Clinic
Sparta Community Hospital D/B/A Quality Healthcare Clinics
Sparta Community Hospital D/B/A Quality Healthcare Clinics was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 27 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 infoSPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
SPARTA, IL 62286
SPARTA, IL 62286
33aNPI1740395003assigned 08/20/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.07M
24GClaims25,575
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#90 of 235
Median peer was paid$611K
This provider vs. median1.7×
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 | 2,004 | $82K | |
| 2019 | 5,286 | $164K | |
| 2020 | 4,050 | $165K | |
| 2021 | 3,595 | $167K | |
| 2022 | 3,406 | $150K | |
| 2023 | 3,760 | $173K | |
| 2024incomplete | 3,474 | $166K |
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% | 14,455 | 11,203 | $1.07M |
| 81002 | <1% | 132 | 93 | $898.90 | |
| 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% | 5,508 | 4,306 | $56.70 |
| 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 | 0% | 3,274 | 2,829 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 167 | 116 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | 12 | $0.00 |
| 90686 | 0% | 81 | 72 | $0.00 | |
| 96127 | 0% | 620 | 590 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 23 | 20 | $0.00 |
| 3074F | 0% | 92 | 81 | $0.00 | |
| 1000F | 0% | 65 | 63 | $0.00 | |
| 90651 | 0% | 16 | 12 | $0.00 |
15 more codes
| 90656 | 0% | 18 | $0.00 | |
| 3079F | 0% | 17 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 85 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 209 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 90 | $0.00 |
| 3725F | 0% | 159 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 102 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 103 | $0.00 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 17 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 13 | $0.00 |
| 3078F | 0% | 63 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 14 | $0.00 |
| 90461 | 0% | 30 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 195 | $0.00 |
| 90670 | 0% | 15 | $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 officialERNSTING, LISA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Sparta, IL | $2.37M |
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Sparta, IL | $1.36M |
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Coulterville, IL | $1.06M |
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Marissa, IL | $961K |
| Sparta Community Hospital | Sparta, IL | $575K |
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Steeleville, IL | $530K |
| Sparta Community Hospital | Sparta, IL | $216K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.