County of Macon

County of Macon was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is D1120, dental cleaning, child — 18% of everything it billed.

33Billing provider infoCOUNTY OF MACON
DECATUR, IL 62521

33aNPI1205857828assigned 07/21/2006

33bProvider typeHealth Service Clinic/Center

28Total paid$1.27M

24GClaims61,902

24DCodes billed57

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Health Service Clinic/Center providers in Illinois

Rank by total paid#4 of 20

Median peer was paid$248K

This provider vs. median5.1×

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	10,350	$133K
2019	12,162	$175K
2020	5,150	$76K
2021	9,742	$218K
2022	8,423	$248K
2023	7,081	$188K
2024incomplete	8,994	$230K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	18%	3,517	3,440	$232K
D1206	Topical application of fluoride varnish	12%	3,755	3,667	$154K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	11%	3,142	3,026	$140K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	11%	12,046	10,205	$134K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.3%	3,332	3,243	$54K
83655		3.1%	3,335	3,213	$39K
96127		3.0%	2,680	2,563	$38K
H1000	Prenatal care, at-risk assessment	2.1%	1,868	1,804	$27K
90715		2.0%	1,565	1,407	$26K
90670		1.9%	2,020	1,912	$24K
90723		1.6%	1,937	1,786	$21K
90647		1.6%	1,957	1,777	$21K

45 more codes

90682		1.6%	399	$20K
D1351	Sealant - per tooth	1.5%	92	$19K
90734		1.5%	1,244	$19K
90716		1.4%	550	$18K
90633		1.3%	1,597	$17K
90651		1.3%	856	$17K
D0274	Bitewings - four radiographic images	1.3%	588	$16K
D0272	Bitewings - two radiographic images	1.1%	926	$14K
D0330	Panoramic radiographic image	1.0%	376	$13K
36416		1.0%	3,315	$13K
D0150	Comprehensive oral evaluation - new or established patient	<1%	357	$13K
90710		<1%	827	$12K
90619		<1%	756	$12K
0012A		<1%	315	$12K
0001A		<1%	281	$12K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	103	$11K
90686		<1%	949	$11K
0002A		<1%	252	$11K
86580		<1%	2,388	$10K
0011A		<1%	320	$10K
D7140	Extraction, erupted tooth or exposed root	<1%	154	$10K
90707		<1%	499	$9K
90677		<1%	340	$9K
90680		<1%	799	$8K
90696		<1%	536	$6K
D1354		<1%	74	$6K
0031A		<1%	112	$5K
D0140	Limited oral evaluation - problem focused	<1%	177	$4K
D0220	Intraoral - periapical first radiographic image	<1%	459	$3K
0064A		<1%	69	$3K
90700		<1%	283	$3K
99402		<1%	87	$2K
0124A		<1%	31	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	17	$1K
90656		<1%	56	$1K
0004A		<1%	26	$1K
90620		<1%	26	$992.69
0072A		<1%	37	$987.34
90685		<1%	129	$963.00
0071A		<1%	36	$945.20
90681		<1%	50	$818.79
0134A		<1%	16	$668.80
85018		<1%	211	$499.02
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	20	$292.00
90713		<1%	13	$217.23

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 officialBINKLEY, BRANDI (ADMINISTRATOR)