Clinic
Pinckneyville Community Hospital
Pinckneyville Community Hospital was paid $2.35M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoPINCKNEYVILLE COMMUNITY HOSPITAL
PINCKNEYVILLE, IL 62274
PINCKNEYVILLE, IL 62274
33aNPI1306818844assigned 02/07/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.35M
24GClaims54,495
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#44 of 235
Median peer was paid$611K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2018 | 6,959 | $264K | |
| 2019 | 9,896 | $291K | |
| 2020 | 7,412 | $300K | |
| 2021 | 7,031 | $335K | |
| 2022 | 7,035 | $343K | |
| 2023 | 8,046 | $402K | |
| 2024incomplete | 8,116 | $416K |
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 | 97% | 29,923 | 22,218 | $2.29M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 2.4% | 774 | 351 | $57K |
| 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% | 15,142 | 11,848 | $2K |
| 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 | <1% | 4,593 | 3,885 | $534.64 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,038 | 2,602 | $231.07 |
| 99441 | <1% | 262 | 231 | $17.80 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 55 | 51 | $0.00 |
| 87081 | 0% | 80 | 79 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 21 | 13 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 18 | 13 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 104 | 102 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 349 | 162 | $0.00 |
2 more codes
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 officialCARSON, KARA (CFO)
Parent organizationPINCKNEYVILLE COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Pinckneyville Community Hospital | Pinckneyville, IL | $8K |
| Pinckneyville Community Hospital | Pinckneyville, IL | $23.94 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.