Clinic
PCC Community Wellness Center
PCC Community Wellness Center was paid $559K by Medicaid between May 2018 and Jan 2023, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoPCC COMMUNITY WELLNESS CENTER
CHICAGO, IL 60639
CHICAGO, IL 60639
33aNPI1487670097assigned 07/15/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$559K
24GClaims21,241
24DCodes billed33
24AFirst – last monthMay 2018 – Jan 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#198 of 296
Median peer was paid$1.43M
This provider vs. median0.4×
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 | 246 | $14K | |
| 2019 | 14,674 | $293K | |
| 2020 | 3,470 | $134K | |
| 2021 | 2,299 | $95K | |
| 2022 | 528 | $22K | |
| 2023 | 24 | $1K |
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 | 90% | 5,604 | 2,657 | $501K |
| 0002A | 1.4% | 189 | 189 | $8K | |
| 0004A | 1.4% | 179 | 162 | $8K | |
| 0001A | 1.3% | 178 | 175 | $8K | |
| 0064A | 1.1% | 146 | 127 | $6K | |
| 0011A | 1.0% | 164 | 158 | $6K | |
| 0124A | <1% | 132 | 127 | $6K | |
| 0012A | <1% | 133 | 129 | $5K | |
| 0072A | <1% | 111 | 111 | $5K | |
| 0071A | <1% | 107 | 107 | $5K | |
| 90686 | <1% | 374 | 308 | $2K | |
| 0013A | <1% | 16 | 16 | $674.24 |
21 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 534 | $16.08 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,827 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 74 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 234 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 411 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 132 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 67 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 348 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 205 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,143 | $0.00 |
| 96127 | 0% | 2,020 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 1,710 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 783 | $0.00 |
| 3008F | 0% | 2,836 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 897 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 34 | $0.00 |
| 3061F | 0% | 45 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 83 | $0.00 |
| 36416 | 0% | 256 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 201 | $0.00 |
| 82962 | 0% | 68 | $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 officialURSO, ROBERT (PRESIDENT & CEO)
Parent organizationPCC COMMUNITY WELLNESS CENTER
| Provider | Location | Paid |
|---|---|---|
| PCC Community Wellness Center | Oak Park, IL | $102.40M |
| PCC Community Wellness Center | Berwyn, IL | $1.22M |
| PCC Community Wellness Center | Oak Park, IL | $939K |
| PCC Community Wellness Center | Melrose Park, IL | $486K |
| PCC Community Wellness Center | Chicago, IL | $230K |
| PCC Community Wellness Center | Oak Park, IL | $127K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.