Clinic
Beloved Community Family Wellness Center
Beloved Community Family Wellness Center was paid $2.43M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoBELOVED COMMUNITY FAMILY WELLNESS CENTER
BLUE ISLAND, IL 60406
BLUE ISLAND, IL 60406
33aNPI1114278009assigned 10/02/2012
33bProvider typeCommunity Health Clinic/Center
28Total paid$2.43M
24GClaims37,985
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Illinois
Rank by total paid#4 of 11
Median peer was paid$197K
This provider vs. median12×
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 | 3,150 | $236K | |
| 2019 | 8,847 | $457K | |
| 2020 | 4,252 | $221K | |
| 2021 | 4,200 | $288K | |
| 2022 | 5,989 | $390K | |
| 2023 | 7,673 | $484K | |
| 2024incomplete | 3,874 | $350K |
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 | 75% | 12,618 | 8,503 | $1.81M |
| D0999 | Unspecified diagnostic procedure, by report | 25% | 7,014 | 4,539 | $602K |
| 0012A | <1% | 61 | 58 | $3K | |
| 0011A | <1% | 64 | 59 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 822 | 672 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,011 | 1,690 | $894.16 |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,020 | 864 | $424.12 |
| D4355 | <1% | 30 | 15 | $287.00 | |
| 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% | 1,862 | 1,444 | $263.13 |
| D1110 | Prophylaxis - adult | <1% | 307 | 254 | $246.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,269 | 3,295 | $203.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,779 | 1,536 | $147.62 |
28 more codes
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,254 | $143.26 |
| D0120 | Dental checkup, returning patient | <1% | 261 | $84.00 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 71 | $45.82 |
| D1120 | Dental cleaning, child | <1% | 687 | $41.00 |
| D0274 | Bitewings - four radiographic images | <1% | 525 | $36.84 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 212 | $29.48 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 170 | $26.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 79 | $10.00 |
| 99442 | <1% | 26 | $2.00 | |
| 99441 | <1% | 35 | $2.00 | |
| D0330 | Panoramic radiographic image | 0% | 54 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 265 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 76 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 129 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 104 | $0.00 |
| D0270 | 0% | 19 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 21 | $0.00 |
| D4341 | 0% | 17 | $0.00 | |
| 99385 | 0% | 225 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 230 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 763 | $0.00 |
| D0603 | 0% | 575 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 54 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 33 | $0.00 |
| D0601 | 0% | 93 | $0.00 | |
| 99386 | 0% | 78 | $0.00 | |
| D0602 | 0% | 59 | $0.00 | |
| 99383 | 0% | 13 | $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 officialHUSSAIN, IQBAL (CHIEF FINANCIAL OFFICER)