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    OpenPayerNPI Medicare & MedicaidHeartland Community Health Clinic
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    Heartland Community Health Clinic — Billing Profile & Reimbursement Data

    NPI 1467658443 · Peoria, IL · Federally Qualified Health Center (FQHC)

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    Heartland Community Health Clinic is a federally qualified health center (fqhc) provider located in Peoria, Illinois. This profile covers 0 Medicare and 77 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 Community Health Clinic
    Address2321 N Wisconsin Ave
    CityPeoria
    StateIL
    ZIP61603
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedJune 26, 2007

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

    Payer SourceTotal Paid
    Medicaid$10.3M
    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.

    77 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive80,710$130$10.1M
    T1040Medicaid certified community behavioral health clinic services, per diem1,310$80$103.3K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.2,220$20$51.1K
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…20$920$16.6K
    90651This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…620$1$1.2K
    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…40$20$620
    90710This code represents an MMRV vaccine product administered beneath the skin to protect against measles, mumps, rubella (German measles), and varicella (chickenpox).290$1$580
    90734The provider administers a meningococcal conjugate vaccine in a diphtheria toxoid carrier (MenACWY–D) or CRM197 carrier (MenACWY–CRM) to protect the patient from four strains of meningococcal viruses…550$1$550
    G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…40$10$210
    90620This code represents a vaccine product administered into the muscle to protect against meningococcal disease caused by serogroup B. This vaccine uses recombinant proteins and outer membrane vesicles…40$1$170

    Showing 1–10 of 77

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    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

    77 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive778507,490$120$3.9M
    59409In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…13017050$910$144.1K
    T1040Medicaid certified community behavioral health clinic services, per diem70190880$70$128.2K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…1701,180370$90$109.7K
    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…240760140$110$67.3K
    90832In 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…79960330$30$51K
    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…11414,680300$50$48.7K
    0502FNo Summary found for this code1011,170550$30$48.2K
    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…3801,380370$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…4381,270370$40$40.8K

    Showing 1–10 of 77

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Heartland Community Health Clinic, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heartland Community Health ClinicILFederally Qualified Health Center (FQHC)$0$16.4M
    Heartland Community Health ClinicILFederally Qualified Health Center (FQHC)$0$7M
    Heartland Community Health ClinicILFederally Qualified Health Center (FQHC)$0$5.1M
    Heartland Community Health ClinicILFederally Qualified Health Center (FQHC)$0$3.4M
    Aftab QaziCAFamily Medicine Physician$88.7K$540.6K
    Umair AhmedINHospitalist Physician$434.6K$9.4K
    Rachael DavisILPulmonary Disease Physician$140.4K$134.4K
    Joshua CrolandILObstetrics & Gynecology Physician$111.5K$40.9K
    Rebecca Byler DannILGynecologic Oncology Physician$38.4K$40.9K
    Zohair AhmedILGastroenterology Physician$76.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Heartland Community Health Clinic, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Human Service CenterILMental Health Clinic/Center (Including Community Mental Health Center)$0$26.7M
    Peoria School District 150ILLocal Education Agency (LEA)$0$4.3M
    Alexander AdlerILCardiovascular Disease Physician$115.4K$189.7K
    Marc KneppILPediatric Cardiology Physician$4.9K$214.3K
    Matthew McmillinILFamily Medicine Physician$70.5K$145.3K
    Timothy OconnorILTransplant Surgery Physician$207.4K$1.3K
    Kavya MoravineniILNeurology Physician$200.8K$1.8K
    Todd MccallILNeurological Surgery Physician$150.7K$17.1K
    Timothy PfledererILNephrology Physician$90K$50.9K
    Sarah KneipILNurse Practitioner$116.6K$14.1K

    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
    Heartland Community Health Clinic — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois