Clinic
Kirby Medical Center
Kirby Medical Center was paid $2.84M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoKIRBY MEDICAL CENTER
MONTICELLO, IL 61856
MONTICELLO, IL 61856
33aNPI1558527259assigned 08/01/2008
33bProvider typeRural Health Clinic/Center
28Total paid$2.84M
24GClaims69,822
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#35 of 235
Median peer was paid$611K
This provider vs. median4.6×
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 | 4,574 | $179K | |
| 2019 | 11,959 | $340K | |
| 2020 | 9,212 | $374K | |
| 2021 | 9,195 | $407K | |
| 2022 | 11,378 | $488K | |
| 2023 | 13,343 | $573K | |
| 2024incomplete | 10,161 | $482K |
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 | 95% | 35,015 | 24,235 | $2.71M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 4.6% | 1,933 | 1,021 | $131K |
| 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% | 7,697 | 6,137 | $303.12 |
| 90686 | <1% | 59 | 42 | $171.44 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,628 | 1,467 | $101.04 |
| 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% | 16,483 | 12,853 | $101.04 |
| 90633 | <1% | 22 | 14 | $24.00 | |
| 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% | 12 | 12 | $13.19 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 1,034 | 644 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 540 | 378 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 168 | 133 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 68 | 61 | $0.00 |
11 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 220 | $0.00 |
| 3077F | 0% | 14 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 16 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 19 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 844 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 3,358 | $0.00 |
| 96127 | 0% | 501 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 70 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 14 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 86 | $0.00 |
| 3079F | 0% | 21 | $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 officialTENHOUSE, STEVEN (CEO)
Parent organizationKIRBY MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Kirby Medical Center | Atwood, IL | $736K |
| Kirby Medical Center | Cerro Gordo, IL | $512K |
| Kirby Medical Center | Monticello, IL | $179K |
| Kirby Medical Center | Monticello, IL | $176K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.