Community Care Systems, INC.
Community Care Systems, INC. was paid $9.64M by Medicaid between Jan 2018 and May 2020, across 1 billing code. Its largest line is S5130, homemaker services, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoCOMMUNITY CARE SYSTEMS, INC.
VILLA GROVE, IL 61956
VILLA GROVE, IL 61956
33aNPI1053584987assigned 04/11/2008
33bProvider typeHomemaker
28Total paid$9.64M
24GClaims20,750
24DCodes billed1
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Homemaker providers in Illinois
Rank by total paid#1 of 9
Median peer was paid$356K
This provider vs. median27×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code S5130 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,680 | $4.09M | |
| 2019 | 11,603 | $5.04M | |
| 2020 | 1,467 | $507K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 100% | 20,750 | 9,060 | $9.64M |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVALA, FRANK (CHAIRMAN OF THE BOARD)