Clinic
Physician Rural Health Clinic of Jefferson County
Physician Rural Health Clinic of Jefferson County was paid $525K by Medicaid between Jan 2018 and Dec 2020, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoPHYSICIAN RURAL HEALTH CLINIC OF JEFFERSON COUNTY
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
33aNPI1649283870assigned 08/15/2006
33bProvider typeRural Health Clinic/Center
28Total paid$525K
24GClaims15,182
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#127 of 235
Median peer was paid$611K
This provider vs. median0.9×
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 | 3,718 | $140K | |
| 2019 | 7,996 | $222K | |
| 2020 | 3,468 | $162K |
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 | 100% | 7,574 | 4,208 | $525K |
| 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% | 5,637 | 3,221 | $316.02 |
| 36415 | Collection of venous blood by venipuncture | <1% | 839 | 698 | $36.79 |
| 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% | 15 | 15 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 73 | 37 | $0.00 |
| 99173 | 0% | 135 | 76 | $0.00 | |
| 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 | 0% | 651 | 400 | $0.00 |
| 81000 | 0% | 161 | 84 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 97 | 76 | $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 officialGUPTA, VEENA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Concourse Cardiology Associates, P.C. | Bronx, NY | $114K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.