Physician
Jersey Community Hospital
Jersey Community Hospital was paid $2.36M by Medicaid between Jan 2018 and Dec 2024, across 30 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 infoJERSEY COMMUNITY HOSPITAL
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
33aNPI1659750818assigned 05/21/2015
33bProvider typeFamily Medicine Physician
28Total paid$2.36M
24GClaims62,521
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#36 of 2,947
Median peer was paid$43K
This provider vs. median55×
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 | 9,881 | $335K | |
| 2019 | 19,608 | $549K | |
| 2020 | 10,880 | $451K | |
| 2021 | 6,683 | $294K | |
| 2022 | 5,985 | $270K | |
| 2023 | 6,183 | $282K | |
| 2024incomplete | 3,301 | $177K |
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% | 32,566 | 25,083 | $2.36M |
| 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% | 12,744 | 9,719 | $680.19 |
| 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% | 10,020 | 7,845 | $614.56 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,299 | 1,763 | $126.44 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 365 | 220 | $69.65 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 963 | 460 | $58.24 |
| 80305 | <1% | 375 | 262 | $17.96 | |
| 81003 | <1% | 285 | 211 | $2.18 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 105 | 103 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 147 | 141 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 674 | 586 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 680 | 661 | $0.00 |
18 more codes
| 90836 | 0% | 26 | $0.00 | |
| 81025 | 0% | 382 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 87 | $0.00 |
| 82274 | 0% | 47 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 155 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 18 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 34 | $0.00 |
| 80306 | 0% | 18 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 14 | $0.00 |
| 82947 | 0% | 13 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 42 | $0.00 |
| 96127 | 0% | 236 | $0.00 | |
| 87807 | 0% | 88 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 38 | $0.00 |
| 87428 | 0% | 15 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 32 | $0.00 |
| 94760 | 0% | 38 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 15 | $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 officialHOPPER, MICHELLE (CFO)
Parent organizationJERSEY COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | $3.07M |
| Jersey Community Hospital | Jerseyville, IL | $1.72M |
| Jersey Community Hospital | Jerseyville, IL | $1.34M |
| Jersey Community Hospital | Roodhouse, IL | $1.22M |
| Jersey Community Hospital | Hardin, IL | $610K |
| Jersey Community Hospital | Jerseyville, IL | $434K |
| Jersey Community Hospital | Carrollton, IL | $311K |
| Jersey Community Hospital District | Jerseyville, IL | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.