Clinic
Esperanza Health Centers
Esperanza Health Centers was paid $28.94M by Medicaid between May 2019 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) — 98% of everything it billed.
33Billing provider infoESPERANZA HEALTH CENTERS
CHICAGO, IL 60632
CHICAGO, IL 60632
33aNPI1487124707assigned 11/29/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$28.94M
24GClaims819,717
24DCodes billed116
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#17 of 296
Median peer was paid$1.43M
This provider vs. median20×
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 | |
|---|---|---|---|
| 2019 | 47,811 | $1.72M | |
| 2020 | 91,042 | $4.78M | |
| 2021 | 170,956 | $5.95M | |
| 2022 | 203,073 | $5.86M | |
| 2023 | 221,952 | $6.45M | |
| 2024incomplete | 84,883 | $4.17M |
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 | 98% | 190,276 | 131,134 | $28.43M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 3,840 | 3,122 | $255K |
| 99000 | <1% | 2,633 | 2,151 | $61K | |
| 0011A | <1% | 2,297 | 2,260 | $56K | |
| 0012A | <1% | 1,367 | 1,344 | $54K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 42 | 41 | $36K |
| 0001A | <1% | 236 | 233 | $10K | |
| 90686 | <1% | 11,781 | 10,697 | $7K | |
| 0002A | <1% | 109 | 109 | $5K | |
| 0124A | <1% | 133 | 104 | $5K | |
| 90651 | <1% | 2,521 | 2,297 | $4K | |
| 0004A | <1% | 48 | 48 | $2K |
104 more codes
| 0503F | <1% | 1,886 | $2K | |
| 0064A | <1% | 45 | $2K | |
| 0072A | <1% | 37 | $2K | |
| 90734 | <1% | 331 | $1K | |
| 90621 | <1% | 504 | $1K | |
| 0071A | <1% | 25 | $1K | |
| 0013A | <1% | 21 | $884.94 | |
| 59430 | <1% | 104 | $750.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 56,733 | $724.53 |
| 90715 | <1% | 2,007 | $516.58 | |
| 90674 | <1% | 107 | $461.99 | |
| 90710 | <1% | 150 | $428.74 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42,781 | $425.50 |
| 81025 | <1% | 2,386 | $416.38 | |
| 96127 | <1% | 23,386 | $352.40 | |
| 90633 | <1% | 2,920 | $348.02 | |
| 90694 | <1% | 15 | $298.08 | |
| 90677 | <1% | 204 | $298.04 | |
| 90670 | <1% | 4,009 | $221.76 | |
| 90700 | <1% | 122 | $178.96 | |
| 0502F | <1% | 13,446 | $151.30 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,999 | $141.32 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 11,009 | $130.10 |
| 90647 | <1% | 4,046 | $124.26 | |
| 90696 | <1% | 128 | $106.26 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,150 | $86.20 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 5,904 | $66.30 |
| 1036F | <1% | 40,670 | $57.00 | |
| 1160F | <1% | 52,092 | $44.00 | |
| 90656 | <1% | 95 | $41.28 | |
| 96161 | <1% | 3,888 | $41.00 | |
| 3725F | <1% | 24,136 | $28.00 | |
| 81002 | <1% | 2,450 | $22.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 9,406 | $19.00 |
| 82962 | <1% | 1,995 | $18.97 | |
| 1159F | <1% | 47,941 | $18.00 | |
| 90461 | <1% | 5,221 | $18.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 386 | $15.00 |
| 76830 | Ultrasound, transvaginal | <1% | 22 | $15.00 |
| 99173 | <1% | 10,668 | $14.90 | |
| 3008F | <1% | 61,346 | $14.00 | |
| 90723 | <1% | 315 | $6.40 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 8,644 | $6.00 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 10,761 | $5.00 |
| 85018 | <1% | 1,955 | $4.01 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,280 | $4.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,199 | $3.00 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 3,216 | $2.00 |
| 3074F | <1% | 39,505 | $2.00 | |
| 99386 | <1% | 27 | $2.00 | |
| 99385 | <1% | 302 | $2.00 | |
| 0500F | <1% | 1,741 | $2.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 8,343 | $1.00 |
| 3078F | <1% | 36,622 | $1.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,033 | $1.00 |
| 3079F | <1% | 6,676 | $1.00 | |
| 1125F | <1% | 1,413 | $1.00 | |
| 99384 | <1% | 613 | $1.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 3,036 | $1.00 |
| 90681 | <1% | 2,512 | $0.05 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 603 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 45 | $0.00 |
| 80305 | 0% | 322 | $0.00 | |
| 2026F | 0% | 89 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 453 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 6,780 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,220 | $0.00 |
| 69210 | 0% | 271 | $0.00 | |
| 3077F | 0% | 1,485 | $0.00 | |
| 99382 | 0% | 161 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 476 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,464 | $0.00 |
| 99408 | 0% | 327 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 443 | $0.00 |
| 90750 | 0% | 116 | $0.00 | |
| 90746 | 0% | 30 | $0.00 | |
| 90707 | 0% | 98 | $0.00 | |
| 11981 | 0% | 38 | $0.00 | |
| 1126F | 0% | 3,384 | $0.00 | |
| 99381 | 0% | 1,385 | $0.00 | |
| 3080F | 0% | 856 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 113 | $0.00 |
| 99383 | 0% | 706 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,980 | $0.00 |
| S5190 | Wellness assessment, performed by non-physician | 0% | 883 | $0.00 |
| 92551 | 0% | 826 | $0.00 | |
| 90716 | 0% | 116 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 187 | $0.00 |
| 87807 | 0% | 101 | $0.00 | |
| 3075F | 0% | 3,179 | $0.00 | |
| 76801 | 0% | 78 | $0.00 | |
| 87428 | 0% | 851 | $0.00 | |
| 90474 | 0% | 13 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 17 | $0.00 |
| 90688 | 0% | 14 | $0.00 | |
| 99406 | 0% | 35 | $0.00 | |
| 92250 | 0% | 95 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 17 | $0.00 |
| 58300 | 0% | 29 | $0.00 | |
| 90680 | 0% | 90 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 41 | $0.00 |
| 93000 | 0% | 15 | $0.00 | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 0% | 24 | $0.00 |
| 86580 | 0% | 14 | $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 | $16.49M |
| Esperanza Health Centers | Chicago, IL | $2.27M |
| Esperanza Health Centers | Chicago, IL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.