Clinic
PCC Community Wellness Center
PCC Community Wellness Center was paid $102.40M by Medicaid between Jan 2018 and Dec 2024, across 189 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoPCC COMMUNITY WELLNESS CENTER
OAK PARK, IL 60302
OAK PARK, IL 60302
33aNPI1871516799assigned 07/25/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$102.40M
24GClaims3,290,334
24DCodes billed189
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#4 of 296
Median peer was paid$1.43M
This provider vs. median72×
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 | 400,722 | $11.09M | |
| 2019 | 574,466 | $14.55M | |
| 2020 | 396,950 | $12.72M | |
| 2021 | 435,717 | $15.13M | |
| 2022 | 470,347 | $16.67M | |
| 2023 | 546,708 | $16.25M | |
| 2024incomplete | 465,424 | $16.00M |
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 | 97% | 746,207 | 499,879 | $99.47M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.2% | 18,045 | 13,229 | $1.20M |
| D0999 | Unspecified diagnostic procedure, by report | <1% | 5,011 | 4,578 | $563K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 550 | 492 | $261K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 275 | 202 | $250K |
| 90651 | <1% | 12,299 | 11,013 | $75K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 5,149 | 4,040 | $64K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 177 | 155 | $57K |
| 90715 | <1% | 13,885 | 12,103 | $47K | |
| 90686 | <1% | 36,045 | 31,884 | $46K | |
| 0001A | <1% | 626 | 433 | $26K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 847 | 603 | $25K |
177 more codes
| 90750 | <1% | 2,333 | $24K | |
| 90732 | <1% | 1,172 | $22K | |
| 0002A | <1% | 489 | $21K | |
| 90670 | <1% | 16,135 | $20K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24,361 | $19K |
| 90716 | <1% | 6,102 | $17K | |
| 0124A | <1% | 418 | $13K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 319,651 | $10K |
| 90707 | <1% | 6,057 | $10K | |
| 0011A | <1% | 326 | $9K | |
| 0012A | <1% | 240 | $9K | |
| 90734 | <1% | 9,995 | $8K | |
| 81025 | <1% | 50,319 | $7K | |
| 90633 | <1% | 11,217 | $7K | |
| 0071A | <1% | 157 | $6K | |
| 99460 | <1% | 152 | $6K | |
| 90739 | <1% | 1,519 | $6K | |
| 59430 | <1% | 495 | $5K | |
| 0004A | <1% | 89 | $4K | |
| 0072A | <1% | 83 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 142 | $3K |
| 90677 | <1% | 3,027 | $3K | |
| 90698 | <1% | 10,192 | $3K | |
| 90744 | <1% | 7,924 | $3K | |
| 90710 | <1% | 5,361 | $3K | |
| 90681 | <1% | 8,021 | $3K | |
| 90696 | <1% | 5,028 | $3K | |
| 0503F | <1% | 4,946 | $3K | |
| 0502F | <1% | 36,629 | $3K | |
| 99000 | <1% | 522 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 63,505 | $2K |
| 59025 | Fetal non-stress test | <1% | 1,868 | $2K |
| 3008F | <1% | 230,051 | $2K | |
| 90700 | <1% | 4,613 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 21,951 | $2K |
| 96127 | <1% | 196,611 | $2K | |
| 90648 | <1% | 4,633 | $2K | |
| 11981 | <1% | 1,014 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14,261 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 62,923 | $1K |
| 58300 | <1% | 925 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 39,540 | $1K |
| 90697 | <1% | 3,007 | $1K | |
| 0064A | <1% | 31 | $1K | |
| S5190 | Wellness assessment, performed by non-physician | <1% | 12,377 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 45,339 | $1K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 123,772 | $1K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 95,902 | $1K |
| 90649 | <1% | 390 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 85,448 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 592 | $1K |
| 11976 | <1% | 648 | $976.67 | |
| 82962 | <1% | 36,402 | $922.40 | |
| 81002 | <1% | 47,477 | $910.32 | |
| 0500F | <1% | 4,601 | $883.88 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 37 | $847.00 |
| 99383 | <1% | 1,731 | $781.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 27,160 | $669.30 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 67,027 | $668.00 |
| 90756 | <1% | 4,416 | $644.02 | |
| 86580 | <1% | 2,219 | $613.06 | |
| 80305 | <1% | 20,395 | $608.48 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 34,062 | $554.00 |
| 90713 | <1% | 662 | $549.49 | |
| 0013A | <1% | 13 | $547.82 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24,787 | $535.04 |
| 90620 | <1% | 449 | $531.68 | |
| 20610 | <1% | 1,293 | $495.03 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 38,577 | $473.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 23,446 | $448.84 |
| 90746 | <1% | 364 | $448.68 | |
| 90480 | <1% | 19 | $401.20 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 9,730 | $379.40 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,695 | $369.96 |
| 85610 | <1% | 717 | $284.12 | |
| 36416 | <1% | 19,884 | $265.50 | |
| 2015F | <1% | 19,507 | $249.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17,449 | $231.00 |
| 4010F | <1% | 12,455 | $229.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 31,698 | $228.00 |
| 99384 | <1% | 1,618 | $222.92 | |
| 3074F | <1% | 96,448 | $217.00 | |
| 90723 | <1% | 645 | $201.60 | |
| D0120 | Dental checkup, returning patient | <1% | 2,151 | $196.00 |
| 3078F | <1% | 86,180 | $196.00 | |
| 3077F | <1% | 22,529 | $195.00 | |
| 99173 | <1% | 5,703 | $193.95 | |
| 99385 | <1% | 1,629 | $174.60 | |
| 3044F | <1% | 12,231 | $173.00 | |
| 3079F | <1% | 38,015 | $173.00 | |
| 94200 | <1% | 9,389 | $164.60 | |
| 3061F | <1% | 10,706 | $157.00 | |
| 3080F | <1% | 17,066 | $151.00 | |
| D1120 | Dental cleaning, child | <1% | 2,416 | $125.05 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 714 | $124.13 |
| 90662 | <1% | 190 | $113.54 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 10,398 | $111.50 |
| 3075F | <1% | 22,210 | $105.00 | |
| 99386 | <1% | 633 | $104.96 | |
| 99381 | <1% | 1,891 | $101.84 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,739 | $101.60 |
| 3046F | <1% | 6,130 | $99.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 11,216 | $94.00 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,300 | $86.90 |
| 85018 | <1% | 4,128 | $85.82 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,848 | $79.72 |
| D1206 | Topical application of fluoride varnish | <1% | 2,165 | $79.30 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 73 | $78.24 |
| 58301 | <1% | 208 | $77.80 | |
| 76801 | <1% | 772 | $74.90 | |
| 90473 | <1% | 4,763 | $72.00 | |
| 3060F | <1% | 3,003 | $69.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 7,289 | $60.00 |
| D0274 | Bitewings - four radiographic images | <1% | 720 | $59.82 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 421 | $56.82 |
| 98926 | <1% | 2,299 | $55.00 | |
| 3052F | <1% | 1,587 | $51.00 | |
| 3051F | <1% | 2,787 | $49.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | <1% | 5,021 | $47.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,600 | $45.26 |
| 93000 | <1% | 424 | $44.30 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 4,077 | $44.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,931 | $42.20 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 161 | $36.40 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,503 | $34.20 |
| D0272 | Bitewings - two radiographic images | <1% | 596 | $33.27 |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 999 | $33.00 |
| 3066F | <1% | 2,373 | $20.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 302 | $19.20 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 948 | $17.92 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,357 | $12.00 |
| A9150 | Non-prescription drugs | <1% | 2,189 | $11.00 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,119 | $9.00 |
| 90632 | <1% | 186 | $6.40 | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 23 | $6.00 |
| 98925 | <1% | 497 | $4.00 | |
| 99382 | <1% | 681 | $3.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 6,395 | $1.00 |
| 99408 | <1% | 1,231 | $1.00 | |
| 91312 | <1% | 51 | $0.04 | |
| 91300 | <1% | 86 | $0.01 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 220 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 308 | $0.00 |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 710 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 937 | $0.00 |
| 94760 | 0% | 395 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 239 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 194 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 25 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 17 | $0.00 |
| 99243 | 0% | 219 | $0.00 | |
| 99406 | 0% | 168 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 367 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 26 | $0.00 |
| 57454 | 0% | 90 | $0.00 | |
| 58100 | 0% | 39 | $0.00 | |
| 90381 | 0% | 19 | $0.00 | |
| 90657 | 0% | 54 | $0.00 | |
| 82270 | 0% | 12 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 707 | $0.00 |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | 0% | 511 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,342 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 4,825 | $0.00 |
| 3045F | 0% | 3,022 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 7,972 | $0.00 |
| 17110 | 0% | 158 | $0.00 | |
| 87220 | 0% | 430 | $0.00 | |
| 96160 | 0% | 119 | $0.00 | |
| 90682 | 0% | 58 | $0.00 | |
| 99397 | 0% | 64 | $0.00 | |
| 99201 | 0% | 51 | $0.00 | |
| 90685 | 0% | 74 | $0.00 | |
| 90658 | 0% | 42 | $0.00 | |
| 96381 | 0% | 14 | $0.00 | |
| 2024F | 0% | 30 | $0.00 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 13 | $0.00 |
| 69210 | 0% | 12 | $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 CEO)
| Provider | Location | Paid |
|---|---|---|
| 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 | 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.