JERSEY COMMUNITY HOSPITAL
NPI: 1689079642
· CARROLLTON, IL 62016
· Rural Health Clinic/Center
· NPI assigned 11/03/2014
$311K
Total Medicaid Paid
Provider Details
| Authorized Official | HOPPER, MICHELLE (CFO) |
| Parent Organization | JERSEY COMMUNITY HOSPITAL |
| NPI Enumeration Date | 11/03/2014 |
Related Entities
Other providers sharing the same authorized official: HOPPER, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,014 |
$44K |
| 2019 |
1,501 |
$50K |
| 2020 |
1,217 |
$57K |
| 2021 |
999 |
$46K |
| 2022 |
896 |
$41K |
| 2023 |
795 |
$48K |
| 2024 |
369 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,338 |
3,323 |
$311K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,286 |
1,740 |
$28.35 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
70 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
33 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
36 |
$0.00 |
| 94760 |
|
15 |
13 |
$0.00 |