Physician
Heartland Pediatric Clinic
Heartland Pediatric Clinic was paid $4.19M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoHEARTLAND PEDIATRIC CLINIC
MARION, IL 62959
MARION, IL 62959
33aNPI1053413740assigned 09/02/2006
33bProvider typePediatrics Physician
28Total paid$4.19M
24GClaims113,634
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#12 of 1,805
Median peer was paid$55K
This provider vs. median76×
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 | 14,769 | $501K | |
| 2019 | 26,570 | $668K | |
| 2020 | 14,796 | $561K | |
| 2021 | 14,914 | $592K | |
| 2022 | 14,515 | $607K | |
| 2023 | 14,032 | $609K | |
| 2024incomplete | 14,038 | $652K |
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 | 100% | 49,845 | 36,897 | $4.18M |
| 0001A | <1% | 104 | 45 | $3K | |
| 0072A | <1% | 38 | 34 | $2K | |
| 0071A | <1% | 37 | 35 | $1K | |
| 90670 | <1% | 2,116 | 1,841 | $1K | |
| 90734 | <1% | 580 | 495 | $831.90 | |
| 90633 | <1% | 1,001 | 805 | $322.85 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,598 | 2,233 | $233.61 |
| 90651 | <1% | 205 | 189 | $204.87 | |
| S5190 | Wellness assessment, performed by non-physician | <1% | 75 | 62 | $179.80 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,573 | 1,323 | $160.76 |
| 90715 | <1% | 217 | 164 | $147.40 |
22 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,929 | $127.50 |
| 86769 | <1% | 83 | $126.39 | |
| 90698 | <1% | 578 | $96.14 | |
| 90658 | <1% | 528 | $34.94 | |
| 90713 | <1% | 249 | $33.53 | |
| 90700 | <1% | 227 | $30.84 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 36,288 | $28.35 |
| 90680 | <1% | 1,128 | $25.00 | |
| 99173 | <1% | 2,532 | $22.35 | |
| 83655 | 0% | 808 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 2,086 | $0.00 |
| 90648 | 0% | 613 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,041 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 346 | $0.00 |
| 90710 | 0% | 676 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,534 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 189 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,013 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 61 | $0.00 |
| 90723 | 0% | 657 | $0.00 | |
| 36416 | 0% | 860 | $0.00 | |
| 85018 | 0% | 819 | $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 officialLOPEZ, LUIS (PRESIDENT/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Luis R. Lopez M.D., LTD | Phoenix, AZ | $957K |
| Luis Alfonso Lopez, MD, PA | San Antonio, TX | $484K |
| Flagler Dental Care | Miami, FL | $199K |
| Luis J Lopez MD PA | Tampa, FL | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.