Access Community Health Network
Access Community Health Network was paid $5.36M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
SUMMIT, IL 60501
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,702 | $617K | |
| 2019 | 36,120 | $1.04M | |
| 2020 | 25,570 | $1.01M | |
| 2021 | 27,596 | $1.09M | |
| 2022 | 18,938 | $581K | |
| 2023 | 22,781 | $787K | |
| 2024incomplete | 4,328 | $244K |
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 | 99% | 44,101 | 31,027 | $5.34M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 209 | 145 | $10K |
| 90651 | <1% | 556 | 425 | $10K | |
| 90734 | <1% | 621 | 535 | $2K | |
| 91322 | <1% | 12 | 12 | $2K | |
| 90670 | <1% | 543 | 425 | $1K | |
| 90620 | <1% | 51 | 46 | $687.20 | |
| 90688 | <1% | 165 | 133 | $500.88 | |
| 90715 | <1% | 673 | 572 | $369.64 | |
| 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% | 16,245 | 12,187 | $331.80 |
| 90633 | <1% | 211 | 178 | $257.07 | |
| 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 | <1% | 5,049 | 4,170 | $93.00 |
44 more codes
| 90698 | <1% | 357 | $92.58 | |
| 1126F | <1% | 14,857 | $88.00 | |
| 3074F | <1% | 10,980 | $83.00 | |
| 3078F | <1% | 9,591 | $79.00 | |
| 90686 | <1% | 2,662 | $69.89 | |
| 3079F | <1% | 4,175 | $50.00 | |
| 1125F | <1% | 3,122 | $45.00 | |
| 3077F | <1% | 1,449 | $45.00 | |
| 3075F | <1% | 2,006 | $23.00 | |
| 3080F | <1% | 662 | $22.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 281 | $14.00 |
| 81002 | <1% | 1,707 | $7.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 136 | $2.00 |
| 81025 | <1% | 892 | $2.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,345 | $0.00 |
| 85018 | 0% | 1,262 | $0.00 | |
| 90696 | 0% | 29 | $0.00 | |
| 86580 | 0% | 26 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 757 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 986 | $0.00 |
| 90656 | 0% | 32 | $0.00 | |
| 90744 | 0% | 59 | $0.00 | |
| 99383 | 0% | 56 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 17 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 31 | $0.00 |
| 99384 | 0% | 15 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 392 | $0.00 |
| 90461 | 0% | 3,028 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 379 | $0.00 |
| 0502F | 0% | 1,632 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 8,421 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 525 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 654 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 785 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 381 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,456 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 5,714 | $0.00 |
| 90710 | 0% | 45 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 381 | $0.00 |
| 90681 | 0% | 18 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 125 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 129 | $0.00 |
| 90707 | 0% | 28 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.