Family Medicine of Mcleansboro LLC

Family Medicine of Mcleansboro LLC was paid $172K by Medicaid between Jan 2018 and Jan 2019, across 4 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.

33Billing provider infoFAMILY MEDICINE OF MCLEANSBORO LLC
MCLEANSBORO, IL 62859

33aNPI1801920889assigned 03/14/2007

33bProvider typeFamily Nurse Practitioner

28Total paid$172K

24GClaims4,219

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2019

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#420 of 3,353

Median peer was paid$25K

This provider vs. median7.0×

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	3,843	$155K
2019	376	$16K

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	97%	2,404	1,801	$167K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.8%	1,766	1,342	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	35	18	$211.87
81002		<1%	14	12	$0.08

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 officialDAVENPORT, MICHAEL (MANAGER)