Clinic
Esperanza Health Centers
Esperanza Health Centers was paid $2.27M by Medicaid between Feb 2021 and Dec 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoESPERANZA HEALTH CENTERS
CHICAGO, IL 60629
CHICAGO, IL 60629
33aNPI1407458946assigned 11/10/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.27M
24GClaims57,020
24DCodes billed54
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#126 of 296
Median peer was paid$1.43M
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2021 | 20,080 | $573K | |
| 2022 | 15,915 | $461K | |
| 2023 | 87 | $8K | |
| 2024incomplete | 20,938 | $1.23M |
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 | 99% | 13,443 | 10,526 | $2.25M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 316 | 276 | $21K |
| 90686 | <1% | 897 | 864 | $235.53 | |
| 81025 | <1% | 74 | 72 | $42.22 | |
| 90656 | <1% | 40 | 37 | $20.64 | |
| 1160F | <1% | 3,904 | 3,162 | $10.00 | |
| 1159F | <1% | 3,424 | 2,720 | $10.00 | |
| 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% | 5,912 | 4,908 | $10.00 |
| 96127 | <1% | 789 | 731 | $1.00 | |
| 1036F | <1% | 2,127 | 1,787 | $1.00 | |
| 90647 | <1% | 538 | 497 | $0.06 | |
| 90670 | <1% | 430 | 374 | $0.03 |
42 more codes
| 90681 | <1% | 206 | $0.03 | |
| 90633 | <1% | 393 | $0.02 | |
| 90651 | <1% | 284 | $0.02 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 216 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 827 | $0.00 |
| 3078F | 0% | 2,696 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 713 | $0.00 |
| 83655 | 0% | 117 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,124 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 71 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 987 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,207 | $0.00 |
| 99173 | 0% | 1,481 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 805 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 272 | $0.00 |
| 90461 | 0% | 629 | $0.00 | |
| 90715 | 0% | 46 | $0.00 | |
| 0502F | 0% | 138 | $0.00 | |
| 81002 | 0% | 40 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 125 | $0.00 |
| 3725F | 0% | 487 | $0.00 | |
| 90621 | 0% | 62 | $0.00 | |
| 85018 | 0% | 1,097 | $0.00 | |
| 92551 | 0% | 415 | $0.00 | |
| 3074F | 0% | 2,759 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 646 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 810 | $0.00 |
| 99381 | 0% | 40 | $0.00 | |
| 3008F | 0% | 4,633 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 548 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 245 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 376 | $0.00 |
| 96161 | 0% | 213 | $0.00 | |
| 1126F | 0% | 45 | $0.00 | |
| 3079F | 0% | 117 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 43 | $0.00 |
| 0500F | 0% | 49 | $0.00 | |
| 3075F | 0% | 33 | $0.00 | |
| 99383 | 0% | 12 | $0.00 | |
| 87428 | 0% | 55 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 39 | $0.00 |
| 0503F | 0% | 25 | $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 officialSPREITZER, ZACHARY (DIRECTOR OF FINANCE)
Parent organizationESPERANZA HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Esperanza Health Centers | Chicago, IL | $39.94M |
| Esperanza Health Centers | Chicago, IL | $28.94M |
| Esperanza Health Centers | Chicago, IL | $16.49M |
| Esperanza Health Centers | Chicago, IL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.