Medicaid Provider Spending

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

ACCESS COMMUNITY HEALTH NETWORK

NPI: 1366514887 · CHICAGO HEIGHTS, IL 60411 · 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

$6.05M
Total Medicaid Paid
171,821
Total Claims
122,695
Beneficiaries
61
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 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 27,350 $1.10M
2019 43,321 $1.15M
2020 29,776 $1.18M
2021 23,588 $928K
2022 18,999 $541K
2023 22,960 $802K
2024 5,827 $362K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 51,043 34,821 $6.04M
T1040 Medicaid certified community behavioral health clinic services, per diem 92 67 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg 51 50 $1K
90651 1,330 1,029 $789.91
90710 254 205 $382.64
3074F 11,114 7,437 $331.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,700 13,318 $311.00
90633 1,220 976 $267.38
90698 1,363 1,046 $266.44
3078F 8,544 5,809 $247.00
1126F 13,024 9,790 $138.00
90734 949 788 $118.58
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,362 4,777 $108.00
3079F 5,072 3,737 $102.00
90696 211 163 $99.10
81025 1,936 1,548 $56.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,326 3,999 $51.00
90688 221 178 $42.08
90686 1,887 1,605 $38.06
1125F 2,778 2,104 $33.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 483 372 $32.00
90670 1,803 1,423 $32.00
90715 881 710 $31.37
3075F 2,036 1,576 $27.00
3080F 1,178 871 $15.00
3077F 1,566 1,162 $6.00
90744 437 323 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,152 1,640 $0.00
90656 36 36 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,843 1,574 $0.00
36415 Collection of venous blood by venipuncture 1,202 1,073 $0.00
90716 128 97 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 83 80 $0.00
0500F 43 39 $0.00
99383 121 109 $0.00
90834 Psychotherapy, 45 minutes with patient 17 14 $0.00
99381 151 144 $0.00
90677 25 14 $0.00
99384 13 13 $0.00
S5190 Wellness assessment, performed by non-physician 29 28 $0.00
90723 44 32 $0.00
0502F 3,533 1,907 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,290 1,791 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,220 1,008 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,433 1,202 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,870 1,453 $0.00
90461 4,389 2,057 $0.00
90832 Psychotherapy, 30 minutes with patient 1,086 647 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,041 1,718 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 612 505 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 7,282 4,551 $0.00
90707 94 82 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 330 293 $0.00
90681 388 299 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 50 49 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 187 162 $0.00
90648 64 42 $0.00
99215 Prolong outpt/office vis 15 15 $0.00
90685 62 42 $0.00
81002 110 83 $0.00
90837 Psychotherapy, 53 minutes with patient 17 12 $0.00