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    OpenPayerNPI Medicare & MedicaidHeartland Women's Healthcare Ltd
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    Heartland Women's Healthcare Ltd — Billing Profile & Reimbursement Data

    NPI 1285108621 · Marion, IL · Rural Health Clinic/Center

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    Heartland Women's Healthcare Ltd is a rural health clinic/center provider located in Marion, Illinois. This profile covers 0 Medicare and 35 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
    OrganizationHeartland Women's Healthcare Ltd
    Address3408 Office Park Dr
    CityMarion
    StateIL
    ZIP62959
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedJanuary 18, 2019

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

    Payer SourceTotal Paid
    Medicaid$3.6M
    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive43,810$80$3.6M
    59430For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…180$20$4.2K
    0503FNo Summary found for this code1,080$1$3.3K
    0500FNo Summary found for this code1,770$0$0
    0502FNo Summary found for this code16,700$0$0
    11981The provider inserts a bioresorbable, biodegradable, or non–biodegradable implant, such as a capsule or pellet, containing a drug for long–term delivery.10$0$0
    58100The provider takes a tissue sample from the lining of the uterus to perform an endometrial biopsy without widening the cervix. The provider may also perform endocervical biopsy.20$0$0
    58300In this procedure, the provider places a contraceptive intrauterine device (IUD) in the uterine cavity.60$0$0
    58301In this procedure, the provider removes a contraceptive intrauterine device (IUD) from the uterine cavity.30$0$0
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.110$0$0

    Showing 1–10 of 35

    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

    35 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1588507,490$120$3.9M
    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…61514,680300$50$48.7K
    0502FNo Summary found for this code141,170550$30$48.2K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.91320290$50$48K
    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…34314,190280$20$38.9K
    76819The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.102140190$30$33.7K
    76818The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.7390380$50$27.4K
    99204The provider sees a new 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 provider…1,1082,80060$80$17.7K
    76805In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…35320100$50$17K
    76815The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.122480110$40$15.4K

    Showing 1–10 of 35

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Heartland Women's Healthcare Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heartland Women's Healthcare, LtdILRural Health Clinic/Center$0$4.4M
    Michael SchifanoILObstetrics Physician$6.6K$1.5M
    Michael CovlinILObstetrics & Gynecology Physician$6.8K$1.4M
    Elisabeth Beyer-nolenILObstetrics & Gynecology Physician$7.6K$1.3M
    Emily BoydILObstetrics & Gynecology Physician$10.1K$803.4K
    Sara RubenackerILObstetrics & Gynecology Physician$650$415.7K
    Rhonda StewartNCDiagnostic Radiology Physician$265.7K$61.8K
    Stephanie SkellyILObstetrics & Gynecology Physician$8.8K$300.1K
    Kamala ThanapandianGUObstetrics & Gynecology Physician$0$114.5K

    Nearby Providers

    Other providers in the same ZIP code as Heartland Women's Healthcare Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Group LLCILRural Health Clinic/Center$0$13.7M
    Shawnee Health Service And Development CorpILFederally Qualified Health Center (FQHC)$0$6.8M
    Faisel AhmadILRetina Specialist (Ophthalmology) Physician$1.6M$4.1M
    Omar AhmadILRetina Specialist (Ophthalmology) Physician$2.9M$2.1M
    Advantage Nursing Services, Inc.ILNursing Care Agency$0$4.9M
    Heartland Pediatric ClinicILRural Health Clinic/Center$0$4.2M
    Centerstone Of Illinois, IncILMental Health Clinic/Center (Including Community Mental Health Center)$0$3.7M
    Marion Eye Centers Ltd.ILOphthalmology Physician$0$3.5M
    Williamson County Special EdILLocal Education Agency (LEA)$0$3.4M
    Air Evac Ems IncILAir Ambulance$780.4K$627.2K

    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
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Heartland Women's Healthcare Ltd — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois