MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
NPI: 1477742831
· TEUTOPOLIS, IL 62467
· Rural Health Clinic/Center
· NPI assigned 10/22/2007
$339K
Total Medicaid Paid
Provider Details
| Authorized Official | DUST, EUGENE (PRESIDENT OF LLC) |
| Parent Organization | MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC |
| NPI Enumeration Date | 10/22/2007 |
Related Entities
Other providers sharing the same authorized official: DUST, EUGENE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,547 |
$68K |
| 2019 |
2,230 |
$86K |
| 2020 |
1,787 |
$78K |
| 2021 |
1,407 |
$70K |
| 2022 |
734 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,576 |
3,443 |
$339K |
| 81002 |
|
13 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
484 |
383 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,600 |
1,994 |
$0.00 |