Clinic
Hoopeston Community Memorial Hospital
Hoopeston Community Memorial Hospital was paid $21.14M by Medicaid between Jan 2018 and Dec 2024, across 81 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 infoHOOPESTON COMMUNITY MEMORIAL HOSPITAL
DANVILLE, IL 61832
DANVILLE, IL 61832
33aNPI1669802419assigned 11/14/2013
33bProvider typeRural Health Clinic/Center
28Total paid$21.14M
24GClaims521,205
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#2 of 235
Median peer was paid$611K
This provider vs. median35×
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 | 47,909 | $1.79M | |
| 2019 | 129,960 | $4.43M | |
| 2020 | 67,486 | $2.79M | |
| 2021 | 60,243 | $2.59M | |
| 2022 | 71,754 | $3.13M | |
| 2023 | 72,112 | $3.18M | |
| 2024incomplete | 71,741 | $3.22M |
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% | 247,844 | 159,667 | $20.97M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 1,877 | 1,193 | $125K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 2,964 | 2,452 | $21K |
| S5190 | Wellness assessment, performed by non-physician | <1% | 2,074 | 1,686 | $6K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 107 | 105 | $5K |
| 91320 | <1% | 23 | 22 | $3K | |
| 90480 | <1% | 22 | 20 | $945.60 | |
| 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% | 57,276 | 42,542 | $448.88 |
| 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% | 102,855 | 71,876 | $356.61 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 7,009 | 5,332 | $156.96 |
| 0503F | <1% | 30 | 27 | $75.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,121 | 4,805 | $48.50 |
69 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,414 | $42.50 |
| 90688 | <1% | 289 | $25.26 | |
| 90633 | <1% | 3,461 | $6.40 | |
| 90700 | 0% | 1,271 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 3,499 | $0.00 |
| 90681 | 0% | 2,340 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,281 | $0.00 |
| 99242 | 0% | 509 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,697 | $0.00 |
| 99382 | 0% | 149 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 6,849 | $0.00 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 738 | $0.00 |
| 90670 | 0% | 1,680 | $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% | 2,214 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 5,610 | $0.00 |
| 90715 | 0% | 3,194 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 4,001 | $0.00 |
| 90710 | 0% | 2,299 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 4,913 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,959 | $0.00 |
| 90734 | 0% | 1,017 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,510 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,391 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 76 | $0.00 |
| 0502F | 0% | 6,801 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 388 | $0.00 |
| 90671 | 0% | 388 | $0.00 | |
| 90750 | 0% | 45 | $0.00 | |
| 90707 | 0% | 97 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 37 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 77 | $0.00 |
| 90785 | 0% | 14 | $0.00 | |
| 69209 | 0% | 24 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 542 | $0.00 |
| 0500F | 0% | 1,216 | $0.00 | |
| 90723 | 0% | 4,091 | $0.00 | |
| 99381 | 0% | 885 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 2,073 | $0.00 |
| 96127 | 0% | 33 | $0.00 | |
| 90651 | 0% | 1,598 | $0.00 | |
| 90647 | 0% | 4,287 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 4,022 | $0.00 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 396 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 334 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,407 | $0.00 |
| 90696 | 0% | 645 | $0.00 | |
| 90656 | 0% | 220 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 166 | $0.00 |
| 99243 | 0% | 2,630 | $0.00 | |
| 99385 | 0% | 413 | $0.00 | |
| 99383 | 0% | 425 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 960 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 429 | $0.00 |
| 94760 | 0% | 600 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 521 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 511 | $0.00 |
| 90716 | 0% | 97 | $0.00 | |
| 90686 | 0% | 759 | $0.00 | |
| 99386 | 0% | 91 | $0.00 | |
| 99384 | 0% | 102 | $0.00 | |
| 90381 | 0% | 32 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 37 | $0.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 59 | $0.00 |
| 90732 | 0% | 12 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 27 | $0.00 |
| 99406 | 0% | 12 | $0.00 | |
| 90619 | 0% | 92 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 34 | $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 officialTUCKER, HEATHER (ADMINISTRATOR)