Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Hoopeston Community Memorial Hospital (NPI 1669802419)

Field	Value
Entity Type	Organization
Organization	Hoopeston Community Memorial Hospital
Address	516 W Madison St
City	Danville
State	IL
ZIP	61832
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	November 14, 2013

Payer Source	Total Paid
Medicaid	$21.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while total Medicaid revenue is $21.2M, so the organization’s recorded fee‑for‑service footprint in the dataset rests entirely with Medicaid rather than Medicare. Analysts should treat Medicaid policy and rate changes as the primary levers that would affect this entity’s topline.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 99.9% of this provider’s total Medicaid revenue. In particular, T1015 accounts for $21.1M (99.2% of the provider’s Medicaid revenue), with T1040 contributing $125.8K (0.6%) and G2012 contributing $20.7K (0.1%).

The dominant code mix suggests an operational model focused on bundled outpatient clinic encounters: T1015 (Clinic visit/encounter, all‑inclusive) as the near‑exclusive revenue driver indicates the provider operates as a high‑volume rural clinic delivering comprehensive, encounter‑based services rather than relying on separately billed procedural revenue. The Rural Health Clinic/Center taxonomy aligns with this interpretation and supports a primary care/ambulatory clinic service line orientation.

Competitive standing for the primary revenue driver is strong within the state: T1015 ranks #17 of 846 providers in‑state (98th percentile, notably above typical state volume for this code), marking HOOPESTON COMMUNITY MEMORIAL HOSPITAL as a major in‑state participant for that bundled clinic visit code. That rank implies a significant local market share for routine clinic encounters among Medicaid patients.

G2012 is an outlier relative to peers: the provider reported 3K claims for G2012 with $7 avg paid/claim and $20.7K revenue, and it ranks #1 of 678 providers in‑state (100th percentile; extreme outlier). This pattern indicates unusually extensive use of brief technology‑based virtual check‑ins compared with other in‑state providers and may reflect a documented operational emphasis on remote triage or follow‑up.

Although T1015 dominates revenue, the broader claim mix shows active preventive and vaccination activity: numerous vaccine and well‑visit codes (for example 90633, 90715, 90723, 99395, 99392) appear with multiple thousands of claims, indicating routine immunizations and preventive visits. Many of those codes report $0 avg paid/claim and $0 revenue in the file, which suggests payments are being captured under bundled encounter reporting (e.g., T1015) or that supplemental payment data are not reflected for those line items in the dataset.

This provider’s financial profile implies concentration risk: with $21.2M of revenue nearly all tied to one code/payer combination (T1015 and Medicaid), changes to state Medicaid reimbursement, bundling rules, or clinic visit documentation requirements could materially affect revenues. The absence of Medicare revenue eliminates diversification benefits from federal fee‑for‑service Medicare in the present dataset.

The organization has an established operational tenure—NPI enumerated 2013‑11‑14 (~13 years ago)—supporting that the high claim volumes and code concentration reflect a sustained local practice pattern rather than a short‑term reporting anomaly. Given the combination of long tenure and high in‑state ranks on core clinic and telehealth codes, the provider appears to be a stable, locally significant rural outpatient clinic serving Medicaid populations.

Medicaid: Complete Services Breakdown

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

81 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	247,840	$90	$21.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	1,880	$70	$125.8K
G2012	Brief 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…	2,960	$10	$20.7K
S5190	Wellness assessment, performed by non-physician	2,070	$1	$6.2K
J1050	Injection, medroxyprogesterone acetate, 1 mg	110	$40	$4.7K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	20	$130	$2.9K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	20	$40	$950
0503F	No Summary found for this code	30	$1	$90
0500F	No Summary found for this code	1,220	$0	$0
0502F	No Summary found for this code	6,800	$0	$0

Showing 1–10 of 81

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Hoopeston Community Memorial Hospital — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

81 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	17	850	7,490	$120	$3.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	54	190	880	$70	$128.2K
90837	In 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…	84	1,180	370	$90	$109.7K
90792	In 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…	584	760	140	$110	$67.3K
90832	In 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…	223	960	330	$30	$51K
99214	The 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…	8	14,680	300	$50	$48.7K
0502F	No Summary found for this code	61	1,170	550	$30	$48.2K
99392	Preventive 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…	41	1,380	370	$40	$46.2K
99391	Preventive 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…	29	1,270	370	$40	$40.8K
99213	The 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…	19	14,190	280	$20	$38.9K

Showing 1–10 of 81

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hoopeston Community Memorial Hospital	IL	Rural Health Clinic/Center	$0	$7.5M
Hoopeston Community Memorial Hospital	IL	Rural Health Clinic/Center	$0	$4.2M
Samir Sayegh	IL	Ophthalmology Physician	$1.6M	$1M
Dana Altenburger	IL	Anatomic Pathology & Clinical Pathology Physician	$44.2K	$2M
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Andrew Dvorak	TX	Ophthalmology Physician	$894.3K	$0
Naresh Nekkanti	IL	Family Medicine Physician	$53.1K	$780.4K
Anna Serafini	IL	Epilepsy Physician	$48.1K	$717.9K
Martha Menchaca	IL	Diagnostic Radiology Physician	$43.3K	$690.6K
Zhaohui Jin	MN	Medical Oncology Physician	$727.8K	$1.6K

Nearby Providers

Other providers in the same ZIP code as Hoopeston Community Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crosspoint Human Services	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
Aunt Martha's Health And Wellness, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$5.9M
Sabeeha Haque Ali Md LLC	IL	Rural Health Clinic/Center	$0	$3.9M
Family Practice Medical Center Ltd	IL	Rural Health Clinic/Center	$0	$3M
Brijnandan Sodhi	IL	Internal Medicine Physician	$328K	$293.5K
Preferred Laboratory Services Inc	IL	Clinical Medical Laboratory	$381.5K	$4.7K
Haydee Jabines-stewart	IL	Family Medicine Physician	$216.3K	$55.6K
Venkat Sekar	IL	Gastroenterology Physician	$151.9K	$57.3K
Kirk Bott	IL	Podiatrist	$87.6K	$10.2K
John Henry	IL	Family Nurse Practitioner	$77.5K	$5.8K

Hoopeston Community Memorial Hospital — Billing Profile & Reimbursement Data

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Hoopeston Community Memorial Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References