Clinic
Lawrence County Memorial Hospital
Lawrence County Memorial Hospital was paid $5.79M by Medicaid between Jan 2018 and Dec 2024, across 22 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 infoLAWRENCE COUNTY MEMORIAL HOSPITAL
LAWRENCEVILLE, IL 62439
LAWRENCEVILLE, IL 62439
33aNPI1811183692assigned 09/14/2007
33bProvider typeRural Health Clinic/Center
28Total paid$5.79M
24GClaims134,479
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#10 of 235
Median peer was paid$611K
This provider vs. median9.5×
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 | 14,061 | $611K | |
| 2019 | 27,369 | $824K | |
| 2020 | 19,530 | $871K | |
| 2021 | 16,620 | $779K | |
| 2022 | 19,356 | $889K | |
| 2023 | 20,470 | $971K | |
| 2024incomplete | 17,073 | $844K |
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% | 70,547 | 49,328 | $5.79M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 47,435 | 34,787 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 523 | 370 | $0.00 |
| 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 | 0% | 10,508 | 8,964 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 183 | 175 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 0% | 51 | 26 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 18 | 17 | $0.00 |
| 99441 | 0% | 23 | 12 | $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% | 336 | 244 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 881 | 579 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,051 | 1,592 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 168 | 151 | $0.00 |
10 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 406 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 479 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 216 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 116 | $0.00 |
| 0502F | 0% | 160 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $0.00 |
| 99442 | 0% | 160 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 39 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 149 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 17 | $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 officialJOHNSON, JOSEY (PROJECT COORD)
Parent organizationLAWRENCE COUNTY MEMORIAL HOSPITAL