Medicaid Provider Spending

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

ACCESS COMMUNITY HEALTH NETWORK

NPI: 1275605792 · CHICAGO, IL 60609 · Federally Qualified Health Center (FQHC) · NPI assigned 11/14/2006

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

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

$5.78M
Total Medicaid Paid
169,208
Total Claims
127,272
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMPSON, DONNA (CEO)
NPI Enumeration Date11/14/2006

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 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 $5.42M
ACCESS COMMUNITY HEALTH NETWORK SUMMIT IL $5.36M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $4.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,841 $840K
2019 42,069 $1.08M
2020 31,048 $1.17M
2021 27,280 $1.05M
2022 21,135 $675K
2023 21,698 $724K
2024 4,137 $239K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 48,295 34,686 $5.76M
T1040 Medicaid certified community behavioral health clinic services, per diem 198 133 $11K
J1050 Injection, medroxyprogesterone acetate, 1 mg 90 88 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,772 15,229 $410.12
3078F 12,826 9,196 $372.00
3074F 14,299 10,284 $365.00
90681 14 13 $341.85
90723 42 42 $306.23
1126F 17,198 13,420 $241.00
90670 442 362 $211.51
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,812 4,623 $182.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,884 1,505 $96.71
90633 157 122 $96.09
90648 110 95 $69.55
81025 3,370 2,774 $58.16
3077F 3,232 2,601 $46.00
3080F 2,385 1,937 $36.00
3079F 4,955 3,990 $35.00
3075F 2,546 2,102 $32.00
1125F 3,944 3,151 $16.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,683 3,778 $3.00
90832 Psychotherapy, 30 minutes with patient 3,091 1,829 $1.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 847 720 $1.00
90686 1,377 1,245 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 850 759 $0.00
90651 349 321 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 484 415 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,373 1,207 $0.00
S5190 Wellness assessment, performed by non-physician 61 47 $0.00
82962 107 90 $0.00
90688 78 68 $0.00
90698 39 36 $0.00
36415 Collection of venous blood by venipuncture 1,128 1,056 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 58 52 $0.00
90696 13 13 $0.00
81002 1,427 1,077 $0.00
90715 415 391 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 957 871 $0.00
0502F 1,794 1,080 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 907 810 $0.00
99215 Prolong outpt/office vis 220 189 $0.00
90461 1,787 774 $0.00
90472 Immunization administration, each additional vaccine (list separately) 253 216 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 3,479 2,168 $0.00
90734 213 207 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 135 132 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 283 252 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 717 657 $0.00
90710 26 26 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 426 381 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 27 $0.00
90746 12 12 $0.00
90837 Psychotherapy, 53 minutes with patient 17 13 $0.00