Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS

NPI: 1083617245 · CENTRALIA, IL 62801 · Psychiatric Hospital Unit · NPI assigned 05/23/2005

$450K
Total Medicaid Paid
23,396
Total Claims
9,934
Beneficiaries
48
Codes Billed
2018-06
First Month
2020-07
Last Month

Provider Details

Authorized OfficialHARBISON, DAMON (PRESIDENT)
NPI Enumeration Date05/23/2005

Related Entities

Other providers sharing the same authorized official: HARBISON, DAMON

ProviderCityStateTotal Paid
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS CENTRALIA IL $352K
ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS CENTRALIA IL $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,008 $4K
2019 9,892 $226K
2020 12,496 $220K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,117 358 $285K
97161 248 120 $30K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 281 181 $27K
90837 Psychotherapy, 53 minutes with patient 125 118 $20K
80053 Comprehensive metabolic panel 3,622 1,626 $16K
84443 Thyroid stimulating hormone (TSH) 1,942 937 $15K
90791 Psychiatric diagnostic evaluation 38 38 $12K
77067 Screening mammography, bilateral, including computer-aided detection 153 88 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,244 1,496 $7K
80061 Lipid panel 1,728 819 $4K
71046 Radiologic examination, chest; 2 views 256 140 $2K
83036 Hemoglobin; glycosylated (A1C) 937 444 $2K
87086 Culture, bacterial; quantitative colony count, urine 478 232 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 615 321 $2K
82607 370 194 $2K
85610 814 315 $1K
77063 Screening digital breast tomosynthesis, bilateral 151 86 $1K
36415 Collection of venous blood by venipuncture 1,548 533 $1K
83970 59 24 $1K
82746 235 119 $883.28
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 130 45 $850.17
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 85 58 $818.73
87186 177 86 $780.94
80048 Basic metabolic panel (calcium, ionized) 204 109 $738.49
84466 251 130 $736.04
85027 369 180 $708.03
87070 241 132 $685.97
83540 311 161 $608.59
83735 212 93 $471.24
82728 192 99 $468.16
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 17 13 $428.48
84439 134 71 $361.09
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 76 42 $308.54
86803 33 13 $238.26
83690 89 40 $225.96
87088 46 26 $187.80
85652 213 103 $180.32
86850 65 35 $149.94
86038 26 15 $146.80
81003 181 91 $136.27
84425 21 12 $132.12
82043 87 43 $112.16
86901 66 34 $102.37
82150 47 27 $98.50
86900 66 34 $75.95
81001 49 24 $50.48
86430 24 13 $48.59
86140 23 16 $20.75