Clinic
Jersey Community Hospital
Jersey Community Hospital was paid $3.07M by Medicaid between Jan 2018 and Dec 2024, across 23 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 infoJERSEY COMMUNITY HOSPITAL
JERSEYVILLE, IL 62052
JERSEYVILLE, IL 62052
33aNPI1811392970assigned 10/30/2014
33bProvider typeRural Health Clinic/Center
28Total paid$3.07M
24GClaims73,973
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#29 of 235
Median peer was paid$611K
This provider vs. median5.0×
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 | 7,029 | $262K | |
| 2019 | 13,542 | $440K | |
| 2020 | 11,596 | $460K | |
| 2021 | 11,346 | $482K | |
| 2022 | 11,366 | $495K | |
| 2023 | 11,066 | $517K | |
| 2024incomplete | 8,028 | $416K |
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% | 40,329 | 32,694 | $3.07M |
| 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% | 13,542 | 11,343 | $339.43 |
| 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 | <1% | 13,145 | 11,067 | $127.50 |
| 90686 | <1% | 27 | 18 | $95.70 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 355 | 324 | $35.33 |
| 81025 | 0% | 91 | 78 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 798 | 721 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 381 | 315 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,349 | 1,225 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,090 | 993 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 722 | 648 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 62 | 61 | $0.00 |
11 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 406 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 124 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 287 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 52 | $0.00 |
| 81003 | 0% | 269 | $0.00 | |
| 80305 | 0% | 27 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 39 | $0.00 |
| 87807 | 0% | 126 | $0.00 | |
| 87428 | 0% | 525 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 164 | $0.00 |
| 96127 | 0% | 63 | $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 officialHOPPER, MICHELLE (CFO)
Parent organizationJERSEY COMMUNITY HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | $2.36M |
| Jersey Community Hospital | Jerseyville, IL | $1.72M |
| Jersey Community Hospital | Jerseyville, IL | $1.34M |
| Jersey Community Hospital | Roodhouse, IL | $1.22M |
| Jersey Community Hospital | Hardin, IL | $610K |
| Jersey Community Hospital | Jerseyville, IL | $434K |
| Jersey Community Hospital | Carrollton, IL | $311K |
| Jersey Community Hospital District | Jerseyville, IL | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.