Clinic
Heartland Community Health Clinic
Heartland Community Health Clinic was paid $3.37M by Medicaid between Jan 2018 and Apr 2024, across 37 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 infoHEARTLAND COMMUNITY HEALTH CLINIC
PEORIA, IL 61605
PEORIA, IL 61605
33aNPI1497798607assigned 06/14/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.37M
24GClaims51,485
24DCodes billed37
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#111 of 296
Median peer was paid$1.43M
This provider vs. median2.4×
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 | 5,468 | $364K | |
| 2019 | 12,154 | $544K | |
| 2020 | 9,356 | $580K | |
| 2021 | 8,228 | $587K | |
| 2022 | 6,668 | $522K | |
| 2023 | 7,799 | $614K | |
| 2024incomplete | 1,812 | $162K |
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% | 27,316 | 21,280 | $3.34M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.1% | 478 | 384 | $36K |
| 90734 | <1% | 171 | 112 | $137.15 | |
| 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% | 8,176 | 6,743 | $0.00 |
| 90686 | 0% | 634 | 582 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 8,879 | 7,379 | $0.00 |
| 90696 | 0% | 15 | 15 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 265 | 218 | $0.00 |
| 90651 | 0% | 257 | 181 | $0.00 | |
| 90688 | 0% | 52 | 37 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 238 | 213 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 121 | 118 | $0.00 |
25 more codes
| 99406 | 0% | 48 | $0.00 | |
| 2000F | 0% | 41 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 237 | $0.00 |
| 3074F | 0% | 18 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 166 | $0.00 |
| 0502F | 0% | 1,083 | $0.00 | |
| 90633 | 0% | 162 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 760 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 222 | $0.00 |
| 81002 | 0% | 70 | $0.00 | |
| 90670 | 0% | 166 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 155 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 363 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 426 | $0.00 |
| 81025 | 0% | 181 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 268 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 131 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 93 | $0.00 |
| 90648 | 0% | 27 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 93 | $0.00 |
| 90715 | 0% | 118 | $0.00 | |
| 3078F | 0% | 12 | $0.00 | |
| 90710 | 0% | 17 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 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.
From NPPES
Who's on the registration
Authorized officialSAUCEDO, KATIE (REVENUE CYCLE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Heartland Community Health Clinic | Peoria, IL | $16.40M |
| Heartland Community Health Clinic | Peoria, IL | $10.25M |
| Heartland Community Health Clinic | Peoria, IL | $6.97M |
| Heartland Community Health Clinic | Pekin, IL | $5.12M |
| Heartland Community Health Clinic | Peoria, IL | $1.20M |
| Heartland Community Health Clinic | Pekin, IL | $1.01M |
| Heartland Community Health Clinic | Peoria, IL | $301K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.