Agency
Heartland Alliance Health
Heartland Alliance Health was paid $17.00M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoHEARTLAND ALLIANCE HEALTH
CHICAGO, IL 60613
CHICAGO, IL 60613
33aNPI1538294483assigned 02/22/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$17.00M
24GClaims265,214
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Illinois
Rank by total paid#7 of 182
Median peer was paid$483K
This provider vs. median35×
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 | 32,977 | $1.88M | |
| 2019 | 53,979 | $2.80M | |
| 2020 | 42,965 | $2.57M | |
| 2021 | 36,630 | $2.45M | |
| 2022 | 37,400 | $2.73M | |
| 2023 | 33,007 | $2.58M | |
| 2024incomplete | 28,256 | $2.00M |
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 | 92% | 117,800 | 71,331 | $15.64M |
| D0999 | Unspecified diagnostic procedure, by report | 6.6% | 11,235 | 7,463 | $1.12M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 1,777 | 961 | $121K |
| 0011A | <1% | 720 | 662 | $22K | |
| 0064A | <1% | 463 | 428 | $19K | |
| 0012A | <1% | 485 | 462 | $18K | |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 788 | 29 | $16K |
| 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% | 48,621 | 35,476 | $7K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 223 | 14 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,289 | 1,985 | $7K |
| 0134A | <1% | 162 | 157 | $7K | |
| 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 | <1% | 22,686 | 18,149 | $3K |
65 more codes
| 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% | 223 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 985 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,129 | $1K |
| 0094A | <1% | 29 | $1K | |
| D0120 | Dental checkup, returning patient | <1% | 964 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 4,360 | $990.68 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,025 | $772.14 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,065 | $515.25 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 7,030 | $431.22 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 4,097 | $381.56 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,116 | $257.28 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 465 | $256.95 |
| 96156 | <1% | 3,083 | $224.84 | |
| 90837 | Psychotherapy session, about an hour | <1% | 1,846 | $177.14 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,413 | $172.97 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 72 | $141.32 |
| 96152 | <1% | 1,608 | $117.28 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 353 | $87.69 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 651 | $39.24 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 603 | $35.52 |
| D9995 | <1% | 76 | $25.00 | |
| 90686 | <1% | 416 | $22.35 | |
| 90656 | <1% | 292 | $20.64 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,019 | $10.05 |
| 86580 | <1% | 108 | $4.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 228 | $0.00 |
| 3008F | 0% | 1,144 | $0.00 | |
| 99386 | 0% | 1,495 | $0.00 | |
| 1036F | 0% | 116 | $0.00 | |
| 3080F | 0% | 271 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 646 | $0.00 |
| 3075F | 0% | 298 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 351 | $0.00 |
| 99385 | 0% | 1,162 | $0.00 | |
| 3074F | 0% | 1,048 | $0.00 | |
| 1034F | 0% | 89 | $0.00 | |
| 3079F | 0% | 393 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 54 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 45 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 342 | $0.00 |
| 1126F | 0% | 81 | $0.00 | |
| 2000F | 0% | 221 | $0.00 | |
| 4010F | 0% | 29 | $0.00 | |
| D2331 | 0% | 17 | $0.00 | |
| D2330 | 0% | 16 | $0.00 | |
| 3078F | 0% | 1,189 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 475 | $0.00 |
| 3077F | 0% | 510 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 429 | $0.00 |
| D4341 | 0% | 205 | $0.00 | |
| 1159F | 0% | 176 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 316 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 892 | $0.00 |
| D4910 | 0% | 253 | $0.00 | |
| 82948 | 0% | 155 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 606 | $0.00 |
| 1160F | 0% | 176 | $0.00 | |
| 81025 | 0% | 27 | $0.00 | |
| 80305 | 0% | 204 | $0.00 | |
| 4145F | 0% | 136 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 46 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 57 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 15 | $0.00 |
| 90658 | 0% | 12 | $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 officialVALENTIN, JIMMY (SR. DIRECTOR, HEALTH INFORMATION SY)