Physician
Carlinville Medical Clinic, INC.
Carlinville Medical Clinic, INC. was paid $693K by Medicaid between Jan 2018 and Dec 2024, across 4 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 infoCARLINVILLE MEDICAL CLINIC, INC.
CARLINVILLE, IL 62626
CARLINVILLE, IL 62626
33aNPI1730213026assigned 03/16/2007
33bProvider typeFamily Medicine Physician
28Total paid$693K
24GClaims16,526
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#145 of 2,947
Median peer was paid$43K
This provider vs. median16×
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 | 1,480 | $57K | |
| 2019 | 3,535 | $134K | |
| 2020 | 2,827 | $110K | |
| 2021 | 2,319 | $90K | |
| 2022 | 1,925 | $97K | |
| 2023 | 2,406 | $105K | |
| 2024incomplete | 2,034 | $100K |
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% | 10,995 | 6,614 | $691K |
| 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% | 5,434 | 3,235 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 60 | 52 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 37 | 36 | $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 officialBUSBY, MARGIE (OFFICE & BILLING MANAGER)