ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde
ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 38 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.
BREESE, IL 62230
Next to other Family Medicine Physician 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 | 12,776 | $335K | |
| 2019 | 22,080 | $356K | |
| 2020 | 13,739 | $419K | |
| 2021 | 9,362 | $281K | |
| 2022 | 11,555 | $359K | |
| 2023 | 10,784 | $367K | |
| 2024incomplete | 10,135 | $385K |
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% | 46,654 | 30,572 | $2.45M |
| 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% | 21,156 | 13,788 | $23K |
| 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% | 9,453 | 6,664 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,665 | 2,679 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,056 | 622 | $5K |
| 90670 | <1% | 758 | 494 | $362.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 126 | 106 | $261.30 |
| 90723 | <1% | 77 | 51 | $74.80 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 209 | 148 | $46.80 |
| 87807 | <1% | 88 | 64 | $40.24 | |
| 81003 | <1% | 171 | 132 | $32.70 | |
| 90648 | <1% | 284 | 167 | $31.80 |
26 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 93 | $18.91 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,130 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,345 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 489 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 346 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 473 | $0.00 |
| 99173 | 0% | 48 | $0.00 | |
| 90707 | 0% | 67 | $0.00 | |
| 90734 | 0% | 150 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 15 | $0.00 |
| 87420 | 0% | 21 | $0.00 | |
| 90633 | 0% | 173 | $0.00 | |
| 99177 | 0% | 81 | $0.00 | |
| 90715 | 0% | 20 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 167 | $0.00 |
| 87428 | 0% | 518 | $0.00 | |
| 90686 | 0% | 667 | $0.00 | |
| 90698 | 0% | 355 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 403 | $0.00 |
| 90656 | 0% | 54 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 12 | $0.00 |
| 90677 | 0% | 30 | $0.00 | |
| 90716 | 0% | 29 | $0.00 | |
| 96127 | 0% | 22 | $0.00 | |
| 90744 | 0% | 12 | $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% | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.