Medicaid Provider Spending

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

ACCESS COMMUNITY HEALTH NETWORK

NPI: 1538247762 · CHICAGO, IL 60653 · Federally Qualified Health Center (FQHC) · NPI assigned 11/02/2006

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

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

$5.42M
Total Medicaid Paid
160,700
Total Claims
120,171
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMPSON, DONNA (CEO)
NPI Enumeration Date11/02/2006

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 $5.78M
ACCESS COMMUNITY HEALTH NETWORK SUMMIT IL $5.36M
ACCESS COMMUNITY HEALTH NETWORK CHICAGO IL $4.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,233 $780K
2019 41,205 $1.04M
2020 27,681 $989K
2021 30,467 $1.11M
2022 20,109 $670K
2023 18,678 $666K
2024 2,327 $160K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 44,097 30,956 $5.41M
J1050 Injection, medroxyprogesterone acetate, 1 mg 146 142 $5K
T1040 Medicaid certified community behavioral health clinic services, per diem 31 17 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,176 13,052 $257.00
3074F 13,071 9,621 $235.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,906 1,527 $231.71
3078F 11,322 8,360 $221.00
90698 367 250 $180.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,842 4,155 $170.94
90633 475 409 $134.52
1126F 17,545 13,731 $116.00
81025 3,173 2,617 $56.58
1125F 5,158 4,146 $46.00
3079F 4,144 3,356 $32.00
90670 780 587 $25.60
3075F 2,281 1,889 $19.00
81002 579 501 $14.00
3080F 2,183 1,753 $7.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,924 3,771 $6.00
3077F 2,135 1,718 $6.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 944 858 $1.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,603 1,332 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 940 871 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 890 821 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 5,056 3,068 $0.00
90832 Psychotherapy, 30 minutes with patient 1,088 580 $0.00
0502F 1,398 812 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,695 1,475 $0.00
90461 3,398 1,369 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 579 427 $0.00
90472 Immunization administration, each additional vaccine (list separately) 293 268 $0.00
90710 112 105 $0.00
90734 376 335 $0.00
90715 329 287 $0.00
90707 30 28 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 114 91 $0.00
99215 Prolong outpt/office vis 55 48 $0.00
90696 98 86 $0.00
90651 604 534 $0.00
90686 996 908 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 748 690 $0.00
90688 96 84 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,191 959 $0.00
36415 Collection of venous blood by venipuncture 1,364 1,267 $0.00
90744 88 63 $0.00
90620 54 49 $0.00
99385 38 38 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 39 38 $0.00
90680 34 16 $0.00
99386 13 13 $0.00
90656 15 15 $0.00
0500F 39 38 $0.00
90716 32 28 $0.00
99383 16 12 $0.00