Clinic
PCC Community Wellness Center
PCC Community Wellness Center was paid $1.22M by Medicaid between Jan 2018 and May 2024, across 47 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 55% of everything it billed.
33Billing provider infoPCC COMMUNITY WELLNESS CENTER
BERWYN, IL 60402
BERWYN, IL 60402
33aNPI1174549786assigned 07/15/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.22M
24GClaims37,327
24DCodes billed47
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#155 of 296
Median peer was paid$1.43M
This provider vs. median0.9×
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.
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 | 2,485 | $105K | |
| 2019 | 13,732 | $381K | |
| 2020 | 5,939 | $238K | |
| 2021 | 6,686 | $218K | |
| 2022 | 1,975 | $90K | |
| 2023 | 4,334 | $110K | |
| 2024incomplete | 2,176 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 55% | 7,368 | 6,561 | $674K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 41% | 5,119 | 2,743 | $496K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,281 | 3,121 | $8K |
| D0274 | Bitewings - four radiographic images | <1% | 701 | 663 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 1,058 | 1,011 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 273 | 231 | $4K |
| 0124A | <1% | 85 | 82 | $4K | |
| 0064A | <1% | 68 | 68 | $3K | |
| 0001A | <1% | 63 | 63 | $3K | |
| 0002A | <1% | 60 | 57 | $3K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 959 | 908 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 3,581 | 3,421 | $2K |
35 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 121 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,249 | $2K |
| 0072A | <1% | 43 | $2K | |
| 0012A | <1% | 40 | $2K | |
| 0004A | <1% | 32 | $1K | |
| 90686 | <1% | 229 | $1K | |
| 0071A | <1% | 28 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,770 | $991.64 |
| 0011A | <1% | 13 | $522.62 | |
| D1351 | Sealant - per tooth | <1% | 424 | $107.64 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 458 | $64.60 |
| 90670 | <1% | 63 | $31.66 | |
| 81025 | <1% | 28 | $10.34 | |
| 81002 | 0% | 332 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 489 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 71 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 62 | $0.00 |
| 0502F | 0% | 427 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 240 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 138 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 190 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 144 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 1,776 | $0.00 |
| 96127 | 0% | 1,659 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 953 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 114 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 467 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 27 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 801 | $0.00 |
| 3008F | 0% | 1,138 | $0.00 | |
| 82962 | 0% | 56 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 35 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 0% | 60 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 15 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 19 | $0.00 |
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 officialURSO, ROBERT (PRESIDENT & CEO)
Parent organizationPCC COMMUNITY WELLNESS CENTER
| Provider | Location | Paid |
|---|---|---|
| PCC Community Wellness Center | Oak Park, IL | $102.40M |
| PCC Community Wellness Center | Oak Park, IL | $939K |
| PCC Community Wellness Center | Chicago, IL | $559K |
| PCC Community Wellness Center | Melrose Park, IL | $486K |
| PCC Community Wellness Center | Chicago, IL | $230K |
| PCC Community Wellness Center | Oak Park, IL | $127K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.