HEARTLAND COMMUNITY HEALTH CLINIC
NPI: 1396799888
· PEORIA, IL 61603
· Federally Qualified Health Center (FQHC)
· NPI assigned 05/20/2006
$1.20M
Total Medicaid Paid
Provider Details
| Authorized Official | SAUCEDO, KATIE (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 05/20/2006 |
Related Entities
Other providers sharing the same authorized official: SAUCEDO, KATIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,956 |
$258K |
| 2019 |
12,178 |
$405K |
| 2020 |
7,988 |
$408K |
| 2021 |
611 |
$46K |
| 2022 |
325 |
$28K |
| 2023 |
462 |
$32K |
| 2024 |
139 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,790 |
9,350 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,218 |
6,131 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,009 |
708 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
575 |
351 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
1,839 |
1,021 |
$0.00 |
| 90686 |
|
47 |
43 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$0.00 |
| 90688 |
|
64 |
28 |
$0.00 |
| 80305 |
|
99 |
72 |
$0.00 |