Physician
Family Care Associates of Effingham, S.C.
Family Care Associates of Effingham, S.C. was paid $7.89M by Medicaid between Jan 2018 and Dec 2024, across 50 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 infoFAMILY CARE ASSOCIATES OF EFFINGHAM, S.C.
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
33aNPI1649255266assigned 12/07/2005
33bProvider typeFamily Medicine Physician
28Total paid$7.89M
24GClaims225,825
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#11 of 2,947
Median peer was paid$43K
This provider vs. median185×
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 | 20,972 | $709K | |
| 2019 | 36,902 | $954K | |
| 2020 | 31,797 | $1.10M | |
| 2021 | 35,219 | $1.25M | |
| 2022 | 37,201 | $1.36M | |
| 2023 | 35,124 | $1.36M | |
| 2024incomplete | 28,610 | $1.16M |
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% | 92,838 | 63,024 | $7.47M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 4.8% | 5,186 | 2,470 | $375K |
| 90670 | <1% | 3,541 | 3,019 | $9K | |
| 90651 | <1% | 419 | 351 | $8K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 7,625 | 4,253 | $6K |
| 90716 | <1% | 1,752 | 1,525 | $5K | |
| 90734 | <1% | 696 | 593 | $4K | |
| 90707 | <1% | 1,701 | 1,496 | $3K | |
| 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% | 29,060 | 22,928 | $2K |
| 90680 | <1% | 1,444 | 1,125 | $2K | |
| 90723 | <1% | 3,170 | 2,720 | $2K | |
| 90648 | <1% | 4,126 | 3,570 | $1K |
38 more codes
| 90696 | <1% | 486 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 30,085 | $966.51 |
| 90715 | <1% | 404 | $698.59 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 6,094 | $641.45 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,127 | $482.25 |
| 90688 | <1% | 28 | $437.28 | |
| 90700 | <1% | 591 | $359.82 | |
| 90686 | <1% | 2,553 | $337.20 | |
| 90685 | <1% | 334 | $279.01 | |
| 96127 | <1% | 4,700 | $219.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,795 | $192.84 |
| 90633 | <1% | 1,734 | $174.01 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,457 | $160.75 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,070 | $35.11 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 804 | $0.00 |
| 97803 | 0% | 1,027 | $0.00 | |
| 90681 | 0% | 984 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 999 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 40 | $0.00 |
| 90785 | 0% | 554 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 135 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 27 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 90380 | 0% | 14 | $0.00 | |
| 99382 | 0% | 13 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 4,107 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 3,269 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 273 | $0.00 |
| 90677 | 0% | 552 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 940 | $0.00 |
| 99381 | 0% | 379 | $0.00 | |
| 96161 | 0% | 255 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 110 | $0.00 |
| 90381 | 0% | 32 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 44 | $0.00 |
| 90656 | 0% | 177 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 50 | $0.00 |
| 1111F | 0% | 12 | $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 officialHEISCHMIDT, THOMAS (PRESIDENT)