Clinic
Sparta Community Hospital D/B/A Quality Healthcare Clinics
Sparta Community Hospital D/B/A Quality Healthcare Clinics was paid $961K by Medicaid between Jan 2018 and Dec 2024, across 21 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 infoSPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
MARISSA, IL 62257
MARISSA, IL 62257
33aNPI1922114800assigned 08/22/2006
33bProvider typeRural Health Clinic/Center
28Total paid$961K
24GClaims21,678
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#100 of 235
Median peer was paid$611K
This provider vs. median1.6×
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 | 2,035 | $80K | |
| 2019 | 4,369 | $149K | |
| 2020 | 2,996 | $131K | |
| 2021 | 2,804 | $139K | |
| 2022 | 2,841 | $134K | |
| 2023 | 3,714 | $180K | |
| 2024incomplete | 2,919 | $148K |
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% | 13,131 | 9,840 | $959K |
| 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% | 4,982 | 3,828 | $2K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 28 | 15 | $44.90 |
| 90686 | 0% | 114 | 91 | $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% | 2,545 | 2,132 | $0.00 |
| 96127 | 0% | 268 | 246 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 57 | 51 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 39 | 29 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 43 | 39 | $0.00 |
| 3079F | 0% | 14 | 12 | $0.00 | |
| 3074F | 0% | 59 | 51 | $0.00 | |
| 1000F | 0% | 19 | 19 | $0.00 |
9 more codes
| 90688 | 0% | 27 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 36 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 32 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 15 | $0.00 |
| 3725F | 0% | 35 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 93 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 67 | $0.00 |
| 3078F | 0% | 61 | $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 officialERNSTING, LISA (CFO)
| Provider | Location | Paid |
|---|---|---|
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Sparta, IL | $2.37M |
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Sparta, IL | $1.36M |
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Sparta, IL | $1.07M |
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Coulterville, IL | $1.06M |
| Sparta Community Hospital | Sparta, IL | $575K |
| Sparta Community Hospital D/B/A Quality Healthcare Clinics | Steeleville, IL | $530K |
| Sparta Community Hospital | Sparta, IL | $216K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.