Clinic
HSHS Medical Group INC
HSHS Medical Group INC was paid $1.46M by Medicaid between Jan 2018 and Dec 2024, across 17 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 infoHSHS MEDICAL GROUP INC
HIGHLAND, IL 62249
HIGHLAND, IL 62249
33aNPI1851536296assigned 12/15/2008
33bProvider typeRural Health Clinic/Center
28Total paid$1.46M
24GClaims34,729
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#68 of 235
Median peer was paid$611K
This provider vs. median2.4×
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 | 2,222 | $80K | |
| 2019 | 1,717 | $57K | |
| 2020 | 8,894 | $363K | |
| 2021 | 5,187 | $219K | |
| 2022 | 6,045 | $265K | |
| 2023 | 5,877 | $250K | |
| 2024incomplete | 4,787 | $227K |
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% | 20,491 | 16,076 | $1.46M |
| 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% | 6,921 | 5,563 | $727.98 |
| 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% | 5,515 | 4,609 | $210.26 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 223 | 200 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 98 | 86 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | 12 | $0.00 |
| 81003 | 0% | 51 | 37 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 64 | 29 | $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% | 13 | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 571 | 484 | $0.00 |
| 90686 | 0% | 317 | 305 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 99 | 73 | $0.00 |
5 more codes
| 87428 | 0% | 288 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 17 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 23 | $0.00 |
| 96127 | 0% | 12 | $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 officialWATSON, ANDREW (CFO)
| Provider | Location | Paid |
|---|---|---|
| HSHS Medical Group INC | Effingham, IL | $461K |
| HSHS Medical Group INC | Hillsboro, IL | $243K |
| HSHS Medical Group INC | Newton, IL | $62K |
| HSHS Medical Group INC | Springfield, IL | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.