Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS

NPI: 1750497194 · SPARTA, IL 62286 · Rural Health Clinic/Center · NPI assigned 08/21/2006

$1.36M
Total Medicaid Paid
37,012
Total Claims
29,567
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialERNSTING, LISA (CFO)
NPI Enumeration Date08/21/2006

Related Entities

Other providers sharing the same authorized official: ERNSTING, LISA

ProviderCityStateTotal 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 $1.07M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,449 $91K
2019 7,005 $200K
2020 5,833 $199K
2021 5,187 $208K
2022 5,018 $188K
2023 5,992 $243K
2024 5,528 $232K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 20,407 15,688 $1.36M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,067 4,855 $461.67
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 65 27 $237.42
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 404 342 $61.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 139 92 $32.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 111 106 $0.00
3074F 95 81 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,228 2,790 $0.00
90677 153 138 $0.00
90723 126 103 $0.00
96127 468 434 $0.00
90656 40 38 $0.00
90686 492 403 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 51 37 $0.00
90680 37 25 $0.00
90697 31 25 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 296 270 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 848 716 $0.00
90648 405 332 $0.00
90670 311 265 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,108 924 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 904 802 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 43 39 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 330 258 $0.00
90461 377 339 $0.00
3725F 31 30 $0.00
99307 156 141 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $0.00
99215 Prolong outpt/office vis 74 69 $0.00
3078F 90 77 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 58 55 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13 13 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 30 29 $0.00
90633 12 12 $0.00