Hospital
Proctor Community Hospital
Proctor Community Hospital was paid $213K by Medicaid between Jan 2018 and Jun 2020, across 14 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 97% of everything it billed.
33Billing provider infoPROCTOR COMMUNITY HOSPITAL
PEORIA, IL 61614
PEORIA, IL 61614
33aNPI1033116876assigned 07/07/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$213K
24GClaims4,180
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Acute Care Hospital providers in Illinois
Rank by total paid#87 of 129
Median peer was paid$547K
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,054 | $71K | |
| 2019 | 2,083 | $97K | |
| 2020 | 1,043 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 97% | 1,961 | 521 | $207K |
| 97162 | 1.3% | 26 | 24 | $3K | |
| 80053 | Comprehensive metabolic panel | <1% | 658 | 630 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 287 | 277 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 590 | 553 | $305.70 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 26 | 26 | $128.18 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 131 | 131 | $126.12 |
| 80061 | Lipid panel | <1% | 193 | 189 | $88.68 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 148 | 143 | $80.25 |
| 86038 | <1% | 30 | 28 | $38.45 | |
| 86800 | <1% | 42 | 38 | $28.70 | |
| 85027 | <1% | 33 | 31 | $22.72 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSIMON, DEBORAH (PRESIDENT/CEO)