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.

Heartland Women's Healthcare, Ltd (NPI 1801280409)

Field	Value
Entity Type	Organization
Organization	Heartland Women's Healthcare, Ltd
Address	3130 Veterans Memorial Dr
City	Mount Vernon
State	IL
ZIP	62864
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 23, 2015

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	52,070	$90	$4.4M
59430	For 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…	320	$20	$6.4K
0503F	No Summary found for this code	1,840	$1	$5.5K
0500F	No Summary found for this code	2,730	$1	$2.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,440	$1	$1.4K
0502F	No Summary found for this code	22,470	$0	$0
58300	In this procedure, the provider places a contraceptive intrauterine device (IUD) in the uterine cavity.	10	$0	$0
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	1,150	$0	$0
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	1,030	$0	$0
76805	In 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…	1,290	$0	$0

Showing 1–10 of 32

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

Heartland Women's Healthcare, Ltd — 2 of 5 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	132	850	7,490	$120	$3.9M
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	53	70	240	$60	$48.9K
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…	489	14,680	300	$50	$48.7K
0502F	No Summary found for this code	7	1,170	550	$30	$48.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	78	320	290	$50	$48K
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…	357	14,190	280	$20	$38.9K
76818	The 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.	61	90	380	$50	$27.4K
76805	In 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…	25	320	100	$50	$17K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	29	480	110	$40	$15.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	470	570	80	$40	$15.2K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Women's Healthcare Ltd	IL	Rural Health Clinic/Center	$0	$3.6M
Michael Schifano	IL	Obstetrics Physician	$6.6K	$1.5M
Michael Covlin	IL	Obstetrics & Gynecology Physician	$6.8K	$1.4M
Elisabeth Beyer-nolen	IL	Obstetrics & Gynecology Physician	$7.6K	$1.3M
Emily Boyd	IL	Obstetrics & Gynecology Physician	$10.1K	$803.4K
Sara Rubenacker	IL	Obstetrics & Gynecology Physician	$650	$415.7K
Rhonda Stewart	NC	Diagnostic Radiology Physician	$265.7K	$61.8K
Stephanie Skelly	IL	Obstetrics & Gynecology Physician	$8.8K	$300.1K
Kamala Thanapandian	GU	Obstetrics & 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.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Greater Area Rural Health Planning Corporation	IL	Federally Qualified Health Center (FQHC)	$0	$9.5M
Amanda Mckee	IL	Family Nurse Practitioner	$5.5M	$1.6M
One Hope United	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.9M
Jefferson County Comprehensive	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Litton Ambulance Service, Inc	IL	Ambulance	$739.6K	$3.3M
Spero Family Services	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.9M
Air Evac Ems Inc	IL	Air Ambulance	$1.7M	$1.4M
Marion Eye Surgery Center LLC	IL	Ambulatory Surgical Clinic/Center	$1.6M	$52.9K
Neetin Patel	IL	Diagnostic Radiology Physician	$330.8K	$1M
Udaya Liyanage	IL	Surgery Physician	$1M	$109.2K

Heartland Women's Healthcare, Ltd — Billing Profile & Reimbursement Data

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Heartland Women's Healthcare, Ltd — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References