Hoopeston Community Memorial Hospital
Hoopeston Community Memorial Hospital was paid $7.51M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
MATTOON, IL 61938
Next to other Rural Health Clinic/Center providers in Illinois
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 22,566 | $728K | |
| 2019 | 70,163 | $1.94M | |
| 2020 | 26,331 | $1.04M | |
| 2021 | 21,757 | $881K | |
| 2022 | 22,406 | $932K | |
| 2023 | 22,130 | $943K | |
| 2024incomplete | 25,052 | $1.05M |
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 | 99% | 103,733 | 63,082 | $7.45M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 756 | 559 | $48K |
| 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% | 1,180 | 936 | $6K |
| S5190 | Wellness assessment, performed by non-physician | <1% | 388 | 323 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | 13 | $856.89 |
| 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% | 27,671 | 17,990 | $375.14 |
| 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% | 29,261 | 18,263 | $291.88 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,410 | 536 | $176.88 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 735 | 543 | $137.34 |
| 90715 | <1% | 1,240 | 795 | $33.10 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,714 | 1,794 | $25.98 |
| 90670 | <1% | 765 | 274 | $12.80 |
49 more codes
| 90723 | <1% | 2,221 | $12.80 | |
| G0008 | Administration of influenza virus vaccine | <1% | 781 | $6.40 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 737 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 4,565 | $0.00 |
| 90633 | 0% | 1,614 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 4,076 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 487 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 474 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 298 | $0.00 |
| 90734 | 0% | 640 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 2,583 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 577 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 4,417 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,205 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,142 | $0.00 |
| 99173 | 0% | 824 | $0.00 | |
| 90710 | 0% | 373 | $0.00 | |
| 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% | 1,087 | $0.00 |
| 90700 | 0% | 122 | $0.00 | |
| 90681 | 0% | 914 | $0.00 | |
| 0502F | 0% | 179 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 92 | $0.00 |
| 99242 | 0% | 345 | $0.00 | |
| 90671 | 0% | 94 | $0.00 | |
| 90707 | 0% | 81 | $0.00 | |
| 99382 | 0% | 13 | $0.00 | |
| 99245 | 0% | 14 | $0.00 | |
| 90647 | 0% | 2,294 | $0.00 | |
| 90716 | 0% | 106 | $0.00 | |
| 92551 | 0% | 780 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 609 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 598 | $0.00 |
| 99406 | 0% | 1,403 | $0.00 | |
| 90651 | 0% | 748 | $0.00 | |
| 99243 | 0% | 73 | $0.00 | |
| 90686 | 0% | 464 | $0.00 | |
| 90677 | 0% | 108 | $0.00 | |
| 90696 | 0% | 333 | $0.00 | |
| 99383 | 0% | 86 | $0.00 | |
| 99381 | 0% | 170 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| 90619 | 0% | 106 | $0.00 | |
| 90656 | 0% | 204 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 667 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 95 | $0.00 |
| 90688 | 0% | 585 | $0.00 | |
| 90732 | 0% | 88 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 29 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 0% | 26 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Richland Memorial Hospital, INC | Olney, IL | $4.93M |
| Hoopeston Community Memorial Hospital | Hoopeston, IL | $4.21M |
| Hoopeston Community Memorial Hospital | Tuscola, IL | $1.66M |
| Hoopeston Community Memorial Hospital | Watseka, IL | $1.61M |
| Hoopeston Community Memorial Hospital | Hoopeston, IL | $727K |
| Hoopeston Community Memorial Hospital | Milford, IL | $519K |
| Hoopeston Community Memorial Hospital | Cissna Park, IL | $278K |
| Richland Memorial Hospital, INC. | Olney, IL | $247K |
| Hoopeston Community Memorial Hospital | Rossville, IL | $241K |
| Richland Memorial Hospital INC | Olney, IL | $141K |
| Richland Memorial Hospital | Olney, IL | $92K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.