Clinic
Erie Family Health Center, INC
Erie Family Health Center, INC was paid $143.56M by Medicaid between Jan 2018 and Dec 2024, across 218 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoERIE FAMILY HEALTH CENTER, INC
CHICAGO, IL 60622
CHICAGO, IL 60622
33aNPI1760499545assigned 08/02/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$143.56M
24GClaims2,804,606
24DCodes billed218
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#1 of 296
Median peer was paid$1.43M
This provider vs. median101×
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 | 190,680 | $8.46M | |
| 2019 | 284,554 | $12.30M | |
| 2020 | 282,407 | $13.57M | |
| 2021 | 318,808 | $17.62M | |
| 2022 | 347,653 | $19.55M | |
| 2023 | 679,244 | $34.62M | |
| 2024incomplete | 701,260 | $37.44M |
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 | 96% | 910,961 | 639,386 | $137.97M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.0% | 21,550 | 14,761 | $1.50M |
| D0999 | Unspecified diagnostic procedure, by report | 1.0% | 13,097 | 11,873 | $1.49M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 997 | 652 | $905K |
| 59514 | <1% | 229 | 112 | $232K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 396 | 300 | $179K |
| 0002A | <1% | 3,886 | 3,365 | $162K | |
| 0001A | <1% | 3,751 | 3,218 | $154K | |
| 90649 | <1% | 3,679 | 3,058 | $68K | |
| 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% | 511,734 | 377,864 | $64K |
| 90670 | <1% | 26,895 | 24,494 | $54K | |
| J7297 | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg | <1% | 429 | 289 | $52K |
206 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,728 | $50K |
| 58300 | <1% | 2,376 | $46K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,694 | $41K |
| 90734 | <1% | 6,138 | $41K | |
| 0012A | <1% | 1,101 | $39K | |
| 59430 | <1% | 4,740 | $38K | |
| 90710 | <1% | 8,213 | $37K | |
| 11981 | <1% | 1,573 | $31K | |
| 0011A | <1% | 961 | $22K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 433 | $21K |
| 0071A | <1% | 486 | $20K | |
| 90658 | <1% | 12,974 | $20K | |
| 0072A | <1% | 462 | $19K | |
| 0124A | <1% | 518 | $19K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 75,292 | $14K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 834 | $14K |
| J7300 | Intrauterine copper contraceptive (paragard) | <1% | 46 | $12K |
| 90716 | <1% | 9,844 | $12K | |
| 0064A | <1% | 264 | $11K | |
| 0054A | <1% | 289 | $10K | |
| 90696 | <1% | 7,889 | $10K | |
| 90715 | <1% | 14,510 | $10K | |
| 90633 | <1% | 19,335 | $9K | |
| 99460 | <1% | 231 | $9K | |
| 0154A | <1% | 206 | $9K | |
| D1120 | Dental cleaning, child | <1% | 6,925 | $8K |
| 0111A | <1% | 190 | $8K | |
| 90723 | <1% | 27,931 | $8K | |
| 90680 | <1% | 25,342 | $8K | |
| 90651 | <1% | 10,687 | $7K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,852 | $7K |
| 90707 | <1% | 9,581 | $6K | |
| 90647 | <1% | 10,551 | $6K | |
| 91322 | <1% | 42 | $6K | |
| D0120 | Dental checkup, returning patient | <1% | 5,741 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 3,861 | $5K |
| 0112A | <1% | 111 | $5K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 29,446 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 54,088 | $4K |
| 99221 | <1% | 123 | $4K | |
| 90686 | <1% | 28,187 | $4K | |
| 0003A | <1% | 89 | $4K | |
| 90700 | <1% | 8,879 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24,323 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 38,045 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 10,300 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 33,807 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,894 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 40 | $3K |
| 0500F | <1% | 3,377 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 12,864 | $3K |
| D1351 | Sealant - per tooth | <1% | 1,914 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,609 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 51,887 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 22,629 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 5,851 | $2K |
| 92551 | <1% | 26,942 | $1K | |
| 99173 | <1% | 29,711 | $1K | |
| 0004A | <1% | 30 | $1K | |
| 0013A | <1% | 31 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 23,540 | $1K |
| 85018 | <1% | 48,816 | $1K | |
| 58301 | <1% | 1,115 | $1K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,860 | $1K |
| 99462 | <1% | 70 | $1K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,655 | $957.12 |
| 90688 | <1% | 9,548 | $921.89 | |
| 90648 | <1% | 25,791 | $893.44 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 8,421 | $834.11 |
| 0074A | <1% | 129 | $794.20 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 24 | $771.10 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 6,309 | $737.97 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 70,717 | $694.70 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 11,700 | $668.78 |
| 81025 | <1% | 20,226 | $668.47 | |
| 90677 | <1% | 9,064 | $653.64 | |
| D0272 | Bitewings - two radiographic images | <1% | 1,835 | $643.22 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 6,407 | $618.90 |
| 0151A | <1% | 14 | $610.40 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 3,064 | $594.77 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,728 | $588.50 |
| 59025 | Fetal non-stress test | <1% | 10,008 | $566.29 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,371 | $497.76 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,008 | $486.14 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,312 | $460.54 |
| 0503F | <1% | 4,160 | $454.35 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 7,262 | $408.16 |
| D0140 | Limited oral evaluation - problem focused | <1% | 670 | $401.52 |
| 99385 | <1% | 539 | $385.59 | |
| 90461 | <1% | 11,678 | $335.00 | |
| 81002 | <1% | 18,240 | $315.20 | |
| 11982 | <1% | 856 | $272.65 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 2,122 | $259.95 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 10,704 | $236.50 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 771 | $224.74 |
| 90657 | <1% | 5,920 | $223.60 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,961 | $218.40 |
| 99397 | <1% | 45 | $213.80 | |
| 17110 | <1% | 584 | $204.72 | |
| 1160F | <1% | 6,624 | $186.22 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 31,978 | $184.00 |
| 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% | 21 | $158.28 |
| 96127 | <1% | 9,694 | $148.23 | |
| D1110 | Prophylaxis - adult | <1% | 243 | $145.14 |
| 99381 | <1% | 8,469 | $145.05 | |
| 99383 | <1% | 1,737 | $141.75 | |
| 86580 | <1% | 1,075 | $114.00 | |
| 99384 | <1% | 1,666 | $113.96 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 93 | $107.10 |
| 90713 | <1% | 526 | $106.87 | |
| 99386 | <1% | 82 | $104.96 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 9,041 | $104.83 |
| 90685 | <1% | 334 | $101.40 | |
| 82962 | <1% | 12,400 | $100.09 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 91 | $87.55 |
| 90474 | <1% | 11,453 | $87.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 5,352 | $73.00 |
| 76830 | Ultrasound, transvaginal | <1% | 277 | $71.90 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 172 | $71.04 |
| 93000 | <1% | 2,047 | $69.45 | |
| 81005 | <1% | 1,633 | $63.64 | |
| 20610 | <1% | 152 | $63.60 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 501 | $57.39 |
| 90619 | <1% | 5,579 | $50.13 | |
| 90656 | <1% | 2,036 | $37.35 | |
| 99201 | <1% | 117 | $34.55 | |
| 90750 | <1% | 139 | $32.80 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 229 | $32.00 |
| 87210 | <1% | 4,967 | $25.10 | |
| 76801 | <1% | 2,908 | $21.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 734 | $14.91 |
| D1354 | <1% | 168 | $14.85 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 805 | $14.43 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 325 | $13.49 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 58 | $6.79 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 33 | $4.48 |
| 83026 | <1% | 3,325 | $2.41 | |
| 57454 | <1% | 444 | $2.00 | |
| 99382 | <1% | 544 | $1.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 887 | $0.21 |
| 69209 | 0% | 138 | $0.00 | |
| D4341 | 0% | 135 | $0.00 | |
| 96381 | 0% | 244 | $0.00 | |
| S4993 | Contraceptive pills for birth control | 0% | 87 | $0.00 |
| 3078F | 0% | 14,422 | $0.00 | |
| 3046F | 0% | 2,426 | $0.00 | |
| 0502F | 0% | 12,301 | $0.00 | |
| 3050F | 0% | 612 | $0.00 | |
| 3077F | 0% | 5,405 | $0.00 | |
| 1159F | 0% | 6,735 | $0.00 | |
| 3051F | 0% | 2,056 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 147 | $0.00 |
| 90746 | 0% | 654 | $0.00 | |
| 15853 | 0% | 157 | $0.00 | |
| 90380 | 0% | 672 | $0.00 | |
| 88164 | 0% | 64 | $0.00 | |
| 80305 | 0% | 27 | $0.00 | |
| 90672 | 0% | 26 | $0.00 | |
| 90863 | 0% | 191 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 49 | $0.00 |
| 99188 | 0% | 27 | $0.00 | |
| 96160 | 0% | 157 | $0.00 | |
| 11983 | 0% | 24 | $0.00 | |
| 10060 | 0% | 15 | $0.00 | |
| 90661 | 0% | 3,935 | $0.00 | |
| D0180 | 0% | 51 | $0.00 | |
| 90473 | 0% | 28 | $0.00 | |
| D0270 | 0% | 12 | $0.00 | |
| 90687 | 0% | 12 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 296 | $0.00 |
| 90744 | 0% | 525 | $0.00 | |
| 1036F | 0% | 12,895 | $0.00 | |
| 94760 | 0% | 3,701 | $0.00 | |
| 3049F | 0% | 728 | $0.00 | |
| D0603 | 0% | 3,754 | $0.00 | |
| 3008F | 0% | 48,085 | $0.00 | |
| 4015F | 0% | 946 | $0.00 | |
| 1126F | 0% | 361 | $0.00 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 2,706 | $0.00 |
| 4010F | 0% | 6,590 | $0.00 | |
| D0601 | 0% | 1,888 | $0.00 | |
| D1310 | 0% | 12 | $0.00 | |
| D0602 | 0% | 1,056 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 249 | $0.00 |
| 90381 | 0% | 989 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 114 | $0.00 |
| 3075F | 0% | 5,552 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 234 | $0.00 |
| 3074F | 0% | 14,437 | $0.00 | |
| 3044F | 0% | 3,811 | $0.00 | |
| 3052F | 0% | 1,229 | $0.00 | |
| 99459 | 0% | 435 | $0.00 | |
| 96380 | 0% | 1,112 | $0.00 | |
| 3079F | 0% | 8,246 | $0.00 | |
| 3048F | 0% | 1,686 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 91 | $0.00 |
| 3080F | 0% | 2,708 | $0.00 | |
| 58100 | 0% | 118 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 12 | $0.00 |
| 84703 | 0% | 36 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 229 | $0.00 |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 0% | 19 | $0.00 |
| 17250 | 0% | 25 | $0.00 | |
| 86701 | 0% | 25 | $0.00 | |
| 1125F | 0% | 27 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 46 | $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 officialFRANCIS, LEE (PESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Erie Family Health Center INC | Evanston, IL | $12.39M |
| Erie Family Health Center INC | Chicago, IL | $870K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.