Clinic
Knox Community Health Center NFP
Knox Community Health Center NFP was paid $4.29M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 47% of everything it billed.
33Billing provider infoKNOX COMMUNITY HEALTH CENTER NFP
GALESBURG, IL 61401
GALESBURG, IL 61401
33aNPI1649526773assigned 07/26/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.29M
24GClaims112,717
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#100 of 296
Median peer was paid$1.43M
This provider vs. median3.0×
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 | 19,740 | $648K | |
| 2019 | 23,666 | $722K | |
| 2020 | 14,381 | $511K | |
| 2021 | 13,319 | $508K | |
| 2022 | 9,114 | $458K | |
| 2023 | 16,844 | $706K | |
| 2024incomplete | 15,653 | $737K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 47% | 18,621 | 16,297 | $2.03M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 43% | 20,626 | 12,560 | $1.84M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 8.5% | 4,896 | 2,850 | $364K |
| 99000 | <1% | 934 | 836 | $22K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 5,418 | 5,180 | $16K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,677 | 3,412 | $6K |
| D1110 | Prophylaxis - adult | <1% | 2,130 | 1,946 | $4K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 839 | 561 | $2K |
| 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% | 2,861 | 2,175 | $2K |
| D0330 | Panoramic radiographic image | <1% | 3,768 | 3,621 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,720 | 1,323 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 7,816 | 4,417 | $1K |
34 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,173 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 238 | $1K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 3,832 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,512 | $993.60 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,408 | $791.24 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,316 | $719.26 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,048 | $573.05 |
| D0120 | Dental checkup, returning patient | <1% | 5,177 | $331.20 |
| D0274 | Bitewings - four radiographic images | <1% | 3,481 | $220.80 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,420 | $116.00 |
| 82947 | <1% | 58 | $19.10 | |
| D0272 | Bitewings - two radiographic images | 0% | 2,824 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 285 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 904 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 5,195 | $0.00 |
| D0601 | 0% | 189 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 416 | $0.00 |
| D2335 | 0% | 40 | $0.00 | |
| D0602 | 0% | 126 | $0.00 | |
| 99383 | 0% | 45 | $0.00 | |
| 99406 | 0% | 20 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 17 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 18 | $0.00 |
| 85018 | 0% | 33 | $0.00 | |
| D2330 | 0% | 35 | $0.00 | |
| D0603 | 0% | 20 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 76 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 229 | $0.00 |
| D2394 | 0% | 26 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 28 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 94 | $0.00 |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 0% | 70 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 40 | $0.00 |
| D2332 | 0% | 18 | $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 officialGABRIEL, MICHELE (CEO)
| Provider | Location | Paid |
|---|---|---|
| County of Knox | Galesburg, IL | $72K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.