Clinic
Tca Health INC NFP
Tca Health INC NFP was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoTCA HEALTH INC NFP
CHICAGO, IL 60619
CHICAGO, IL 60619
33aNPI1578936696assigned 11/11/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.50M
24GClaims18,323
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#146 of 296
Median peer was paid$1.43M
This provider vs. median1.1×
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 | 1,046 | $87K | |
| 2019 | 2,465 | $171K | |
| 2020 | 1,759 | $138K | |
| 2021 | 1,740 | $156K | |
| 2022 | 2,270 | $199K | |
| 2023 | 3,511 | $294K | |
| 2024incomplete | 5,532 | $453K |
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 | 87% | 9,080 | 7,282 | $1.31M |
| D0999 | Unspecified diagnostic procedure, by report | 11% | 1,367 | 1,081 | $161K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.8% | 391 | 292 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 3,787 | 3,250 | $5.00 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 217 | 190 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 197 | 123 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 318 | 238 | $0.00 |
| 81000 | 0% | 203 | 192 | $0.00 | |
| 99385 | 0% | 62 | 55 | $0.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 93 | 92 | $0.00 |
| 99386 | 0% | 43 | 41 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 41 | 40 | $0.00 |
18 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 28 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 143 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 13 | $0.00 |
| 90686 | 0% | 14 | $0.00 | |
| 99383 | 0% | 27 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,001 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 298 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 204 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 153 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 51 | $0.00 |
| 81025 | 0% | 399 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 33 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 39 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 29 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 14 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 20 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 25 | $0.00 |
| 90461 | 0% | 33 | $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 officialCLARKE, VERONICA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Tca Health INC NFP | Chicago, IL | $13.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.