Clinic
Esperanza Health Centers
Esperanza Health Centers was paid $4.48M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoESPERANZA HEALTH CENTERS
CHICAGO, IL 60629
CHICAGO, IL 60629
33aNPI1669812582assigned 06/25/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.48M
24GClaims132,159
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#97 of 296
Median peer was paid$1.43M
This provider vs. median3.1×
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 | 11,478 | $462K | |
| 2019 | 14,744 | $507K | |
| 2020 | 7,835 | $339K | |
| 2021 | 21,412 | $675K | |
| 2022 | 36,892 | $1.01M | |
| 2023 | 27,780 | $830K | |
| 2024incomplete | 12,018 | $663K |
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 | 97% | 32,467 | 24,585 | $4.35M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 2.0% | 1,368 | 1,049 | $91K |
| 0012A | <1% | 253 | 253 | $11K | |
| 0002A | <1% | 168 | 167 | $7K | |
| 0001A | <1% | 164 | 164 | $7K | |
| 0011A | <1% | 161 | 161 | $7K | |
| 90651 | <1% | 966 | 835 | $3K | |
| 90686 | <1% | 2,413 | 2,166 | $1K | |
| 90670 | <1% | 256 | 217 | $976.00 | |
| 90633 | <1% | 247 | 217 | $404.43 | |
| 90734 | <1% | 165 | 121 | $260.30 | |
| 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% | 10,882 | 9,421 | $85.00 |
53 more codes
| 96127 | <1% | 6,032 | $81.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 685 | $77.87 |
| 90715 | <1% | 129 | $43.70 | |
| 99408 | <1% | 530 | $41.71 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,080 | $31.48 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,413 | $31.00 |
| 90656 | <1% | 20 | $20.64 | |
| 90688 | <1% | 12 | $17.84 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,320 | $17.00 |
| 99173 | <1% | 3,641 | $7.45 | |
| 81025 | <1% | 313 | $5.17 | |
| 1160F | <1% | 7,392 | $2.00 | |
| 1036F | <1% | 6,651 | $2.00 | |
| 3725F | <1% | 3,705 | $1.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,309 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,989 | $0.00 |
| 81002 | 0% | 192 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,260 | $0.00 |
| 1159F | 0% | 6,876 | $0.00 | |
| 3078F | 0% | 6,459 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 258 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 180 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 87 | $0.00 |
| 90461 | 0% | 1,105 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 416 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 50 | $0.00 |
| 90621 | 0% | 34 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $0.00 |
| 0502F | 0% | 55 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| 99382 | 0% | 14 | $0.00 | |
| 3074F | 0% | 6,672 | $0.00 | |
| 3079F | 0% | 878 | $0.00 | |
| 3075F | 0% | 410 | $0.00 | |
| 3008F | 0% | 9,904 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 526 | $0.00 |
| 87428 | 0% | 255 | $0.00 | |
| 90723 | 0% | 88 | $0.00 | |
| 99383 | 0% | 174 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,179 | $0.00 |
| 1126F | 0% | 143 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| S5190 | Wellness assessment, performed by non-physician | 0% | 28 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 406 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 68 | $0.00 |
| 96161 | 0% | 157 | $0.00 | |
| 92551 | 0% | 130 | $0.00 | |
| 85018 | 0% | 170 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 97 | $0.00 |
| 99384 | 0% | 32 | $0.00 | |
| 90647 | 0% | 14 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 50 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 21 | $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 officialMCINNES, JEFFREY (DIRECTOR OF BILLING & PATIENT ACCES)
Parent organizationESPERANZA HEALTH CENTERS