Clinic
PCC Community Wellness Center
PCC Community Wellness Center was paid $486K by Medicaid between Mar 2018 and Dec 2022, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoPCC COMMUNITY WELLNESS CENTER
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
33aNPI1720104573assigned 03/22/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$486K
24GClaims14,658
24DCodes billed27
24AFirst – last monthMar 2018 – Dec 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#205 of 296
Median peer was paid$1.43M
This provider vs. median0.3×
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 | 216 | $20K | |
| 2019 | 9,527 | $248K | |
| 2020 | 2,927 | $127K | |
| 2021 | 1,923 | $88K | |
| 2022 | 65 | $3K |
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 | 98% | 4,932 | 2,531 | $477K |
| 0011A | <1% | 78 | 78 | $3K | |
| 0124A | <1% | 65 | 65 | $3K | |
| 0004A | <1% | 30 | 30 | $1K | |
| 90686 | <1% | 175 | 144 | $1K | |
| 0012A | <1% | 21 | 21 | $884.94 | |
| 0001A | <1% | 12 | 12 | $505.68 | |
| 81025 | <1% | 194 | 100 | $18.08 | |
| 3008F | 0% | 1,353 | 762 | $0.00 | |
| 96127 | 0% | 1,288 | 577 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 2,146 | 1,185 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 478 | 347 | $0.00 |
15 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 844 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 719 | $0.00 |
| 3074F | 0% | 13 | $0.00 | |
| 36416 | 0% | 24 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 40 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 50 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 704 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 777 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 299 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 111 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 95 | $0.00 |
| 90670 | 0% | 44 | $0.00 | |
| 81002 | 0% | 78 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 38 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 50 | $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 AND CEO)
| 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 | Chicago, IL | $559K |
| 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.