Clinic
Midwest Medical Center
Midwest Medical Center was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 13 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 infoMIDWEST MEDICAL CENTER
GALENA, IL 61036
GALENA, IL 61036
33aNPI1154619625assigned 07/18/2011
33bProvider typeRural Health Clinic/Center
28Total paid$1.25M
24GClaims26,909
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#80 of 235
Median peer was paid$611K
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 | 1,310 | $65K | |
| 2019 | 7,846 | $288K | |
| 2020 | 3,702 | $167K | |
| 2021 | 3,531 | $168K | |
| 2022 | 3,531 | $181K | |
| 2023 | 3,771 | $201K | |
| 2024incomplete | 3,218 | $178K |
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% | 15,219 | 11,177 | $1.25M |
| 90710 | 0% | 12 | 12 | $0.00 | |
| 90461 | 0% | 77 | 56 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 12 | 12 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 434 | 339 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 293 | 204 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 204 | 155 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 130 | 103 | $0.00 |
| 90715 | 0% | 12 | 12 | $0.00 | |
| 90734 | 0% | 13 | 13 | $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% | 7,528 | 5,642 | $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% | 2,963 | 2,192 | $0.00 |
1 more codes
| 90696 | 0% | 12 | $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 officialBAUER, TRACY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Midwest Medical Center | Elizabeth, IL | $598K |
| Midwest Medical Center | Galena, IL | $338K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.