Clinic
Erie Family Health Center INC
Erie Family Health Center INC was paid $12.39M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoERIE FAMILY HEALTH CENTER INC
EVANSTON, IL 60202
EVANSTON, IL 60202
33aNPI1629328836assigned 09/14/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.39M
24GClaims290,541
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#34 of 296
Median peer was paid$1.43M
This provider vs. median8.7×
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 | 29,403 | $1.25M | |
| 2019 | 80,705 | $2.48M | |
| 2020 | 67,556 | $3.46M | |
| 2021 | 46,717 | $2.51M | |
| 2022 | 36,582 | $1.78M | |
| 2023 | 20,261 | $588K | |
| 2024incomplete | 9,317 | $330K |
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 | 81% | 86,258 | 54,411 | $10.01M |
| D0999 | Unspecified diagnostic procedure, by report | 19% | 20,819 | 17,653 | $2.32M |
| 0071A | <1% | 276 | 263 | $12K | |
| 0072A | <1% | 264 | 251 | $11K | |
| 0064A | <1% | 149 | 149 | $6K | |
| 0002A | <1% | 144 | 102 | $6K | |
| 0001A | <1% | 103 | 81 | $4K | |
| 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% | 51,358 | 33,112 | $4K |
| 90658 | <1% | 2,377 | 1,407 | $3K | |
| 0003A | <1% | 52 | 50 | $2K | |
| 0054A | <1% | 48 | 43 | $2K | |
| 0011A | <1% | 99 | 97 | $2K |
110 more codes
| 0004A | <1% | 36 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 6,200 | $1K |
| 90649 | <1% | 525 | $949.25 | |
| 90710 | <1% | 298 | $924.76 | |
| 90670 | <1% | 2,365 | $815.93 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,968 | $340.60 |
| 90633 | <1% | 1,014 | $334.10 | |
| 90734 | <1% | 601 | $327.70 | |
| 90686 | <1% | 904 | $280.26 | |
| 90696 | <1% | 254 | $235.90 | |
| 90688 | <1% | 672 | $218.02 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,691 | $208.70 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,169 | $199.87 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,676 | $193.84 |
| 90723 | <1% | 1,374 | $176.80 | |
| 90715 | <1% | 634 | $169.77 | |
| 99173 | <1% | 2,561 | $161.90 | |
| 92551 | <1% | 2,497 | $161.20 | |
| 90707 | <1% | 285 | $159.08 | |
| 90716 | <1% | 316 | $140.04 | |
| 90680 | <1% | 1,589 | $138.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,255 | $123.00 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,848 | $106.32 |
| 81025 | <1% | 821 | $104.66 | |
| 90648 | <1% | 795 | $103.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,789 | $97.10 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,116 | $96.00 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 439 | $91.58 |
| 90647 | <1% | 1,028 | $74.23 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,621 | $71.00 |
| 90461 | <1% | 1,891 | $66.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,456 | $64.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,341 | $61.70 |
| 90657 | <1% | 779 | $44.80 | |
| 85018 | <1% | 601 | $44.32 | |
| 81002 | <1% | 781 | $44.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,240 | $42.10 |
| 90651 | <1% | 280 | $41.40 | |
| 99383 | <1% | 319 | $35.15 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 996 | $29.48 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 246 | $22.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 528 | $19.30 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 274 | $15.70 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 132 | $14.00 |
| 82962 | <1% | 640 | $13.65 | |
| 90698 | <1% | 338 | $12.80 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 41 | $12.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,816 | $11.20 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 329 | $10.00 |
| 99201 | <1% | 26 | $9.00 | |
| 99381 | <1% | 779 | $8.00 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 290 | $7.00 |
| 76801 | <1% | 200 | $1.00 | |
| D0120 | Dental checkup, returning patient | 0% | 9,475 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 1,379 | $0.00 |
| D0603 | 0% | 6,243 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 304 | $0.00 |
| D0601 | 0% | 3,537 | $0.00 | |
| 93000 | 0% | 150 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 168 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 771 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 3,234 | $0.00 |
| 99386 | 0% | 49 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 3,619 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 7,122 | $0.00 |
| 3074F | 0% | 397 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 2,126 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 132 | $0.00 |
| 99384 | 0% | 262 | $0.00 | |
| 3075F | 0% | 102 | $0.00 | |
| 4010F | 0% | 74 | $0.00 | |
| 3008F | 0% | 584 | $0.00 | |
| D0602 | 0% | 1,151 | $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% | 126 | $0.00 |
| 81005 | 0% | 39 | $0.00 | |
| 86580 | 0% | 27 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 14 | $0.00 |
| 3044F | 0% | 15 | $0.00 | |
| 3079F | 0% | 186 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 103 | $0.00 |
| 96127 | 0% | 75 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 41 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 19 | $0.00 |
| 99385 | 0% | 124 | $0.00 | |
| 0503F | 0% | 28 | $0.00 | |
| 3080F | 0% | 34 | $0.00 | |
| 1036F | 0% | 135 | $0.00 | |
| 94760 | 0% | 39 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 106 | $0.00 |
| 90474 | 0% | 16 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 51 | $0.00 |
| 90619 | 0% | 57 | $0.00 | |
| 58300 | 0% | 16 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 473 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 11,142 | $0.00 |
| 3078F | 0% | 429 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 2,812 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 465 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 281 | $0.00 |
| D0180 | 0% | 141 | $0.00 | |
| D1354 | 0% | 109 | $0.00 | |
| 3046F | 0% | 14 | $0.00 | |
| 90700 | 0% | 252 | $0.00 | |
| 3077F | 0% | 165 | $0.00 | |
| 99382 | 0% | 121 | $0.00 | |
| 1159F | 0% | 74 | $0.00 | |
| D0270 | 0% | 91 | $0.00 | |
| 83026 | 0% | 114 | $0.00 | |
| 0502F | 0% | 64 | $0.00 | |
| 1160F | 0% | 53 | $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 officialFRANCIS, LEE (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Erie Family Health Center, INC | Chicago, IL | $143.56M |
| Erie Family Health Center INC | Chicago, IL | $870K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.