Hoopeston Community Memorial Hospital
Hoopeston Community Memorial Hospital was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
WATSEKA, IL 60970
Next to other Rural Health Clinic/Center providers in Illinois
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,009 | $163K | |
| 2019 | 14,319 | $417K | |
| 2020 | 6,137 | $219K | |
| 2021 | 4,816 | $180K | |
| 2022 | 5,690 | $224K | |
| 2023 | 5,919 | $247K | |
| 2024incomplete | 3,822 | $164K |
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 | 100% | 25,806 | 17,115 | $1.61M |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 724 | 587 | $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% | 10,735 | 7,069 | $93.12 |
| 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 | 0% | 5,954 | 4,315 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | 13 | $0.00 |
| 90651 | 0% | 72 | 68 | $0.00 | |
| 90688 | 0% | 30 | 13 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 619 | 356 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 626 | 372 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 525 | 396 | $0.00 |
| 90633 | 0% | 203 | 167 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 243 | 159 | $0.00 |
4 more codes
| 90734 | 0% | 47 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 42 | $0.00 |
| 90715 | 0% | 43 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Hoopeston Community Memorial Hospital | Mattoon, IL | $7.51M |
| Richland Memorial Hospital, INC | Olney, IL | $4.93M |
| Hoopeston Community Memorial Hospital | Hoopeston, IL | $4.21M |
| Hoopeston Community Memorial Hospital | Tuscola, IL | $1.66M |
| Hoopeston Community Memorial Hospital | Hoopeston, IL | $727K |
| Hoopeston Community Memorial Hospital | Milford, IL | $519K |
| Hoopeston Community Memorial Hospital | Cissna Park, IL | $278K |
| Richland Memorial Hospital, INC. | Olney, IL | $247K |
| Hoopeston Community Memorial Hospital | Rossville, IL | $241K |
| Richland Memorial Hospital INC | Olney, IL | $141K |
| Richland Memorial Hospital | Olney, IL | $92K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.