Clinic
Erie Family Health Center INC
Erie Family Health Center INC was paid $9.56M by Medicaid between Jan 2018 and Feb 2024, across 89 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 90% of everything it billed.
33Billing provider infoERIE FAMILY HEALTH CENTER INC
CHICAGO, IL 60622
CHICAGO, IL 60622
33aNPI1851712053assigned 12/16/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.56M
24GClaims208,637
24DCodes billed89
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#51 of 296
Median peer was paid$1.43M
This provider vs. median6.7×
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 | 28,363 | $1.40M | |
| 2019 | 81,730 | $2.39M | |
| 2020 | 48,779 | $2.55M | |
| 2021 | 32,073 | $2.11M | |
| 2022 | 13,812 | $940K | |
| 2023 | 3,566 | $146K | |
| 2024incomplete | 314 | $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 | 90% | 79,394 | 45,937 | $8.60M |
| D0999 | Unspecified diagnostic procedure, by report | 9.7% | 8,923 | 7,729 | $923K |
| 0001A | <1% | 292 | 259 | $9K | |
| 0002A | <1% | 212 | 148 | $9K | |
| 0012A | <1% | 86 | 86 | $3K | |
| 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% | 52,837 | 29,764 | $2K |
| 90658 | <1% | 1,364 | 777 | $2K | |
| 0011A | <1% | 102 | 102 | $2K | |
| 90649 | <1% | 301 | 144 | $1K | |
| 90670 | <1% | 1,896 | 1,392 | $855.95 | |
| 0071A | <1% | 20 | 19 | $842.80 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,554 | 4,210 | $417.12 |
77 more codes
| 90647 | <1% | 1,528 | $277.09 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 396 | $229.60 |
| 90723 | <1% | 1,468 | $160.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,582 | $157.74 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,265 | $153.68 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,770 | $152.55 |
| 90633 | <1% | 633 | $135.29 | |
| 90688 | <1% | 260 | $129.00 | |
| 90680 | <1% | 1,133 | $121.60 | |
| 81025 | <1% | 481 | $100.62 | |
| 90657 | <1% | 587 | $96.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,951 | $93.89 |
| 90648 | <1% | 244 | $89.60 | |
| 90707 | <1% | 304 | $85.08 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 262 | $70.99 |
| 90715 | <1% | 257 | $57.65 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 119 | $39.12 |
| 90700 | <1% | 235 | $32.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 304 | $31.50 |
| D0120 | Dental checkup, returning patient | <1% | 3,098 | $29.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,102 | $26.08 |
| D0274 | Bitewings - four radiographic images | <1% | 1,047 | $19.94 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 608 | $16.07 |
| 90734 | <1% | 212 | $12.80 | |
| 90716 | <1% | 306 | $12.63 | |
| 99173 | <1% | 1,125 | $7.45 | |
| 82962 | <1% | 543 | $6.72 | |
| 90696 | <1% | 84 | $6.40 | |
| 90710 | <1% | 139 | $6.40 | |
| 85018 | <1% | 204 | $4.64 | |
| 81002 | <1% | 739 | $2.60 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 569 | $1.00 |
| D1351 | Sealant - per tooth | 0% | 763 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 4,050 | $0.00 |
| D0603 | 0% | 1,900 | $0.00 | |
| D0602 | 0% | 1,623 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 641 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 1,072 | $0.00 |
| D0601 | 0% | 639 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 237 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 459 | $0.00 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 155 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 302 | $0.00 |
| 99381 | 0% | 1,187 | $0.00 | |
| 92551 | 0% | 1,015 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 305 | $0.00 |
| 59430 | 0% | 175 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 535 | $0.00 |
| 94760 | 0% | 68 | $0.00 | |
| 99384 | 0% | 79 | $0.00 | |
| 90686 | 0% | 112 | $0.00 | |
| 3008F | 0% | 101 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 114 | $0.00 |
| 0503F | 0% | 180 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 27 | $0.00 |
| 99383 | 0% | 113 | $0.00 | |
| 3074F | 0% | 65 | $0.00 | |
| 76801 | 0% | 210 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 17 | $0.00 |
| 1036F | 0% | 49 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,082 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 4,579 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,467 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 147 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 933 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 369 | $0.00 |
| 0502F | 0% | 99 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 31 | $0.00 |
| D0180 | 0% | 113 | $0.00 | |
| 90461 | 0% | 1,250 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 179 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 471 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 29 | $0.00 |
| 3078F | 0% | 64 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 41 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 15 | $0.00 |
| D1354 | 0% | 39 | $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 officialNORENA, GABRIELA (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Erie Family Health Center INC | Chicago, IL | $13.84M |
| Erie Family Health Center, INC | Chicago, IL | $12.62M |
| Erie Family Health Center INC | Chicago, IL | $11.16M |
| Erie Family Health Center, INC | Chicago, IL | $6.71M |
| Erie Family Health Center, INC | Chicago, IL | $2.90M |
| Erie Family Health Center, INC | Chicago, IL | $598K |
| Erie Family Health Center INC. | Chicago, IL | $350K |
| Erie Family Health Center INC. | Chicago, IL | $251K |
| Erie Family Health Center INC. | Chicago, IL | $210K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.