Clinic
Effingham Obstetrics and Gynecology Associates PLLC
Effingham Obstetrics and Gynecology Associates PLLC was paid $3.83M by Medicaid between Apr 2018 and Dec 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
33Billing provider infoEFFINGHAM OBSTETRICS AND GYNECOLOGY ASSOCIATES PLLC
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
33aNPI1649677063assigned 12/01/2014
33bProvider typeRural Health Clinic/Center
28Total paid$3.83M
24GClaims96,106
24DCodes billed22
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#25 of 235
Median peer was paid$611K
This provider vs. median6.3×
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 | 4,555 | $199K | |
| 2019 | 15,795 | $503K | |
| 2020 | 14,852 | $590K | |
| 2021 | 17,274 | $661K | |
| 2022 | 16,194 | $618K | |
| 2023 | 13,928 | $628K | |
| 2024incomplete | 13,508 | $636K |
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 | 98% | 45,303 | 23,020 | $3.77M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.4% | 59 | 33 | $55K |
| 59430 | <1% | 871 | 674 | $3K | |
| 0502F | <1% | 13,680 | 6,590 | $2K | |
| 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% | 10,962 | 7,707 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,640 | 2,231 | $363.30 |
| 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% | 3,137 | 2,482 | $291.88 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,345 | 6,567 | $76.95 |
| 76830 | Ultrasound, transvaginal | <1% | 1,143 | 970 | $71.90 |
| 0500F | <1% | 2,163 | 1,632 | $44.10 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 223 | 140 | $38.64 |
| 59025 | Fetal non-stress test | <1% | 822 | 424 | $33.70 |
10 more codes
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 0% | 2,540 | $0.00 |
| 76801 | 0% | 869 | $0.00 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 294 | $0.00 |
| 58300 | 0% | 17 | $0.00 | |
| 76819 | Fetal biophysical profile; without non-stress testing | 0% | 120 | $0.00 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 160 | $0.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 1,303 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 404 | $0.00 |
| TELEH | Telehealth inpt pharm mgmt | 0% | 34 | $0.00 |
| 99242 | 0% | 17 | $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 officialHALLER, KELLY (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Effingham Obstetrics & Gynecology Associates SC | Effingham, IL | $274K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.