Physician
Effingham Obstetrics & Gynecology Associates SC
Effingham Obstetrics & Gynecology Associates SC was paid $274K by Medicaid between Jan 2018 and Jan 2020, across 17 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 infoEFFINGHAM OBSTETRICS & GYNECOLOGY ASSOCIATES SC
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
33aNPI1134251853assigned 03/09/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$274K
24GClaims6,108
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Illinois
Rank by total paid#130 of 911
Median peer was paid$41K
This provider vs. median6.7×
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 | 4,706 | $201K | |
| 2019 | 1,377 | $71K | |
| 2020 | 25 | $2K |
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% | 3,219 | 1,962 | $274K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 577 | 520 | $0.00 |
| 0502F | 0% | 1,306 | 784 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 103 | 103 | $0.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 49 | 49 | $0.00 |
| 99242 | 0% | 12 | 12 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 89 | 82 | $0.00 |
| 59025 | Fetal non-stress test | 0% | 18 | 13 | $0.00 |
| 0500F | 0% | 63 | 63 | $0.00 | |
| 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 | 0% | 117 | 114 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 318 | 299 | $0.00 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 37 | 30 | $0.00 |
5 more codes
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 officialHALLER, KELLY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Effingham Obstetrics and Gynecology Associates PLLC | Effingham, IL | $3.83M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.