Clinic
Esperanza Health Centers
Esperanza Health Centers was paid $39.94M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoESPERANZA HEALTH CENTERS
CHICAGO, IL 60608
CHICAGO, IL 60608
33aNPI1124187125assigned 12/06/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$39.94M
24GClaims1,153,623
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#13 of 296
Median peer was paid$1.43M
This provider vs. median28×
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 | 49,845 | $2.06M | |
| 2019 | 71,033 | $2.79M | |
| 2020 | 109,078 | $5.90M | |
| 2021 | 172,923 | $5.14M | |
| 2022 | 257,644 | $6.84M | |
| 2023 | 333,753 | $9.14M | |
| 2024incomplete | 159,347 | $8.08M |
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 | 99% | 264,523 | 183,208 | $39.39M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 5,850 | 4,940 | $393K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 67 | 65 | $63K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 12 | 12 | $13K |
| 90651 | <1% | 3,988 | 3,762 | $10K | |
| 91322 | <1% | 63 | 63 | $7K | |
| 0011A | <1% | 311 | 307 | $7K | |
| 90670 | <1% | 3,778 | 3,518 | $7K | |
| 0012A | <1% | 153 | 150 | $6K | |
| 90734 | <1% | 491 | 397 | $6K | |
| 90686 | <1% | 15,090 | 14,253 | $6K | |
| 0124A | <1% | 112 | 91 | $4K |
100 more codes
| 0001A | <1% | 84 | $4K | |
| 0002A | <1% | 83 | $3K | |
| 90677 | <1% | 686 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 101,052 | $2K |
| 90716 | <1% | 190 | $1K | |
| 90633 | <1% | 3,105 | $1K | |
| 90656 | <1% | 946 | $1K | |
| 90715 | <1% | 3,025 | $1K | |
| 90680 | <1% | 592 | $1K | |
| 90723 | <1% | 836 | $1K | |
| 59430 | <1% | 196 | $1K | |
| 0503F | <1% | 1,702 | $901.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 28 | $830.20 |
| 90647 | <1% | 4,158 | $793.55 | |
| 0500F | <1% | 1,608 | $749.70 | |
| 81025 | <1% | 4,021 | $687.37 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 28,463 | $637.98 |
| 90750 | <1% | 690 | $632.99 | |
| 0502F | <1% | 15,093 | $620.40 | |
| 90621 | <1% | 1,041 | $415.59 | |
| 90707 | <1% | 139 | $361.26 | |
| 96127 | <1% | 36,728 | $259.62 | |
| 90710 | <1% | 115 | $208.81 | |
| 90694 | <1% | 74 | $165.99 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33,235 | $149.93 |
| 90700 | <1% | 70 | $142.40 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,186 | $87.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,348 | $70.66 |
| S5190 | Wellness assessment, performed by non-physician | <1% | 1,299 | $69.24 |
| 90696 | <1% | 92 | $58.07 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,504 | $36.00 |
| 90688 | <1% | 256 | $35.70 | |
| 90674 | <1% | 366 | $29.23 | |
| 1160F | <1% | 72,869 | $22.02 | |
| 1036F | <1% | 56,884 | $18.00 | |
| 96161 | <1% | 4,815 | $18.00 | |
| 1159F | <1% | 67,649 | $16.00 | |
| 3725F | <1% | 37,734 | $16.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 671 | $13.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,789 | $11.00 |
| 3008F | <1% | 84,783 | $4.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 8,103 | $3.00 |
| 99173 | <1% | 15,490 | $2.47 | |
| 81002 | <1% | 2,458 | $2.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 9,646 | $2.00 |
| 3079F | <1% | 9,620 | $2.00 | |
| 58300 | <1% | 120 | $2.00 | |
| 3075F | <1% | 5,234 | $2.00 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 4,268 | $1.00 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 17,195 | $1.00 |
| 3078F | <1% | 53,035 | $1.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 9,399 | $1.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,849 | $1.00 |
| 1126F | <1% | 8,336 | $1.00 | |
| 3074F | <1% | 55,881 | $1.00 | |
| 99385 | <1% | 522 | $1.00 | |
| 90681 | <1% | 2,144 | $0.11 | |
| 80305 | <1% | 1,007 | $0.01 | |
| 90746 | <1% | 194 | $0.01 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,779 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 10,531 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 3,079 | $0.00 |
| 99382 | 0% | 168 | $0.00 | |
| 99408 | 0% | 3,306 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 420 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,316 | $0.00 |
| 11981 | 0% | 106 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 2,248 | $0.00 |
| 90461 | 0% | 5,893 | $0.00 | |
| 3077F | 0% | 2,709 | $0.00 | |
| 2026F | 0% | 412 | $0.00 | |
| 83655 | 0% | 13 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 455 | $0.00 |
| 90653 | 0% | 66 | $0.00 | |
| 96381 | 0% | 14 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 537 | $0.00 |
| 69210 | 0% | 27 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 370 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 1,898 | $0.00 |
| 1125F | 0% | 2,561 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 10,504 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 4,800 | $0.00 |
| 99381 | 0% | 1,130 | $0.00 | |
| 85018 | 0% | 4,655 | $0.00 | |
| 99383 | 0% | 615 | $0.00 | |
| 82962 | 0% | 1,070 | $0.00 | |
| 99384 | 0% | 640 | $0.00 | |
| 92250 | 0% | 480 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 137 | $0.00 |
| 87428 | 0% | 2,080 | $0.00 | |
| 3080F | 0% | 1,043 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 39 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 78 | $0.00 |
| 92551 | 0% | 836 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 158 | $0.00 |
| 93000 | 0% | 193 | $0.00 | |
| 87807 | 0% | 30 | $0.00 | |
| 99386 | 0% | 25 | $0.00 | |
| 90732 | 0% | 44 | $0.00 | |
| 99406 | 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.
From NPPES
Who's on the registration
Authorized officialSPREITZER, ZACHARY (DIRECTOR OF FINANCE)
Parent organizationESPERANZA HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Esperanza Health Centers | Chicago, IL | $28.94M |
| Esperanza Health Centers | Chicago, IL | $16.49M |
| Esperanza Health Centers | Chicago, IL | $2.27M |
| Esperanza Health Centers | Chicago, IL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.