Passavant Physician Association

Passavant Physician Association was paid $72K by Medicaid between Jan 2018 and Aug 2018, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.

33Billing provider infoPASSAVANT PHYSICIAN ASSOCIATION
JACKSONVILLE, IL 62650

33aNPI1972054609assigned 10/18/2016

33bProvider typeFamily Medicine Physician

28Total paid$72K

24GClaims1,612

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,178 of 2,947

Median peer was paid$43K

This provider vs. median1.7×

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	1,612	$72K

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	99%	957	699	$71K
0502F		1.0%	433	256	$750.06
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	0%	54	54	$0.00
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	0%	60	59	$0.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	33	32	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	62	57	$0.00
59430		0%	13	13	$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 officialELLISON, ROBERT (DIRECTOR)

Parent organizationPASSAVANT MEMORIAL AREA HOSPITAL