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    OpenPayerNPI Medicare & MedicaidGraham Hospital Association
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    Graham Hospital Association — Billing Profile & Reimbursement Data

    NPI 1205072626 · Canton, IL · Rural Health Clinic/Center

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    Graham Hospital Association is a rural health clinic/center provider located in Canton, Illinois. This profile covers 0 Medicare and 79 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGraham Hospital Association
    Address180 S Main St
    CityCanton
    StateIL
    ZIP61520
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedJanuary 7, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    79 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive160,330$80$13.3M
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…20$30$480
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…330$1$330
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…10$10$70
    1034FNo Summary found for this code80$0$0
    1036FN/A180$0$0
    1159FNo Summary found for this code34,570$0$0
    1160FNo Summary found for this code34,560$0$0
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.90$0$0
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…30$0$0

    Showing 1–10 of 79

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    79 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive308507,490$120$3.9M
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…670760140$110$67.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…3114,680300$50$48.7K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…961,380370$40$46.2K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…741,270370$40$40.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2414,190280$20$38.9K
    J3490Unclassified drugs33080$150$38.8K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…577090$60$27.6K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.1601,670160$40$26.4K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…419720250$30$25.7K

    Showing 1–10 of 79

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Graham Hospital Association, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael SchifanoILObstetrics Physician$6.6K$1.5M
    Michael CovlinILObstetrics & Gynecology Physician$6.8K$1.4M
    Jennifer RobertsILEmergency Medicine Physician$52.2K$692.5K
    Martha MenchacaILDiagnostic Radiology Physician$43.3K$690.6K
    Myles MitsunagaCADiagnostic Radiology Physician$510.8K$113.9K
    Brett YockeyINDiagnostic Radiology Physician$143.3K$306.5K
    Juan JimenezILDiagnostic Ultrasound Physician$126.4K$311.2K
    Pooria JavadiILDiagnostic Radiology Physician$114.7K$269K
    Douglas MortonILDiagnostic Radiology Physician$53.5K$309.1K
    Scott GrossbergILDiagnostic Radiology Physician$105.2K$241.9K

    Nearby Providers

    Other providers in the same ZIP code as Graham Hospital Association, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Central Behavioral Health Systems, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$8.2M
    Fulton County Emergency Medical Association, Inc.ILAmbulance$563.1K$2.2M
    Jessica WilliamsILFamily Nurse Practitioner$39.3K$45K
    Keith IfftILAnesthesiology Physician$46.2K$31.9K
    Joshua WilkinsonILAcute Care Nurse Practitioner$29.3K$31.4K
    Rozana DwyerILSurgery Physician$21.8K$9.6K
    Gary ShawILOtolaryngology/Facial Plastic Surgery Physician$3.2K$6.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Graham Hospital Association — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois