1,082 $1K
90698 736 524 $655.83
90651 1,117 947 $578.48
90480 12 12 $523.20
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,294 15,594 $251.00
90734 513 459 $239.13
3074F 15,342 10,113 $201.00
3078F 13,637 8,863 $198.00
90633 833 689 $140.92
1126F 21,595 16,657 $134.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,301 4,927 $90.00
1125F 4,314 3,416 $81.00
3079F 6,404 5,029 $70.00
90715 753 658 $68.20
3075F 3,487 2,821 $50.00
3077F 3,830 3,008 $44.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,847 1,509 $30.62
3080F 2,685 2,206 $27.00
81025 3,785 3,060 $20.00
90686 2,242 1,965 $19.03
90688 110 88 $17.84
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,105 1,738 $10.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,166 8,679 $10.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 905 670 $10.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 69 51 $7.00
81002 2,142 1,533 $7.00
90685 16 12 $6.40
86580 89 64 $1.00
90832 Psychotherapy, 30 minutes with patient 3,932 2,240 $0.00
90461 4,597 1,859 $0.00
0502F 1,577 925 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 219 194 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 142 126 $0.00
90853 Group psychotherapy (other than of a multiple-family group) 318 69 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,324 2,005 $0.00
90472 Immunization administration, each additional vaccine (list separately) 623 489 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 455 411 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,263 1,095 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,318 996 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 7,076 4,375 $0.00
90681 194 145 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 251 218 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 68 55 $0.00
90710 299 261 $0.00
90791 Psychiatric diagnostic evaluation 121 53 $0.00
90671 39 29 $0.00
99215 Prolong outpt/office vis 80 68 $0.00
90707 35 31 $0.00
90648 13 12 $0.00
90700 12 12 $0.00
90672 34 31 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,350 1,171 $0.00
90697 203 154 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,360 1,105 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 334 288 $0.00
90716 32 29 $0.00
36415 Collection of venous blood by venipuncture 781 719 $0.00
96156 12 12 $0.00
99383 12 12 $0.00
90744 114 83 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 12 12 $0.00
90696 81 68 $0.00
90620 47 43 $0.00
90656 45 45 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 14 13 $0.00
99386 12 12 $0.00