Medicaid Provider Spending

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

ACCESS COMMUNITY HEALTH NETWORK

NPI: 1598844268 · CHICAGO, IL 60632 · Federally Qualified Health Center (FQHC) · NPI assigned 11/03/2006

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

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

$8.03M
Total Medicaid Paid
239,929
Total Claims
177,940
Beneficiaries
66
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMPSON, DONNA (CEO)
NPI Enumeration Date11/03/2006

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 $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 27,561 $1.02M
2019 59,717 $1.62M
2020 48,679 $1.75M
2021 45,273 $1.64M
2022 30,264 $912K
2023 23,708 $799K
2024 4,727 $279K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 65,392 45,056 $7.99M
T1040 Medicaid certified community behavioral health clinic services, per diem 249 186 $13K
90651 2,138 1,919 $9K
90734 1,597 1,394 $5K
90686 5,490 4,940 $886.06
90633 1,245 1,072 $792.69
90698 1,204 948 $786.52
90670 2,018 1,610 $785.14
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,885 16,867 $642.12
90715 1,384 1,202 $587.86
90716 163 137 $488.08
3078F 12,346 8,614 $351.00
3074F 12,778 8,853 $351.00
90707 198 163 $348.46
90681 628 477 $327.00
90744 737 606 $315.60
90688 568 537 $291.84
1126F 28,745 22,819 $260.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,936 4,870 $193.00
1125F 3,795 3,106 $113.00
90700 115 91 $96.40
3079F 3,259 2,634 $47.00
3077F 1,074 863 $44.00
3075F 2,248 1,842 $28.00
81002 806 678 $26.00
3080F 429 338 $24.00
90710 379 305 $19.20
90696 316 257 $19.20
81025 1,660 1,393 $16.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,998 1,740 $11.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 175 151 $10.00
90685 464 352 $6.40
90648 102 79 $6.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,414 6,385 $2.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,098 965 $1.00
90461 7,089 3,045 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 13,937 9,145 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,987 1,623 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,150 2,803 $0.00
90791 Psychiatric diagnostic evaluation 533 402 $0.00
90832 Psychotherapy, 30 minutes with patient 2,254 1,266 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,180 2,816 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 539 458 $0.00
0502F 3,044 1,598 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,290 2,850 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 606 534 $0.00
90472 Immunization administration, each additional vaccine (list separately) 818 714 $0.00
90672 40 36 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,767 2,404 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,359 1,965 $0.00
85018 1,042 915 $0.00
36415 Collection of venous blood by venipuncture 1,350 1,233 $0.00
90697 13 13 $0.00
99385 26 26 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 177 147 $0.00
90834 Psychotherapy, 45 minutes with patient 245 81 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 114 105 $0.00
90620 74 69 $0.00
99383 14 14 $0.00
90732 40 40 $0.00
0500F 17 12 $0.00
99384 25 25 $0.00
86580 36 30 $0.00
99381 21 14 $0.00
90656 60 60 $0.00
S5190 Wellness assessment, performed by non-physician 49 48 $0.00