Clinic
HSHS Good Shepherd Hospital INC
HSHS Good Shepherd Hospital INC was paid $1.60M 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 infoHSHS GOOD SHEPHERD HOSPITAL INC
SHELBYVILLE, IL 62565
SHELBYVILLE, IL 62565
33aNPI1750350922assigned 03/17/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.60M
24GClaims49,212
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#65 of 235
Median peer was paid$611K
This provider vs. median2.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BOND, ANN controls 15+ related entities in our dataset. Read more
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 | 3,251 | $96K | |
| 2019 | 6,823 | $163K | |
| 2020 | 9,512 | $300K | |
| 2021 | 7,131 | $251K | |
| 2022 | 7,457 | $259K | |
| 2023 | 8,455 | $288K | |
| 2024incomplete | 6,583 | $245K |
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% | 27,045 | 20,174 | $1.59M |
| 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% | 9,401 | 7,534 | $4K |
| 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% | 8,246 | 6,506 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,911 | 1,569 | $125.60 |
| 90686 | <1% | 96 | 72 | $6.40 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 138 | 134 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 640 | 357 | $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% | 62 | 48 | $0.00 |
| 81003 | 0% | 219 | 185 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 149 | 145 | $0.00 |
| 99173 | 0% | 17 | 16 | $0.00 | |
| 81002 | 0% | 28 | 26 | $0.00 |
10 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 15 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 87 | $0.00 |
| 87428 | 0% | 561 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 219 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 12 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 301 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 14 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 14 | $0.00 |
| 96127 | 0% | 15 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 22 | $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 officialBOND, ANN (SYSTEM DIRECTOR-GOVERNMENT REIMB)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.