Clinic
Tca Health INC NFP
Tca Health INC NFP was paid $13.40M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 91% of everything it billed.
33Billing provider infoTCA HEALTH INC NFP
CHICAGO, IL 60628
CHICAGO, IL 60628
33aNPI1184757353assigned 03/14/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.40M
24GClaims240,420
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#30 of 296
Median peer was paid$1.43M
This provider vs. median9.4×
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 | 18,948 | $1.03M | |
| 2019 | 31,801 | $1.28M | |
| 2020 | 29,953 | $1.56M | |
| 2021 | 34,102 | $1.90M | |
| 2022 | 43,233 | $2.57M | |
| 2023 | 42,740 | $2.44M | |
| 2024incomplete | 39,643 | $2.61M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 91% | 86,449 | 62,730 | $12.14M |
| D0999 | Unspecified diagnostic procedure, by report | 7.9% | 10,832 | 8,438 | $1.06M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.1% | 2,273 | 1,623 | $154K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 30,157 | 25,127 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,537 | 3,278 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 2,369 | 2,225 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,478 | 3,077 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,010 | 1,922 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17,226 | 14,219 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 2,246 | 2,124 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,751 | 1,545 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 4,710 | 4,264 | $1K |
71 more codes
| D0272 | Bitewings - two radiographic images | <1% | 479 | $1K |
| 0502F | <1% | 2,964 | $1K | |
| D1110 | Prophylaxis - adult | <1% | 411 | $938.11 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,385 | $922.08 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,419 | $844.44 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 317 | $837.84 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,084 | $797.49 |
| D4341 | <1% | 83 | $732.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,437 | $721.68 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,403 | $632.86 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,767 | $513.57 |
| D1206 | Topical application of fluoride varnish | <1% | 2,397 | $444.19 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,294 | $318.16 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 646 | $192.84 |
| 0500F | <1% | 105 | $176.40 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 301 | $99.20 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 4,510 | $94.40 |
| 90670 | <1% | 1,824 | $91.02 | |
| 99173 | <1% | 2,083 | $89.40 | |
| D9996 | <1% | 41 | $75.00 | |
| 81025 | <1% | 8,635 | $50.02 | |
| 90633 | <1% | 1,376 | $42.31 | |
| 90716 | <1% | 156 | $35.91 | |
| 90710 | <1% | 767 | $33.11 | |
| 90698 | <1% | 608 | $32.00 | |
| 90658 | <1% | 115 | $21.41 | |
| 90707 | <1% | 163 | $19.20 | |
| 90648 | <1% | 392 | $16.71 | |
| 90734 | <1% | 901 | $12.80 | |
| 90680 | <1% | 572 | $12.80 | |
| 90696 | <1% | 271 | $12.80 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 745 | $11.90 |
| 81000 | <1% | 8,628 | $8.24 | |
| 90715 | <1% | 537 | $6.40 | |
| 90688 | <1% | 218 | $6.40 | |
| 90651 | <1% | 451 | $6.40 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 907 | $0.00 |
| 90746 | 0% | 85 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,154 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 3,245 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,583 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 75 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 1,165 | $0.00 |
| 99382 | 0% | 269 | $0.00 | |
| 90713 | 0% | 292 | $0.00 | |
| 80061 | Lipid panel | 0% | 58 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 107 | $0.00 |
| 90700 | 0% | 355 | $0.00 | |
| 90461 | 0% | 358 | $0.00 | |
| 90649 | 0% | 188 | $0.00 | |
| D0180 | 0% | 38 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 33 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 932 | $0.00 |
| 96127 | 0% | 421 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 60 | $0.00 |
| 99385 | 0% | 838 | $0.00 | |
| 99386 | 0% | 294 | $0.00 | |
| 99383 | 0% | 851 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 180 | $0.00 |
| 90686 | 0% | 232 | $0.00 | |
| 90647 | 0% | 116 | $0.00 | |
| 90723 | 0% | 402 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 465 | $0.00 |
| 99384 | 0% | 518 | $0.00 | |
| 99381 | 0% | 59 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 211 | $0.00 |
| 90697 | 0% | 130 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 40 | $0.00 |
| 87430 | 0% | 51 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 173 | $0.00 |
| 90620 | 0% | 12 | $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 officialCLARKE, VERONICA (CEO)
Parent organizationTCA HEALTH INC NFP
| Provider | Location | Paid |
|---|---|---|
| Tca Health INC NFP | Chicago, IL | $1.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.