Hospital
ST Mary's Hospital, Centralia, Illinois
ST Mary's Hospital, Centralia, Illinois was paid $450K by Medicaid between Jun 2018 and Jul 2020, across 48 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 63% of everything it billed.
33Billing provider infoST MARY'S HOSPITAL, CENTRALIA, ILLINOIS
CENTRALIA, IL 62801
CENTRALIA, IL 62801
33aNPI1083617245assigned 05/23/2005
33bProvider typePsychiatric Hospital Unit
28Total paid$450K
24GClaims23,396
24DCodes billed48
24AFirst – last monthJun 2018 – Jul 2020
Compared with peers
Next to other Psychiatric Hospital Unit providers in Illinois
Rank by total paid#15 of 24
Median peer was paid$554K
This provider vs. median0.8×
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 | 1,008 | $4K | |
| 2019 | 9,892 | $226K | |
| 2020 | 12,496 | $220K |
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 | 63% | 3,117 | 358 | $285K |
| 97161 | 6.7% | 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 | 6.0% | 281 | 181 | $27K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.5% | 125 | 118 | $20K |
| 80053 | Comprehensive metabolic panel | 3.5% | 3,622 | 1,626 | $16K |
| 84443 | Thyroid stimulating hormone (TSH) | 3.3% | 1,942 | 937 | $15K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.6% | 38 | 38 | $12K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.9% | 153 | 88 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.6% | 3,244 | 1,496 | $7K |
| 80061 | Lipid panel | <1% | 1,728 | 819 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 256 | 140 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 937 | 444 | $2K |
36 more codes
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 478 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 615 | $2K |
| 82607 | <1% | 370 | $2K | |
| 85610 | <1% | 814 | $1K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 151 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,548 | $1K |
| 83970 | <1% | 59 | $1K | |
| 82746 | <1% | 235 | $883.28 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 130 | $850.17 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 85 | $818.73 |
| 87186 | <1% | 177 | $780.94 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 204 | $738.49 |
| 84466 | <1% | 251 | $736.04 | |
| 85027 | <1% | 369 | $708.03 | |
| 87070 | <1% | 241 | $685.97 | |
| 83540 | <1% | 311 | $608.59 | |
| 83735 | <1% | 212 | $471.24 | |
| 82728 | <1% | 192 | $468.16 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 17 | $428.48 |
| 84439 | <1% | 134 | $361.09 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 76 | $308.54 |
| 86803 | <1% | 33 | $238.26 | |
| 83690 | <1% | 89 | $225.96 | |
| 87088 | <1% | 46 | $187.80 | |
| 85652 | <1% | 213 | $180.32 | |
| 86850 | <1% | 65 | $149.94 | |
| 86038 | <1% | 26 | $146.80 | |
| 81003 | <1% | 181 | $136.27 | |
| 84425 | <1% | 21 | $132.12 | |
| 82043 | <1% | 87 | $112.16 | |
| 86901 | <1% | 66 | $102.37 | |
| 82150 | <1% | 47 | $98.50 | |
| 86900 | <1% | 66 | $75.95 | |
| 81001 | <1% | 49 | $50.48 | |
| 86430 | <1% | 24 | $48.59 | |
| 86140 | <1% | 23 | $20.75 |
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 officialHARBISON, DAMON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| ST. Mary's Hospital, Centralia, Illinois | Centralia, IL | $352K |
| ST. Mary's Hospital, Centralia, Illinois | Centralia, IL | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.