Clinic
Sparta Community Hospital D/B/A Quality Healthcare Clinics
Sparta Community Hospital D/B/A Quality Healthcare Clinics was paid $2.37M by Medicaid between Jan 2018 and Dec 2024, across 22 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
33aNPI1740395045assigned 08/20/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.37M
24GClaims66,618
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#43 of 235
Median peer was paid$611K
This provider vs. median3.9×
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 | 4,779 | $180K | |
| 2019 | 12,303 | $324K | |
| 2020 | 6,274 | $233K | |
| 2021 | 8,286 | $316K | |
| 2022 | 11,434 | $434K | |
| 2023 | 12,489 | $466K | |
| 2024incomplete | 11,053 | $414K |
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% | 31,572 | 23,989 | $2.37M |
| 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% | 18,370 | 14,427 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,133 | 2,496 | $505.20 |
| 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% | 5,352 | 4,504 | $89.89 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,176 | 1,744 | $9.81 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,299 | 1,016 | $0.26 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 371 | 327 | $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% | 629 | 527 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 520 | 467 | $0.00 |
| 81002 | 0% | 969 | 817 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 707 | 619 | $0.00 |
| 3078F | 0% | 209 | 195 | $0.00 |
10 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 14 | $0.00 |
| 81025 | 0% | 105 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 500 | $0.00 |
| 96127 | 0% | 290 | $0.00 | |
| 3079F | 0% | 54 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 63 | $0.00 |
| 3074F | 0% | 230 | $0.00 | |
| 3075F | 0% | 25 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 15 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 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 | $1.36M |
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Sparta, IL | $1.07M |
| 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.