MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
NPI: 1770771024
· ALTAMONT, IL 62411
· Rural Health Clinic/Center
· NPI assigned 10/11/2007
$530K
Total Medicaid Paid
Provider Details
| Authorized Official | DUST, EUGENE (PRESIDENT OF LLC) |
| Parent Organization | MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC |
| NPI Enumeration Date | 10/11/2007 |
Related Entities
Other providers sharing the same authorized official: DUST, EUGENE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,082 |
$116K |
| 2019 |
5,493 |
$192K |
| 2020 |
4,514 |
$183K |
| 2021 |
861 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,026 |
6,337 |
$530K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,092 |
2,220 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,761 |
1,323 |
$0.00 |
| 99173 |
|
40 |
29 |
$0.00 |
| 81002 |
|
18 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$0.00 |