Clinic
Heartland Women's Healthcare, LTD
Heartland Women's Healthcare, LTD was paid $4.45M by Medicaid between Jan 2018 and Dec 2024, across 32 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 infoHEARTLAND WOMEN'S HEALTHCARE, LTD
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
33aNPI1801280409assigned 03/23/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$4.45M
24GClaims114,929
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Illinois
Rank by total paid#1 of 7
Median peer was paid$1.47M
This provider vs. median3.0×
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 | 1,372 | $52K | |
| 2019 | 28,014 | $835K | |
| 2020 | 18,140 | $677K | |
| 2021 | 16,038 | $626K | |
| 2022 | 20,485 | $896K | |
| 2023 | 16,214 | $745K | |
| 2024incomplete | 14,666 | $618K |
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% | 52,073 | 28,877 | $4.43M |
| 59430 | <1% | 322 | 226 | $6K | |
| 0503F | <1% | 1,838 | 1,345 | $5K | |
| 0502F | <1% | 22,474 | 10,699 | $2K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,441 | 967 | $2K |
| 0500F | <1% | 2,727 | 1,893 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,294 | 901 | $264.60 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,362 | 724 | $148.12 |
| 76830 | Ultrasound, transvaginal | <1% | 1,072 | 673 | $107.85 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,797 | 1,157 | $71.90 |
| 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% | 10,422 | 6,941 | $59.54 |
| 76801 | <1% | 1,026 | 718 | $35.95 |
20 more codes
| 81025 | <1% | 3,803 | $2.71 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 366 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 193 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 4,806 | $0.00 |
| 96127 | 0% | 1,461 | $0.00 | |
| 99385 | 0% | 16 | $0.00 | |
| 99459 | 0% | 101 | $0.00 | |
| 76820 | 0% | 66 | $0.00 | |
| 82105 | 0% | 129 | $0.00 | |
| 58300 | 0% | 13 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,925 | $0.00 |
| 59025 | Fetal non-stress test | 0% | 1,152 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,908 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 312 | $0.00 |
| 81002 | 0% | 29 | $0.00 | |
| 96160 | 0% | 557 | $0.00 | |
| 76818 | 0% | 84 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 132 | $0.00 |
| 76857 | 0% | 13 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 15 | $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 officialSCHIFANO, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Heartland Women's Healthcare LTD | Marion, IL | $3.62M |
| Heartland Women's Healthcare LTD | Marion, IL | $1.92M |
| Heartland Women's Healthcare LTD | Centralia, IL | $1.47M |
| Heartland Women's Healthcare Mo PC | Wentzville, MO | $1.01M |
| Heartland Women's Healthcare Mo PC | Poplar Bluff, MO | $894K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.