Clinic
Chestnut Health Systems, INC
Chestnut Health Systems, INC was paid $6.57M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoCHESTNUT HEALTH SYSTEMS, INC
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
33aNPI1790055952assigned 01/05/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.57M
24GClaims117,420
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#72 of 296
Median peer was paid$1.43M
This provider vs. median4.6×
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.
Entity ProliferationAuthorized official TAYLOR, MEGAN controls 16+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 16,402 | $1.20M |
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 | 100% | 47,017 | 29,902 | $6.56M |
| 0011A | <1% | 111 | 111 | $5K | |
| 0012A | <1% | 88 | 88 | $4K | |
| 99000 | <1% | 2,379 | 1,028 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,786 | 2,535 | $0.00 |
| 3078F | 0% | 894 | 811 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 337 | 328 | $0.00 |
| 83037 | 0% | 92 | 86 | $0.00 | |
| 98960 | 0% | 3,483 | 2,678 | $0.00 | |
| 81025 | 0% | 129 | 98 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 2,190 | 1,783 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 158 | 102 | $0.00 |
29 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 141 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 2,885 | $0.00 |
| 4004F | 0% | 141 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 289 | $0.00 |
| 99442 | 0% | 12 | $0.00 | |
| 81002 | 0% | 98 | $0.00 | |
| 99408 | 0% | 36 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 15 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 20 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 15 | $0.00 |
| 90734 | 0% | 14 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 17 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 3,903 | $0.00 |
| 99406 | 0% | 6,452 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 1,425 | $0.00 |
| 97802 | 0% | 483 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 31,569 | $0.00 |
| 3074F | 0% | 904 | $0.00 | |
| 90686 | 0% | 1,366 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 73 | $0.00 |
| 3008F | 0% | 5,478 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 1,072 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 59 | $0.00 |
| 80376 | 0% | 1,108 | $0.00 | |
| 3075F | 0% | 50 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 12 | $0.00 |
| 3079F | 0% | 74 | $0.00 | |
| 36416 | 0% | 32 | $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 officialTAYLOR, MEGAN (MANAGED CARE SUPERVISOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.