Clinic
National Healthcare of MT Vernon INC
National Healthcare of MT Vernon INC was paid $105K by Medicaid between Jan 2018 and May 2020, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoNATIONAL HEALTHCARE OF MT VERNON INC
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
33aNPI1962753277assigned 09/26/2012
33bProvider typeRural Health Clinic/Center
28Total paid$105K
24GClaims3,669
24DCodes billed5
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Rural Health Clinic/Center providers in Illinois
Rank by total paid#210 of 235
Median peer was paid$611K
This provider vs. median0.2×
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 | 2,070 | $58K | |
| 2019 | 1,209 | $34K | |
| 2020 | 390 | $13K |
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 | 93% | 2,727 | 2,333 | $98K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 847 | 782 | $7K |
| 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% | 21 | 20 | $42.50 |
| 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% | 51 | 50 | $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% | 23 | 23 | $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 officialRICHARDSON, TARA (AUTHORIZED OFFICAL)
| Provider | Location | Paid |
|---|---|---|
| Watsonville Hospital Corporation | Watsonville, CA | $23.00M |
| Granite City Illinois Hospital Company LLC | Granite City, IL | $1.09M |
| DHSC LLC | Massillon, OH | $186K |
| Big Bend Hospital Corporation | Alpine, TX | $177K |
| Galesburg Hospital Corporation | Galesburg, IL | $99K |
| Centre Hospital Corporation | Centre, AL | $30K |
| Jackson Hospital Corporation | Campton, KY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.