Behavioral
Jersey Community Hospital
Jersey Community Hospital was paid $1.34M by Medicaid between Dec 2019 and Dec 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoJERSEY COMMUNITY HOSPITAL
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
33aNPI1548744501assigned 09/17/2018
33bProvider typeClinical Social Worker
28Total paid$1.34M
24GClaims32,704
24DCodes billed16
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Illinois
Rank by total paid#12 of 703
Median peer was paid$25K
This provider vs. median54×
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 | 67 | $2K | |
| 2020 | 5,747 | $236K | |
| 2021 | 7,300 | $296K | |
| 2022 | 6,346 | $252K | |
| 2023 | 7,762 | $318K | |
| 2024incomplete | 5,482 | $240K |
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 | 93% | 14,761 | 10,524 | $1.25M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 7.4% | 1,462 | 958 | $99K |
| 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% | 6,537 | 5,609 | $72.97 |
| 80305 | 0% | 3,290 | 2,610 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 497 | 488 | $0.00 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 0% | 144 | 135 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 381 | 329 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 809 | 488 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 199 | 124 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 69 | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 113 | 48 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 53 | 50 | $0.00 |
4 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 68 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 827 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 3,481 | $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 officialHOPPER, MICHELLE (CFO)
Parent organizationJERSEY COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | $3.07M |
| Jersey Community Hospital | Jerseyville, IL | $2.36M |
| Jersey Community Hospital | Jerseyville, IL | $1.72M |
| Jersey Community Hospital | Roodhouse, IL | $1.22M |
| Jersey Community Hospital | Hardin, IL | $610K |
| Jersey Community Hospital | Jerseyville, IL | $434K |
| Jersey Community Hospital | Carrollton, IL | $311K |
| Jersey Community Hospital District | Jerseyville, IL | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.