Clinic
Heartland Women's Healthcare LTD
Heartland Women's Healthcare LTD was paid $1.47M by Medicaid between Dec 2018 and Dec 2023, across 19 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 infoHEARTLAND WOMEN'S HEALTHCARE LTD
CENTRALIA, IL 62801
CENTRALIA, IL 62801
33aNPI1154897254assigned 10/17/2018
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.47M
24GClaims37,245
24DCodes billed19
24AFirst – last monthDec 2018 – Dec 2023
Compared with peers
Next to other Urgent Care Clinic/Center providers in Illinois
Rank by total paid#4 of 7
Median peer was paid$1.47M
This provider vs. median1.0×
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 | 114 | $4K | |
| 2019 | 9,468 | $250K | |
| 2020 | 7,876 | $335K | |
| 2021 | 6,876 | $294K | |
| 2022 | 5,947 | $267K | |
| 2023 | 6,964 | $320K |
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% | 18,415 | 10,968 | $1.47M |
| 0503F | <1% | 262 | 215 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 246 | 154 | $71.90 |
| 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 | <1% | 2,332 | 1,713 | $44.63 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 327 | 239 | $44.58 |
| 76801 | <1% | 292 | 221 | $37.75 | |
| 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% | 3,150 | 2,126 | $28.35 |
| 81025 | <1% | 2,033 | 1,489 | $7.74 | |
| 0500F | 0% | 585 | 439 | $0.00 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 352 | 245 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 87 | 53 | $0.00 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 78 | 60 | $0.00 |
7 more codes
| 96127 | 0% | 131 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 204 | $0.00 |
| 96160 | 0% | 147 | $0.00 | |
| 0502F | 0% | 7,432 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 781 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 349 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 42 | $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 officialSCHIFANO, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Heartland Women's Healthcare, LTD | Mount Vernon, IL | $4.45M |
| Heartland Women's Healthcare LTD | Marion, IL | $3.62M |
| Heartland Women's Healthcare LTD | Marion, IL | $1.92M |
| Heartland Women's Healthcare Mo PC | Wentzville, MO | $1.01M |
| Heartland Women's Healthcare Mo PC | Poplar Bluff, MO | $894K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.