Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CRUSADERS CENTRAL CLINIC ASSOCIATION

NPI: 1922358373 · ROCKFORD, IL 61103 · Federally Qualified Health Center (FQHC) · NPI assigned 09/13/2012

Deactivated NPI · This NPI was deactivated on 02/25/2022. Reactivated 08/08/2023.
$42K
Total Medicaid Paid
575
Total Claims
431
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialMILLER, SAMUEL (CEO/PRESIDENT)
Parent OrganizationCRUSADERS CENTRAL CLINIC ASSOCIATION
NPI Enumeration Date09/13/2012

Related Entities

Other providers sharing the same authorized official: MILLER, SAMUEL

ProviderCityStateTotal Paid
CRUSADERS CENTRAL CLINIC ASSOCIATION ROCKFORD IL $62.78M
CRUSADERS CENTRAL CLINIC ASSOCIATION ROCKFORD IL $38.86M
CRUSADERS CENTRAL CLINIC ASSOCIATION ROCKFORD IL $16.42M
CRUSADERS CENTRAL CLINIC ASSOCIATION BELVIDERE IL $10.57M
CRUSADERS CENTRAL CLINIC ASSOCIATION LOVES PARK IL $10.54M
CRUSADERS CENTRAL CLINIC ASSOCIATION SOUTH BELOIT IL $182K
CRUSADERS CENTRAL CLINIC ASSOCIATION SOUTH BELOIT IL $8K
CRUSADERS CENTRAL CLINIC ASSOCIATION ROCKFORD IL $6K
NORTH SUNFLOWER MEDICAL CENTER GREENWOOD MS $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 163 $13K
2019 341 $21K
2020 46 $4K
2021 12 $2K
2024 13 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 450 345 $42K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 125 86 $0.00