Clinic
Coffer, Jacqueline
Coffer, Jacqueline was paid $632.10 by Medicaid between Dec 2021 and Dec 2021, across 1 billing code. Its largest line is 0011A, — 100% of everything it billed.
33Billing provider infoCOFFER, JACQUELINE
SOUTH HOLLAND, IL 60473
SOUTH HOLLAND, IL 60473
33aNPI1528638020assigned 06/28/2021
33bProvider typeCommunity Health Clinic/Center
28Total paid$632.10
24GClaims15
24DCodes billed1
24AFirst – last monthDec 2021 – Dec 2021
Compared with peers
Next to other Community Health Clinic/Center providers in Illinois
Rank by total paid#11 of 11
Median peer was paid$197K
This provider vs. median0.0×
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 | 15 | $632.10 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 100% | 15 | 15 | $632.10 |
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.