Clinic
Harrisburg Medical Center INC
Harrisburg Medical Center INC was paid $2.19M by Medicaid between Jun 2018 and Dec 2024, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoHARRISBURG MEDICAL CENTER INC
MARION, IL 62959
MARION, IL 62959
33aNPI1649795659assigned 08/10/2017
33bProvider typeRural Health Clinic/Center
28Total paid$2.19M
24GClaims57,625
24DCodes billed39
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#47 of 235
Median peer was paid$611K
This provider vs. median3.6×
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 | 1,058 | $35K | |
| 2019 | 7,800 | $230K | |
| 2020 | 8,109 | $304K | |
| 2021 | 7,331 | $295K | |
| 2022 | 7,145 | $301K | |
| 2023 | 6,161 | $266K | |
| 2024incomplete | 20,021 | $763K |
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 | 99% | 29,633 | 23,469 | $2.17M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 135 | 81 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,687 | 1,406 | $5K |
| 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% | 13,556 | 11,695 | $5K |
| 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% | 5,788 | 4,427 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 505 | 481 | $0.00 |
| 90633 | 0% | 106 | 106 | $0.00 | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 50 | 30 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 70 | 70 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 463 | 457 | $0.00 |
| 90700 | 0% | 29 | 29 | $0.00 | |
| 90461 | 0% | 364 | 364 | $0.00 |
27 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 60 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 451 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 202 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 49 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 54 | $0.00 |
| 90707 | 0% | 43 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 2,849 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 690 | $0.00 |
| 90710 | 0% | 46 | $0.00 | |
| 90681 | 0% | 72 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 21 | $0.00 |
| 90734 | 0% | 23 | $0.00 | |
| 90715 | 0% | 16 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 28 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 14 | $0.00 |
| 90696 | 0% | 45 | $0.00 | |
| 87807 | 0% | 16 | $0.00 | |
| 90723 | 0% | 195 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 15 | $0.00 |
| 90656 | 0% | 32 | $0.00 | |
| 90647 | 0% | 201 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 26 | $0.00 |
| 99383 | 0% | 14 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 90716 | 0% | 17 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 23 | $0.00 |
| 99381 | 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 officialLADNER, WARREN (SENIOR VP CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Southern Illinois Medical Services, NFP | Carbondale, IL | $15.18M |
| Southern Illinois Medical Services, NFP | Harrisburg, IL | $12.43M |
| Southern Illinois Medical Services, NFP | Herrin, IL | $9.14M |
| Southern Illinois Medical Services, NFP | West Frankfort, IL | $4.61M |
| Southern Illinois Hospital Services | West Frankfort, IL | $1.90M |
| Southern Illinois Medical Services, NFP | Murphysboro, IL | $1.36M |
| Southern Illinois Medical Services, NFP | Benton, IL | $1.28M |
| Harrisburg Medical Center INC | Eldorado, IL | $924K |
| Harrisburg Medical Center INC | Harrisburg, IL | $280K |
| Southern Illinois Medical Services, NFP | Anna, IL | $248K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.