Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS

NPI: 1083721567 · COULTERVILLE, IL 62237 · Rural Health Clinic/Center · NPI assigned 08/23/2006

$1.06M
Total Medicaid Paid
25,258
Total Claims
20,179
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialERNSTING, LISA (CFO)
NPI Enumeration Date08/23/2006

Related Entities

Other providers sharing the same authorized official: ERNSTING, LISA

ProviderCityStateTotal Paid
SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS SPARTA IL $2.37M
SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS SPARTA IL $1.36M
SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS SPARTA IL $1.07M
SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS MARISSA IL $961K
SPARTA COMMUNITY HOSPITAL SPARTA IL $575K
SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS STEELEVILLE IL $530K
SPARTA COMMUNITY HOSPITAL SPARTA IL $216K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,268 $87K
2019 4,946 $164K
2020 3,410 $140K
2021 3,127 $143K
2022 3,303 $145K
2023 3,934 $187K
2024 4,270 $195K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 14,607 11,344 $1.06M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,836 4,712 $121.47
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 32 12 $92.33
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 37 28 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 167 164 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 70 63 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 72 68 $0.00
3725F 63 59 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 21 18 $0.00
3078F 83 73 $0.00
90715 15 15 $0.00
96127 420 394 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,369 2,844 $0.00
90686 116 90 $0.00
3074F 94 83 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 149 123 $0.00
3079F 18 18 $0.00
90688 29 17 $0.00
90651 14 12 $0.00
90656 27 24 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 19 18 $0.00