Clinic
Livingston County
Livingston County was paid $197K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 31% of everything it billed.
33Billing provider infoLIVINGSTON COUNTY
PONTIAC, IL 61764
PONTIAC, IL 61764
33aNPI1255398517assigned 04/28/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$197K
24GClaims12,282
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Illinois
Rank by total paid#6 of 11
Median peer was paid$197K
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 | 1,921 | $32K | |
| 2019 | 2,770 | $52K | |
| 2020 | 1,378 | $22K | |
| 2021 | 1,537 | $23K | |
| 2022 | 1,692 | $30K | |
| 2023 | 1,929 | $26K | |
| 2024incomplete | 1,055 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 31% | 5,197 | 4,121 | $61K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 23% | 824 | 686 | $46K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 14% | 1,811 | 1,658 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 515 | 447 | $16K |
| 96127 | 7.1% | 975 | 927 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 182 | 168 | $6K |
| 90686 | 2.9% | 409 | 350 | $6K | |
| D1206 | Topical application of fluoride varnish | 2.1% | 171 | 150 | $4K |
| 36416 | 1.9% | 1,042 | 893 | $4K | |
| S4993 | Contraceptive pills for birth control | 1.4% | 76 | 67 | $3K |
| 99381 | 1.2% | 68 | 66 | $2K | |
| 90734 | 1.1% | 150 | 133 | $2K |
11 more codes
| H1000 | Prenatal care, at-risk assessment | 1.1% | 144 | $2K |
| 85018 | <1% | 408 | $900.16 | |
| 81002 | <1% | 156 | $394.08 | |
| 90656 | <1% | 20 | $390.93 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 25 | $365.00 |
| 99384 | <1% | 14 | $225.05 | |
| 90670 | <1% | 24 | $153.60 | |
| 86580 | <1% | 26 | $104.00 | |
| 90715 | <1% | 12 | $103.62 | |
| 81025 | <1% | 17 | $87.89 | |
| 90651 | <1% | 16 | $76.80 |
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 officialFOGARTY, ERIN (ADMINISTRATOR)