Clinic
Heartland Women's Healthcare LTD
Heartland Women's Healthcare LTD was paid $3.62M by Medicaid between Dec 2018 and Dec 2024, across 35 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
MARION, IL 62959
MARION, IL 62959
33aNPI1285108621assigned 01/18/2019
33bProvider typeUrgent Care Clinic/Center
28Total paid$3.62M
24GClaims94,085
24DCodes billed35
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Illinois
Rank by total paid#2 of 7
Median peer was paid$1.47M
This provider vs. median2.5×
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 | 151 | $7K | |
| 2019 | 19,272 | $479K | |
| 2020 | 18,329 | $697K | |
| 2021 | 15,295 | $603K | |
| 2022 | 17,032 | $755K | |
| 2023 | 12,897 | $586K | |
| 2024incomplete | 11,109 | $495K |
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% | 43,811 | 26,854 | $3.62M |
| 59430 | <1% | 177 | 128 | $4K | |
| 0503F | <1% | 1,084 | 859 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,071 | 806 | $161.06 |
| 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% | 10,778 | 7,774 | $85.05 |
| 76830 | Ultrasound, transvaginal | <1% | 825 | 627 | $49.46 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 777 | 622 | $42.42 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,774 | 1,399 | $24.25 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 632 | 458 | $19.78 |
| 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% | 4,145 | 3,408 | $0.00 |
| 76801 | 0% | 961 | 732 | $0.00 | |
| 96127 | 0% | 877 | 715 | $0.00 |
23 more codes
| 0500F | 0% | 1,766 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 398 | $0.00 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 1,225 | $0.00 |
| 58100 | 0% | 19 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 152 | $0.00 |
| 99385 | 0% | 15 | $0.00 | |
| 76819 | Fetal biophysical profile; without non-stress testing | 0% | 44 | $0.00 |
| 82105 | 0% | 35 | $0.00 | |
| 99459 | 0% | 35 | $0.00 | |
| 58300 | 0% | 63 | $0.00 | |
| 58301 | 0% | 25 | $0.00 | |
| 81025 | 0% | 3,998 | $0.00 | |
| 0502F | 0% | 16,701 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,383 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 197 | $0.00 |
| 59025 | Fetal non-stress test | 0% | 106 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 94 | $0.00 |
| 81002 | 0% | 290 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 33 | $0.00 |
| 96160 | 0% | 479 | $0.00 | |
| 76857 | 0% | 77 | $0.00 | |
| 76818 | 0% | 26 | $0.00 | |
| 11981 | 0% | 12 | $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 (CEO)
| Provider | Location | Paid |
|---|---|---|
| Heartland Women's Healthcare, LTD | Mount Vernon, IL | $4.45M |
| Heartland Women's Healthcare LTD | Marion, IL | $1.92M |
| Heartland Women's Healthcare LTD | Centralia, IL | $1.47M |
| 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.