Clinic
Erie Family Health Center, INC
Erie Family Health Center, INC was paid $2.90M by Medicaid between Jan 2018 and Mar 2022, across 51 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 infoERIE FAMILY HEALTH CENTER, INC
CHICAGO, IL 60640
CHICAGO, IL 60640
33aNPI1134316631assigned 09/28/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.90M
24GClaims55,665
24DCodes billed51
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#117 of 296
Median peer was paid$1.43M
This provider vs. median2.0×
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 | 10,112 | $519K | |
| 2019 | 20,932 | $960K | |
| 2020 | 8,852 | $478K | |
| 2021 | 13,658 | $794K | |
| 2022 | 2,111 | $149K |
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% | 22,284 | 16,431 | $2.89M |
| 0071A | <1% | 60 | 60 | $3K | |
| 0001A | <1% | 51 | 49 | $2K | |
| 0072A | <1% | 30 | 30 | $1K | |
| 0002A | <1% | 14 | 12 | $589.96 | |
| 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% | 12,566 | 9,509 | $475.24 |
| 90658 | <1% | 624 | 554 | $413.02 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,819 | 1,585 | $140.60 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 972 | 921 | $73.00 |
| 99173 | <1% | 928 | 878 | $63.80 | |
| 85018 | <1% | 1,757 | 1,567 | $59.00 | |
| 90686 | <1% | 350 | 338 | $53.40 |
39 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,473 | $49.00 |
| 90723 | <1% | 778 | $36.60 | |
| 81025 | <1% | 1,245 | $34.74 | |
| 90461 | <1% | 488 | $29.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 379 | $25.81 |
| 90647 | <1% | 797 | $25.60 | |
| 90670 | <1% | 1,082 | $22.40 | |
| 92551 | <1% | 655 | $22.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20 | $20.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 445 | $18.20 |
| 90688 | <1% | 115 | $18.00 | |
| 90633 | <1% | 514 | $16.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 85 | $15.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 445 | $15.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,739 | $14.00 |
| 90680 | <1% | 653 | $12.80 | |
| 90648 | <1% | 203 | $12.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 241 | $10.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 614 | $10.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 124 | $0.00 |
| 90707 | 0% | 56 | $0.00 | |
| 90715 | 0% | 145 | $0.00 | |
| 87210 | 0% | 77 | $0.00 | |
| 90649 | 0% | 50 | $0.00 | |
| 90700 | 0% | 41 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 493 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 66 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 93 | $0.00 |
| 81002 | 0% | 52 | $0.00 | |
| 90734 | 0% | 64 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 186 | $0.00 |
| 90657 | 0% | 284 | $0.00 | |
| 81005 | 0% | 243 | $0.00 | |
| 76801 | 0% | 104 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 58 | $0.00 |
| 90716 | 0% | 55 | $0.00 | |
| 0503F | 0% | 16 | $0.00 | |
| 90651 | 0% | 19 | $0.00 | |
| 99381 | 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 officialNORENA, GABRIELA (BILLING DEPARTMENT SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Erie Family Health Center INC | Chicago, IL | $13.84M |
| Erie Family Health Center, INC | Chicago, IL | $12.62M |
| Erie Family Health Center INC | Chicago, IL | $11.16M |
| Erie Family Health Center INC | Chicago, IL | $9.56M |
| Erie Family Health Center, INC | Chicago, IL | $6.71M |
| Erie Family Health Center, INC | Chicago, IL | $598K |
| Erie Family Health Center INC. | Chicago, IL | $350K |
| Erie Family Health Center INC. | Chicago, IL | $251K |
| Erie Family Health Center INC. | Chicago, IL | $210K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.