Clinic
Erie Family Health Center INC
Erie Family Health Center INC was paid $13.84M by Medicaid between Jan 2018 and Dec 2024, across 118 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 74% of everything it billed.
33Billing provider infoERIE FAMILY HEALTH CENTER INC
CHICAGO, IL 60625
CHICAGO, IL 60625
33aNPI1396181590assigned 05/14/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.84M
24GClaims340,444
24DCodes billed118
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#27 of 296
Median peer was paid$1.43M
This provider vs. median9.7×
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 | 45,905 | $1.94M | |
| 2019 | 84,273 | $3.09M | |
| 2020 | 74,001 | $3.13M | |
| 2021 | 53,461 | $2.40M | |
| 2022 | 49,632 | $2.30M | |
| 2023 | 21,916 | $595K | |
| 2024incomplete | 11,256 | $380K |
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 | 74% | 81,436 | 54,654 | $10.26M |
| D0999 | Unspecified diagnostic procedure, by report | 25% | 32,013 | 27,676 | $3.48M |
| 0071A | <1% | 465 | 460 | $20K | |
| 0072A | <1% | 447 | 444 | $19K | |
| 0002A | <1% | 175 | 157 | $7K | |
| 0064A | <1% | 169 | 169 | $7K | |
| 0001A | <1% | 196 | 186 | $7K | |
| 0012A | <1% | 179 | 176 | $5K | |
| 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% | 53,628 | 36,534 | $4K |
| 0011A | <1% | 232 | 229 | $4K | |
| 0003A | <1% | 85 | 85 | $4K | |
| 0004A | <1% | 58 | 58 | $2K |
106 more codes
| 0054A | <1% | 44 | $2K | |
| 90658 | <1% | 1,985 | $2K | |
| 0013A | <1% | 20 | $842.80 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,805 | $782.75 |
| 90670 | <1% | 3,482 | $422.31 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,237 | $405.30 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,342 | $356.75 |
| 90686 | <1% | 955 | $333.43 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,321 | $298.25 |
| 90633 | <1% | 1,549 | $238.09 | |
| 90715 | <1% | 887 | $229.20 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,779 | $207.30 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,487 | $196.30 |
| 90688 | <1% | 626 | $191.69 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,491 | $184.77 |
| 90723 | <1% | 2,751 | $183.60 | |
| 90680 | <1% | 2,544 | $165.80 | |
| 92551 | <1% | 1,426 | $164.80 | |
| 90648 | <1% | 959 | $147.40 | |
| 76801 | <1% | 825 | $145.80 | |
| 90461 | <1% | 2,175 | $126.00 | |
| 99173 | <1% | 1,760 | $122.00 | |
| 85018 | <1% | 2,967 | $115.60 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,525 | $114.00 |
| 90647 | <1% | 2,411 | $111.63 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 4,700 | $104.97 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,502 | $92.15 |
| 81002 | <1% | 1,367 | $91.00 | |
| 81025 | <1% | 1,165 | $79.22 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 708 | $76.80 |
| 90700 | <1% | 493 | $75.40 | |
| 90707 | <1% | 707 | $65.40 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 594 | $58.00 |
| 90716 | <1% | 728 | $47.20 | |
| 90657 | <1% | 1,238 | $44.40 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 866 | $44.00 |
| D0274 | Bitewings - four radiographic images | <1% | 3,466 | $33.80 |
| 90651 | <1% | 170 | $31.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 932 | $26.00 |
| 90710 | <1% | 249 | $22.00 | |
| 59025 | Fetal non-stress test | <1% | 346 | $22.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,249 | $21.05 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 81 | $19.62 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 251 | $19.00 |
| 82962 | <1% | 864 | $15.68 | |
| 96127 | <1% | 211 | $13.00 | |
| 90734 | <1% | 135 | $13.00 | |
| 90696 | <1% | 222 | $12.00 | |
| 90474 | <1% | 29 | $11.00 | |
| 90649 | <1% | 203 | $9.00 | |
| 99381 | <1% | 824 | $6.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,403 | $5.60 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $5.00 |
| 81005 | <1% | 351 | $3.44 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 2,263 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 4,368 | $0.00 |
| D0603 | 0% | 9,047 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 99 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 5,002 | $0.00 |
| D2330 | 0% | 71 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 14,403 | $0.00 |
| 3075F | 0% | 87 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 3,942 | $0.00 |
| D0602 | 0% | 725 | $0.00 | |
| 1036F | 0% | 196 | $0.00 | |
| 3044F | 0% | 53 | $0.00 | |
| D0601 | 0% | 7,033 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 12,498 | $0.00 |
| 84703 | 0% | 263 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 256 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 318 | $0.00 |
| 3008F | 0% | 737 | $0.00 | |
| 0503F | 0% | 118 | $0.00 | |
| 3079F | 0% | 223 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 64 | $0.00 |
| 93000 | 0% | 30 | $0.00 | |
| 3080F | 0% | 28 | $0.00 | |
| 4010F | 0% | 113 | $0.00 | |
| D9995 | 0% | 55 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 83 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 35 | $0.00 |
| D1310 | 0% | 39 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 24 | $0.00 |
| 3074F | 0% | 646 | $0.00 | |
| D2331 | 0% | 15 | $0.00 | |
| 59430 | 0% | 53 | $0.00 | |
| 99383 | 0% | 14 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 21 | $0.00 |
| 76830 | Ultrasound, transvaginal | 0% | 31 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,363 | $0.00 |
| D4341 | 0% | 464 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 16,452 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 710 | $0.00 |
| D9110 | 0% | 99 | $0.00 | |
| 0502F | 0% | 162 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 178 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 4,803 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 122 | $0.00 |
| 1159F | 0% | 164 | $0.00 | |
| 3078F | 0% | 601 | $0.00 | |
| 1160F | 0% | 150 | $0.00 | |
| 83026 | 0% | 228 | $0.00 | |
| D1354 | 0% | 187 | $0.00 | |
| D0180 | 0% | 158 | $0.00 | |
| 3077F | 0% | 129 | $0.00 | |
| 3046F | 0% | 15 | $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 officialNORENA, GABRIELA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Erie Family Health Center, INC | Chicago, IL | $12.62M |
| Erie Family Health Center INC | Chicago, IL | $11.16M |
| Erie Family Health Center INC | Chicago, IL | $9.56M |
| Erie Family Health Center, INC | Chicago, IL | $6.71M |
| Erie Family Health Center, INC | Chicago, IL | $2.90M |
| Erie Family Health Center, INC | Chicago, IL | $598K |
| Erie Family Health Center INC. | Chicago, IL | $350K |
| Erie Family Health Center INC. | Chicago, IL | $251K |
| Erie Family Health Center INC. | Chicago, IL | $210K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.