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    OpenPayerNPI Medicare & MedicaidCarlinville Area Hospital Association
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    Carlinville Area Hospital Association — Billing Profile & Reimbursement Data

    NPI 1992020499 · Carlinville, IL · Rural Health Clinic/Center

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    Carlinville Area Hospital Association is a rural health clinic/center provider located in Carlinville, Illinois. This profile covers 0 Medicare and 25 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
    OrganizationCarlinville Area Hospital Association
    Address20613 N Broad St Ste B
    CityCarlinville
    StateIL
    ZIP62626
    TaxonomyRural Health Clinic/Center
    NPI EnumeratedMarch 29, 2010

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

    Payer SourceTotal Paid
    Medicaid$2.9M
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive32,940$90$2.8M
    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…12,420$1$37.3K
    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…14,210$1$28.4K
    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…260$1$1.1K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.260$1$510
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.160$1$490
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…430$0$0
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.10$0$0
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…5,020$0$0
    87430The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.350$0$0

    Showing 1–10 of 25

    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

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive2008507,490$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…740760140$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…11614,680300$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…8251,380370$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…7061,270370$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…24514,190280$20$38.9K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.7021,670160$40$26.4K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.6731,590110$40$21.4K
    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…1,2002,80060$80$17.7K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…8711,130390$10$15.9K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nileshkumar PatelILInterventional Cardiology Physician$415.3K$132.8K
    Muhammad KhanILInterventional Cardiology Physician$321.5K$211.5K
    Bhuvnesh AggarwalILInterventional Cardiology Physician$318.3K$205.3K
    Sunil AgarwalILInterventional Cardiology Physician$340.9K$146.5K
    Aaron GreenspanMOGastroenterology Physician$44.5K$145.4K
    Robert NadlerILUrology Physician$144.7K$2K
    William ThomILPain Medicine (Anesthesiology) Physician$78.2K$42.5K
    Wassim Radwan Abd El WahabTXInternal Medicine Physician$96.8K$0
    Andrew LambertILVascular Surgery Physician$91.4K$1.7K
    Brian HillMOCertified Registered Nurse Anesthetist$47.7K$11K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Locust Street Resource CenterILMental Health Clinic/Center (Including Community Mental Health Center)$0$8.7M
    Walmart Inc.ILCommunity/Retail Pharmacy$76.9K$0
    Kamal ChopraILFamily Medicine Physician$19.1K$270

    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
    Carlinville Area Hospital Association — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois