Medicaid Provider Spending

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

ACCESS COMMUNITY HEALTH NETWORK

NPI: 1194179721 · EVANSTON, IL 60202 · Federally Qualified Health Center (FQHC) · NPI assigned 04/20/2016

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

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

$8.29M
Total Medicaid Paid
245,802
Total Claims
165,320
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMPSON, DONNA (CEO)
NPI Enumeration Date04/20/2016

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 CHICAGO IL $8.16M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $8.03M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $7.60M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $7.54M
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 27,945 $1.03M
2019 53,907 $1.50M
2020 41,776 $1.55M
2021 39,189 $1.47M
2022 27,563 $757K
2023 44,295 $1.43M
2024 11,127 $562K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 73,137 46,038 $8.26M
T1040 Medicaid certified community behavioral health clinic services, per diem 380 248 $15K
90651 1,249 1,004 $4K
90698 2,325 1,704 $3K
90734 567 469 $2K
90670 2,296 1,705 $2K
90681 689 506 $1K
90710 104 60 $1K
90686 5,237 4,362 $850.12
0011A 19 19 $800.66
90633 1,069 858 $755.96
90715 1,246 1,039 $525.99
90744 962 744 $501.97
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,978 19,429 $333.22
3078F 16,234 10,204 $236.00
3074F 17,441 10,784 $231.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,974 6,584 $139.00
90688 204 168 $131.28
90716 139 91 $120.81
1126F 11,336 8,442 $115.00
3079F 4,502 3,388 $76.00
90707 130 81 $71.18
3077F 1,982 1,450 $50.00
3075F 2,641 1,993 $46.00
1125F 1,359 1,075 $44.00
3080F 1,036 756 $15.00
90685 323 216 $12.80
81025 2,988 2,318 $9.00
81002 4,431 2,938 $6.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,414 4,068 $3.01
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 547 430 $3.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,692 1,319 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 68 56 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,595 1,185 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,217 2,554 $0.00
0502F 4,035 2,259 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 11,137 6,869 $0.00
90461 6,937 2,881 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,664 2,004 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 827 681 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,755 2,208 $0.00
90832 Psychotherapy, 30 minutes with patient 2,619 956 $0.00
90472 Immunization administration, each additional vaccine (list separately) 547 427 $0.00
1160F 64 42 $0.00
90621 54 54 $0.00
99215 Prolong outpt/office vis 140 122 $0.00
1159F 64 42 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 199 180 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,280 3,418 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,587 2,132 $0.00
99381 137 129 $0.00
36415 Collection of venous blood by venipuncture 874 744 $0.00
90677 79 43 $0.00
S5190 Wellness assessment, performed by non-physician 113 111 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 28 28 $0.00
59430 62 38 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,771 1,363 $0.00
90656 161 161 $0.00
0500F 77 72 $0.00
G0008 Administration of influenza virus vaccine 30 30 $0.00
90696 13 13 $0.00
90792 Psychiatric diagnostic evaluation with medical services 17 12 $0.00
99384 20 16 $0.00