Clinic
HSHS Medical Group INC
HSHS Medical Group INC was paid $461K by Medicaid between Aug 2019 and Dec 2024, across 6 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 infoHSHS MEDICAL GROUP INC
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
33aNPI1265904486assigned 12/28/2018
33bProvider typeRural Health Clinic/Center
28Total paid$461K
24GClaims9,862
24DCodes billed6
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#139 of 235
Median peer was paid$611K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 86 | $6K | |
| 2020 | 1,794 | $82K | |
| 2021 | 1,691 | $79K | |
| 2022 | 1,786 | $91K | |
| 2023 | 1,781 | $83K | |
| 2024incomplete | 2,724 | $119K |
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% | 5,879 | 4,626 | $461K |
| 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% | 3,057 | 2,565 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 29 | 25 | $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% | 473 | 421 | $0.00 |
| 96127 | 0% | 395 | 349 | $0.00 | |
| 96160 | 0% | 29 | 28 | $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 officialWATSON, ANDREW (CFO)
Parent organizationHSHS MEDICAL GROUP INC
| Provider | Location | Paid |
|---|---|---|
| HSHS Medical Group INC | Highland, IL | $1.46M |
| HSHS Medical Group INC | Hillsboro, IL | $243K |
| HSHS Medical Group INC | Newton, IL | $62K |
| HSHS Medical Group INC | Springfield, IL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.