Clinic
Erie Family Health Center, INC
Erie Family Health Center, INC was paid $12.62M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoERIE FAMILY HEALTH CENTER, INC
CHICAGO, IL 60647
CHICAGO, IL 60647
33aNPI1407043912assigned 09/28/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.62M
24GClaims328,010
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#33 of 296
Median peer was paid$1.43M
This provider vs. median8.9×
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 | 51,856 | $1.80M | |
| 2019 | 78,376 | $2.82M | |
| 2020 | 78,046 | $3.25M | |
| 2021 | 41,157 | $1.97M | |
| 2022 | 35,760 | $1.64M | |
| 2023 | 27,040 | $663K | |
| 2024incomplete | 15,775 | $498K |
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 | 71% | 71,536 | 49,892 | $8.91M |
| D0999 | Unspecified diagnostic procedure, by report | 29% | 34,096 | 29,670 | $3.67M |
| 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% | 42,089 | 30,350 | $9K |
| 0072A | <1% | 184 | 183 | $8K | |
| 0071A | <1% | 175 | 174 | $7K | |
| 0002A | <1% | 147 | 141 | $6K | |
| 0001A | <1% | 108 | 105 | $5K | |
| 0064A | <1% | 42 | 42 | $2K | |
| 90658 | <1% | 2,004 | 1,634 | $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% | 4,778 | 3,809 | $1K |
| 0054A | <1% | 26 | 26 | $1K | |
| 0011A | <1% | 46 | 46 | $1K |
104 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,225 | $814.32 |
| 0003A | <1% | 17 | $716.38 | |
| 0012A | <1% | 14 | $534.96 | |
| 90649 | <1% | 419 | $519.58 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,446 | $496.06 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,622 | $469.72 |
| 92551 | <1% | 2,887 | $449.60 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,908 | $441.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,904 | $424.00 |
| 90686 | <1% | 1,701 | $377.66 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 566 | $364.20 |
| 99173 | <1% | 2,577 | $322.85 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,334 | $319.24 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,281 | $288.75 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,599 | $212.00 |
| 90670 | <1% | 2,998 | $211.60 | |
| 90723 | <1% | 2,318 | $198.80 | |
| 90715 | <1% | 937 | $180.56 | |
| 90716 | <1% | 513 | $169.93 | |
| 90680 | <1% | 2,038 | $160.60 | |
| 85018 | <1% | 2,629 | $160.40 | |
| 90688 | <1% | 388 | $157.64 | |
| 90461 | <1% | 2,010 | $152.00 | |
| 90648 | <1% | 822 | $131.20 | |
| 90633 | <1% | 1,311 | $124.00 | |
| 90734 | <1% | 498 | $94.20 | |
| 90647 | <1% | 2,002 | $83.60 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 433 | $65.21 |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,798 | $59.10 |
| 90651 | <1% | 295 | $57.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 627 | $49.55 |
| 81025 | <1% | 717 | $47.74 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 277 | $41.00 |
| 90707 | <1% | 512 | $34.20 | |
| 81002 | <1% | 346 | $31.00 | |
| 90700 | <1% | 364 | $26.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 253 | $23.00 |
| 90696 | <1% | 127 | $23.00 | |
| 90710 | <1% | 141 | $23.00 | |
| 82962 | <1% | 186 | $21.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 187 | $21.00 |
| 90657 | <1% | 673 | $6.40 | |
| 99381 | <1% | 393 | $6.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 703 | $0.00 |
| D0601 | 0% | 8,500 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 5,153 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 4,630 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 15,703 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 5,193 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 7,513 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 2,224 | $0.00 |
| D0603 | 0% | 7,881 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 12,652 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 266 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 26 | $0.00 |
| D0602 | 0% | 1,623 | $0.00 | |
| 96127 | 0% | 72 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 5,607 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 19 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 861 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 42 | $0.00 |
| 81005 | 0% | 437 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $0.00 |
| 93000 | 0% | 66 | $0.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 232 | $0.00 |
| 3074F | 0% | 350 | $0.00 | |
| 3008F | 0% | 390 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 588 | $0.00 |
| 3079F | 0% | 88 | $0.00 | |
| 76801 | 0% | 290 | $0.00 | |
| 0503F | 0% | 23 | $0.00 | |
| D2330 | 0% | 38 | $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% | 198 | $0.00 |
| 3075F | 0% | 14 | $0.00 | |
| 86580 | 0% | 28 | $0.00 | |
| 4010F | 0% | 54 | $0.00 | |
| 94760 | 0% | 674 | $0.00 | |
| D1310 | 0% | 124 | $0.00 | |
| 59430 | 0% | 15 | $0.00 | |
| 1036F | 0% | 133 | $0.00 | |
| D2331 | 0% | 35 | $0.00 | |
| 3052F | 0% | 13 | $0.00 | |
| 3044F | 0% | 21 | $0.00 | |
| 1160F | 0% | 78 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 5,116 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 3,908 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 17,897 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,298 | $0.00 |
| D0180 | 0% | 142 | $0.00 | |
| D1354 | 0% | 202 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 638 | $0.00 |
| D4341 | 0% | 1,616 | $0.00 | |
| 90863 | 0% | 16 | $0.00 | |
| 83026 | 0% | 174 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 151 | $0.00 |
| 1159F | 0% | 96 | $0.00 | |
| 3078F | 0% | 363 | $0.00 | |
| 0502F | 0% | 45 | $0.00 | |
| 3077F | 0% | 92 | $0.00 | |
| 87210 | 0% | 37 | $0.00 | |
| 3046F | 0% | 15 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 46 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 49 | $0.00 |
| D0270 | 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 officialNORENA, GABRIELA (BILLING DEPARTMENT SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Erie Family Health Center INC | Chicago, IL | $13.84M |
| 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.