Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Erie Family Health Center, INC

Clinic/Center, Federally Qualified Health Center (FQHC)·Chicago, IL·NPI: 1760499545Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $143.6M is at the 50th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$143.6M

$143,562,824

Total Claims

2.8M

Beneficiaries

2.3M

1.2 claims/patient

Avg Cost/Claim

$51

#764 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Erie Family Health Center, INC is a Clinic/Center, Federally Qualified Health Center (FQHC) provider based in Chicago, IL. From the 2018–2024 period, this provider received $143.6M in Medicaid payments across 2.8M claims.

Why This Matters

This provider received $143.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,945 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 342% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$8.5M
+45%
2019
$12.3M
+10%
2020
$13.6M
+30%
2021
$17.6M
+11%
2022
$19.6M
+77%
2023
$34.6M
+8%
2024
$37.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 96% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$138.0M

911K claims · 96.1%

Your Cost: $151.46/claim|Median: $121.16
1.3× median
T1040Normal range

Medicaid certified CCBHC services

$1.5M

22K claims · 1.0%

Your Cost: $69.51/claim|Median: $130.29
0.5× median
D0999Normal range

Unspecified diagnostic procedure, by report

$1.5M

13K claims · 1.0%

Your Cost: $113.91/claim|Median: $101.33
1.1× median
59409Top 25%

Vaginal delivery only

$905K

997 claims · 0.6%

Your Cost: $907.34/claim|Median: $619.91
1.5× median
59514Top 5%

Cesarean delivery only

$232K

229 claims · 0.2%

Your Cost: $1,013.45/claim|Median: $452.80
2.2× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$179K

396 claims · 0.1%

Your Cost: $453.16/claim|Median: $786.43
0.6× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$162K

4K claims · 0.1%

Your Cost: $41.80/claim|Median: $36.70
1.1× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$154K

4K claims · 0.1%

Your Cost: $41.09/claim|Median: $33.72
1.2× median
90649Top 25%

$68K

4K claims · 0.0%

Your Cost: $18.59/claim|Median: $6.42
2.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$64K

512K claims · 0.0%

Your Cost: $0.12/claim|Median: $37.81
0.0× median
90670Normal range

$54K

27K claims · 0.0%

Your Cost: $2.00/claim|Median: $5.94
0.3× median
J7297Normal range

$52K

429 claims · 0.0%

Your Cost: $122.12/claim|Median: $569.39
0.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$50K

2K claims · 0.0%

Your Cost: $28.79/claim|Median: $37.22
0.8× median
58300Normal range

$46K

2K claims · 0.0%

Your Cost: $19.22/claim|Median: $74.77
0.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$41K

2K claims · 0.0%

Your Cost: $24.17/claim|Median: $23.99
1.0× median
90734Normal range

$41K

6K claims · 0.0%

Your Cost: $6.65/claim|Median: $6.40
1.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$39K

1K claims · 0.0%

Your Cost: $35.58/claim|Median: $33.85
1.1× median
59430Normal range

$38K

5K claims · 0.0%

Your Cost: $8.01/claim|Median: $80.32
0.1× median
90710Normal range

MMRV vaccine

$37K

8K claims · 0.0%

Your Cost: $4.45/claim|Median: $7.00
0.6× median
11981Normal range

$31K

2K claims · 0.0%

Your Cost: $19.99/claim|Median: $117.16
0.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$22K

961 claims · 0.0%

Your Cost: $22.78/claim|Median: $25.93
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$21K

433 claims · 0.0%

Your Cost: $48.91/claim|Median: $51.25
0.9× median
0071ATop 25%

$20K

486 claims · 0.0%

Your Cost: $42.14/claim|Median: $38.71
1.1× median
90658Normal range

$20K

13K claims · 0.0%

Your Cost: $1.58/claim|Median: $8.96
0.2× median
0072ATop 25%

$19K

462 claims · 0.0%

Your Cost: $42.14/claim|Median: $39.57
1.1× median
0124ANormal range

$19K

518 claims · 0.0%

Your Cost: $36.99/claim|Median: $34.32
1.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$14K

75K claims · 0.0%

Your Cost: $0.18/claim|Median: $53.41
0.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$14K

834 claims · 0.0%

Your Cost: $16.40/claim|Median: $16.77
1.0× median
J7300Normal range

$12K

46 claims · 0.0%

Your Cost: $266.01/claim|Median: $692.75
0.4× median
90716Normal range

$12K

10K claims · 0.0%

Your Cost: $1.24/claim|Median: $6.18
0.2× median

Other Top Providers in Illinois

View all →

City of Chicago

Ambulance

$1.23B

Quest Diagnostics LLC IL

Clinical Medical Laboratory

$429.8M

Intelliride LLC

Transportation Broker

$297.9M

Medline Industries, LP

Durable Medical Equipment & Medical Supplies

$233.1M

Orsini Pharmaceutical Services LLC

Pharmacy Specialty Pharmacy

$187.5M

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in Illinois →How we detect fraud →