Clinic
Mason Hospital District
Mason Hospital District was paid $1.13M by Medicaid between Oct 2018 and Dec 2024, across 13 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.
33Billing provider infoMASON HOSPITAL DISTRICT
MANITO, IL 61546
MANITO, IL 61546
33aNPI1780128512assigned 12/13/2016
33bProvider typeRural Health Clinic/Center
28Total paid$1.13M
24GClaims25,694
24DCodes billed13
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#87 of 235
Median peer was paid$611K
This provider vs. median1.9×
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 | 202 | $9K | |
| 2019 | 5,732 | $143K | |
| 2020 | 4,701 | $234K | |
| 2021 | 3,503 | $175K | |
| 2022 | 3,699 | $178K | |
| 2023 | 4,079 | $197K | |
| 2024incomplete | 3,778 | $198K |
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 | 99% | 14,400 | 9,857 | $1.13M |
| 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% | 6,358 | 4,248 | $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% | 3,670 | 2,948 | $3K |
| 90686 | <1% | 32 | 30 | $180.04 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 292 | 230 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 311 | 266 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 12 | 12 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 235 | 195 | $0.00 |
| 90734 | 0% | 26 | 12 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 116 | 92 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | 13 | $0.00 |
| 99442 | 0% | 46 | 24 | $0.00 |
1 more codes
| Q3014 | Telehealth originating site facility fee | 0% | 183 | $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 officialLAYTON, MARY (DIRECTOR OF CLINIC OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| Mason Hospital District | Havana, IL | $2.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.