Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOOPESTON COMMUNITY MEMORIAL HOSPITAL

NPI: 1205230844 · TUSCOLA, IL 61953 · Rural Health Clinic/Center · NPI assigned 10/10/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BROCKUS, HARRY controls 11+ related entities in our dataset. Read more

$1.66M
Total Medicaid Paid
40,792
Total Claims
24,314
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROCKUS, HARRY (CEO)
Parent OrganizationTHE CARLE FOUNDATION
NPI Enumeration Date10/10/2014

Related Entities

Other providers sharing the same authorized official: BROCKUS, HARRY

ProviderCityStateTotal Paid
HOOPESTON COMMUNITY MEMORIAL HOSPITAL MATTOON IL $7.51M
RICHLAND MEMORIAL HOSPITAL, INC OLNEY IL $4.93M
HOOPESTON COMMUNITY MEMORIAL HOSPITAL HOOPESTON IL $4.21M
HOOPESTON COMMUNITY MEMORIAL HOSPITAL WATSEKA IL $1.61M
HOOPESTON COMMUNITY MEMORIAL HOSPITAL HOOPESTON IL $727K
HOOPESTON COMMUNITY MEMORIAL HOSPITAL MILFORD IL $519K
HOOPESTON COMMUNITY MEMORIAL HOSPITAL CISSNA PARK IL $278K
RICHLAND MEMORIAL HOSPITAL, INC. OLNEY IL $247K
HOOPESTON COMMUNITY MEMORIAL HOSPITAL ROSSVILLE IL $241K
RICHLAND MEMORIAL HOSPITAL INC OLNEY IL $141K
RICHLAND MEMORIAL HOSPITAL OLNEY IL $92K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,559 $165K
2019 15,124 $509K
2020 5,464 $237K
2021 3,668 $171K
2022 4,132 $197K
2023 4,398 $213K
2024 3,447 $165K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 23,163 13,804 $1.66M
S5190 Wellness assessment, performed by non-physician 13 13 $533.52
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 132 90 $158.28
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,389 6,025 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,544 3,420 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 13 $0.00
90686 124 40 $0.00
90651 74 26 $0.00
G0008 Administration of influenza virus vaccine 160 55 $0.00
90688 109 25 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 101 47 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 519 485 $0.00
90734 77 17 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 213 209 $0.00
90715 73 17 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 76 16 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $0.00