Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JULIA RACKLEY PERRY MEMORIAL HOSPITAL

NPI: 1578922050 · PRINCETON, IL 61356 · Rural Health Clinic/Center · NPI assigned 02/12/2016

$967K
Total Medicaid Paid
23,879
Total Claims
15,916
Beneficiaries
15
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialWELTE, JEAN (MEDICAL STAFF SERVICES COORDINATOR)
Parent OrganizationJULIA RACKLEY PERRY MEMORIAL HOSPITAL
NPI Enumeration Date02/12/2016

Related Entities

Other providers sharing the same authorized official: WELTE, JEAN

ProviderCityStateTotal Paid
JULIA RACKLEY PERRY MEMORIAL HOSPITAL PRINCETON IL $536K
JULIA RACKLEY PERRY MEMORIAL HOSPITAL PRINCETON IL $268K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,345 $155K
2019 7,704 $261K
2020 9,198 $397K
2021 3,632 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,109 8,411 $964K
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 282 242 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,177 3,496 $400.83
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 172 144 $139.04
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,757 2,614 $72.97
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 212 181 $25.65
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 106 82 $0.00
99215 Prolong outpt/office vis 105 66 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 69 68 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 21 20 $0.00
Q3014 Telehealth originating site facility fee 519 298 $0.00
96127 158 145 $0.00
90686 108 90 $0.00
90688 65 46 $0.00
99308 Subsequent nursing facility care, per day, straightforward 19 13 $0.00