Clinic
PCC Community Wellness Center
PCC Community Wellness Center was paid $939K by Medicaid between Jan 2018 and Nov 2022, across 24 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
OAK PARK, IL 60302
OAK PARK, IL 60302
33aNPI1750621769assigned 02/28/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$939K
24GClaims31,502
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#170 of 296
Median peer was paid$1.43M
This provider vs. median0.7×
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 | 1,233 | $60K | |
| 2019 | 19,336 | $451K | |
| 2020 | 6,644 | $268K | |
| 2021 | 4,095 | $152K | |
| 2022 | 194 | $8K |
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% | 10,261 | 5,192 | $920K |
| 0001A | <1% | 129 | 123 | $5K | |
| 0002A | <1% | 122 | 119 | $5K | |
| 0072A | <1% | 70 | 70 | $3K | |
| 0071A | <1% | 54 | 54 | $2K | |
| 0004A | <1% | 52 | 52 | $2K | |
| 0124A | <1% | 12 | 12 | $501.60 | |
| 80305 | <1% | 1,982 | 843 | $44.90 | |
| 81002 | <1% | 1,722 | 1,077 | $10.40 | |
| 81025 | <1% | 1,907 | 1,118 | $7.74 | |
| 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% | 6,920 | 4,007 | $0.00 |
| 3008F | 0% | 323 | 228 | $0.00 |
12 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,392 | $0.00 |
| 96127 | 0% | 2,066 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 14 | $0.00 |
| A9150 | Non-prescription drugs | 0% | 26 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,151 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 1,577 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 573 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 114 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 993 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 16 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $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)
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 | Chicago, IL | $559K |
| 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.