Medicaid Provider Spending

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

CHESTNUT HEALTH SYSTEMS, INC

NPI: 1790055952 · BLOOMINGTON, IL 61701 · Federally Qualified Health Center (FQHC) · NPI assigned 01/05/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TAYLOR, MEGAN controls 16+ related entities in our dataset. Read more

$6.57M
Total Medicaid Paid
117,420
Total Claims
81,053
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTAYLOR, MEGAN (MANAGED CARE SUPERVISOR)
NPI Enumeration Date01/05/2012

Related Entities

Other providers sharing the same authorized official: TAYLOR, MEGAN

ProviderCityStateTotal Paid
CHESTNUT HEALTH SYSTEMS, INC. BELLEVILLE IL $16.23M
CHESTNUT HEALTH SYSTEMS INC GRANITE CITY IL $14.64M
CHESTNUT HEALTH SYSTEMS, INC GRANITE CITY IL $8.13M
CHESTNUT HEALTH SYSTEMS INC BLOOMINGTON IL $7.98M
CHESTNUT HEALTH SYSTEMS, INC BLOOMINGTON IL $1.95M
CHESTNUT HEALTH SYSTEMS, INC. GRANITE CITY IL $1.89M
CHESTNUT HEALTH SYSTEMS, INC. MARYVILLE IL $1.65M
CHESTNUT HEALTH SYSTEMS, INC. MADISON IL $1.18M
CHESTNUT HEALTH SYSTEMS, INC. FAIRVIEW HEIGHTS IL $1.04M
CHESTNUT HEALTH SYSTEMS, INC. PONTOON BEACH IL $847K
CHESTNUT HEALTH SYSTEMS INC. BELLEVILLE IL $813K
CHESTNUT HEALTH SYSTEMS, INC. COLLINSVILLE IL $745K
CHESTNUT HEALTH SYSTEMS, INC. MARYVILLE IL $719K
CHESTNUT HEALTH SYSTEMS, INC MADISON IL $57K
CHESTNUT HEALTH SYSTEMS, INC. BLOOMINGTON IL $2K
CHESNTUT HEALTH SYSTEMS, INC. BLOOMINGTON IL $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,695 $381K
2019 26,323 $1.11M
2020 21,371 $1.09M
2021 17,209 $969K
2022 13,445 $873K
2023 15,975 $950K
2024 16,402 $1.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 47,017 29,902 $6.56M
0011A 111 111 $5K
0012A 88 88 $4K
99000 2,379 1,028 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,786 2,535 $0.00
3078F 894 811 $0.00
99215 Prolong outpt/office vis 337 328 $0.00
83037 92 86 $0.00
98960 3,483 2,678 $0.00
81025 129 98 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,190 1,783 $0.00
90837 Psychotherapy, 53 minutes with patient 158 102 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 141 138 $0.00
90832 Psychotherapy, 30 minutes with patient 2,885 1,528 $0.00
4004F 141 137 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 289 280 $0.00
99442 12 12 $0.00
81002 98 87 $0.00
99408 36 33 $0.00
90472 Immunization administration, each additional vaccine (list separately) 15 15 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 20 19 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15 15 $0.00
90734 14 14 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17 17 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,903 3,598 $0.00
99406 6,452 4,935 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,425 1,028 $0.00
97802 483 424 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,569 21,517 $0.00
3074F 904 813 $0.00
90686 1,366 1,004 $0.00
36415 Collection of venous blood by venipuncture 73 67 $0.00
3008F 5,478 4,442 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,072 756 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 59 58 $0.00
80376 1,108 394 $0.00
3075F 50 48 $0.00
90651 13 13 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 12 12 $0.00
3079F 74 71 $0.00
36416 32 28 $0.00