Clinic
Hamilton Memorial Hospital District
Hamilton Memorial Hospital District was paid $1.52M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoHAMILTON MEMORIAL HOSPITAL DISTRICT
MCLEANSBORO, IL 62859
MCLEANSBORO, IL 62859
33aNPI1609837665assigned 03/30/2006
33bProvider typeClinic/Center
28Total paid$1.52M
24GClaims44,736
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Illinois
Rank by total paid#4 of 22
Median peer was paid$33K
This provider vs. median46×
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 | 3,185 | $131K | |
| 2019 | 12,021 | $299K | |
| 2020 | 8,111 | $271K | |
| 2021 | 4,869 | $183K | |
| 2022 | 5,174 | $198K | |
| 2023 | 6,047 | $230K | |
| 2024incomplete | 5,329 | $208K |
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 | 94% | 23,336 | 14,169 | $1.43M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 6.0% | 1,910 | 960 | $92K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 6,043 | 2,456 | $854.19 |
| 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% | 7,950 | 5,464 | $852.12 |
| 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% | 1,019 | 808 | $170.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,122 | 2,550 | $72.75 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 166 | 136 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 15 | 15 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 25 | 13 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 24 | 16 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 243 | 224 | $0.00 |
| 81002 | 0% | 14 | 14 | $0.00 |
5 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 35 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 344 | $0.00 |
| 87428 | 0% | 304 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 71 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 115 | $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 officialEPPERSON, JUSTIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Hamilton Memorial Hospital District | Carmi, IL | $975K |
| Hamilton Memorial Hospital District | Mc Leansboro, IL | $135K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.