Medicaid Provider Spending

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

ACCESS COMMUNITY HEALTH NETWORK

NPI: 1467785782 · CHICAGO, IL 60629 · Federally Qualified Health Center (FQHC) · NPI assigned 09/18/2009

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

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

$8.16M
Total Medicaid Paid
216,051
Total Claims
155,270
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMPSON, DONNA (CEO)
NPI Enumeration Date09/18/2009

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 $8.03M
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 28,152 $1.10M
2019 48,661 $1.42M
2020 46,921 $1.97M
2021 34,883 $1.53M
2022 28,220 $970K
2023 24,217 $878K
2024 4,997 $295K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 65,836 44,762 $8.14M
T1040 Medicaid certified community behavioral health clinic services, per diem 101 74 $5K
91322 24 23 $3K
90698 2,170 1,619 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 63 62 $2K
90734 748 665 $2K
90651 816 687 $2K
90680 1,188 872 $2K
0011A 25 25 $1K
90710 379 282 $787.46
90480 18 18 $784.80
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,724 18,533 $717.22
90688 234 198 $512.32
3074F 12,099 8,542 $484.00
90715 1,174 1,051 $480.29
90744 1,017 790 $448.38
3078F 10,877 7,696 $446.00
90633 1,233 1,000 $422.82
90620 18 17 $320.00
90696 343 258 $209.33
90686 4,323 3,818 $150.51
3079F 4,444 3,464 $90.00
81025 3,099 2,544 $80.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,238 1,005 $78.05
90707 273 220 $64.78
1126F 5,072 4,106 $64.00
3075F 2,569 2,049 $52.00
3080F 2,096 1,651 $45.00
3077F 2,628 2,025 $45.00
90460 Immunization administration through 18 years of age via any route, first or only component 11,988 7,372 $40.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,787 3,948 $37.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,274 2,859 $20.00
81002 1,451 1,225 $20.00
1125F 1,443 1,164 $19.00
90670 2,302 1,730 $12.80
99215 Prolong outpt/office vis 205 167 $11.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,573 2,982 $10.00
90461 8,376 3,262 $10.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,898 7,166 $2.01
0502F 3,325 1,919 $1.00
90656 99 99 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,073 1,780 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,949 2,314 $0.00
82962 312 263 $0.00
S5190 Wellness assessment, performed by non-physician 13 13 $0.00
59430 113 85 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 217 189 $0.00
90716 245 206 $0.00
99381 179 161 $0.00
36415 Collection of venous blood by venipuncture 1,362 1,235 $0.00
90834 Psychotherapy, 45 minutes with patient 54 24 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 623 489 $0.00
99383 17 15 $0.00
90677 18 13 $0.00
90697 17 12 $0.00
85018 18 13 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 499 428 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 130 118 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,308 1,981 $0.00
90832 Psychotherapy, 30 minutes with patient 1,699 1,108 $0.00
90621 13 13 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,413 1,867 $0.00
90672 75 67 $0.00
90791 Psychiatric diagnostic evaluation 362 296 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 210 174 $0.00
90472 Immunization administration, each additional vaccine (list separately) 553 432 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 16 12 $0.00