Clinic
Massac Memorial Hospital
Massac Memorial Hospital was paid $2.76M by Medicaid between Jan 2018 and Dec 2024, across 28 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 infoMASSAC MEMORIAL HOSPITAL
METROPOLIS, IL 62960
METROPOLIS, IL 62960
33aNPI1740355809assigned 11/22/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.76M
24GClaims68,938
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#36 of 235
Median peer was paid$611K
This provider vs. median4.5×
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 | 7,873 | $305K | |
| 2019 | 11,794 | $324K | |
| 2020 | 8,488 | $310K | |
| 2021 | 9,286 | $362K | |
| 2022 | 6,659 | $296K | |
| 2023 | 13,830 | $623K | |
| 2024incomplete | 11,008 | $543K |
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% | 37,585 | 28,769 | $2.76M |
| 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% | 83 | 81 | $1K |
| 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% | 15,050 | 11,682 | $120.80 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,743 | 1,444 | $58.50 |
| 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% | 7,717 | 6,563 | $46.77 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 737 | 642 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 1,594 | 1,385 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 824 | 733 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 447 | 407 | $0.00 |
| 81003 | 0% | 59 | 59 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 326 | 278 | $0.00 |
| 99307 | 0% | 39 | 32 | $0.00 |
16 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 179 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 46 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 126 | $0.00 |
| 69210 | 0% | 12 | $0.00 | |
| 96127 | 0% | 911 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 504 | $0.00 |
| 90686 | 0% | 244 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 132 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 124 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 0% | 266 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 74 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 14 | $0.00 |
| 99024 | 0% | 13 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 52 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 16 | $0.00 |
| 90656 | 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 officialGOINES, LYNN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Massac Memorial Hospital | Metropolis, IL | $998K |
| Massac Memorial Hospital | Metropolis, IL | $909K |
| Massac Memorial Hospital | Metropolis, IL | $635K |
| Massac Memorial Hospital | Metropolis, IL | $293K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.