GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC
NPI: 1083685986
· GRANITE CITY, IL 62040
· Psychiatric Hospital Unit
· NPI assigned 01/30/2006
$1.09M
Total Medicaid Paid
Provider Details
| Authorized Official | RICHARDSON, TARA (VP OF PATIENT FINANCIAL SERVICES) |
| NPI Enumeration Date | 01/30/2006 |
Related Entities
Other providers sharing the same authorized official: RICHARDSON, TARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,338 |
$127K |
| 2019 |
31,851 |
$735K |
| 2020 |
10,318 |
$232K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
8,952 |
1,218 |
$615K |
| 97010 |
|
3,060 |
394 |
$130K |
| 97035 |
|
1,246 |
171 |
$93K |
| 97162 |
|
573 |
279 |
$42K |
| 77067 |
|
620 |
566 |
$34K |
| 97161 |
|
455 |
259 |
$28K |
| 87804 |
|
1,369 |
1,287 |
$19K |
| 99212 |
|
105 |
100 |
$14K |
| 87880 |
|
1,948 |
1,813 |
$11K |
| 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 |
187 |
109 |
$11K |
| 84443 |
|
1,795 |
1,554 |
$10K |
| 97014 |
|
1,995 |
260 |
$8K |
| 71046 |
|
833 |
772 |
$7K |
| 95851 |
|
269 |
148 |
$6K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
272 |
42 |
$4K |
| 80053 |
|
2,442 |
2,063 |
$4K |
| 83970 |
|
285 |
230 |
$4K |
| 73630 |
|
332 |
247 |
$3K |
| 87389 |
|
132 |
110 |
$3K |
| 80307 |
|
203 |
159 |
$3K |
| 87086 |
|
1,436 |
1,127 |
$3K |
| 97530 |
|
136 |
37 |
$3K |
| 99211 |
|
368 |
288 |
$3K |
| 72110 |
|
145 |
134 |
$2K |
| 87591 |
|
236 |
164 |
$2K |
| 87491 |
|
236 |
164 |
$2K |
| 96372 |
|
373 |
222 |
$2K |
| 73562 |
|
219 |
180 |
$2K |
| 73610 |
|
111 |
72 |
$2K |
| 87186 |
|
437 |
264 |
$2K |
| 97140 |
|
146 |
31 |
$2K |
| 85025 |
|
2,346 |
2,004 |
$1K |
| 93005 |
|
134 |
131 |
$1K |
| 73130 |
|
130 |
70 |
$1K |
| 83036 |
|
1,513 |
1,328 |
$1K |
| 77063 |
|
427 |
407 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
27 |
15 |
$1K |
| 82607 |
|
478 |
395 |
$937.55 |
| 80048 |
|
388 |
342 |
$865.87 |
| 86038 |
|
98 |
69 |
$841.83 |
| 87502 |
|
25 |
25 |
$808.63 |
| 80061 |
|
1,663 |
1,463 |
$773.88 |
| 87070 |
|
98 |
72 |
$754.68 |
| 82306 |
|
1,126 |
971 |
$715.03 |
| 87077 |
|
297 |
178 |
$594.09 |
| 82746 |
|
418 |
344 |
$487.71 |
| 81001 |
|
1,372 |
1,141 |
$424.81 |
| 87806 |
|
99 |
79 |
$381.21 |
| 81003 |
|
989 |
823 |
$377.83 |
| 83550 |
|
326 |
277 |
$308.33 |
| 87807 |
|
209 |
192 |
$296.60 |
| 85027 |
|
469 |
399 |
$286.85 |
| 84439 |
|
790 |
660 |
$279.27 |
| 86376 |
|
64 |
41 |
$196.42 |
| 82728 |
|
330 |
280 |
$158.05 |
| 73030 |
|
13 |
12 |
$154.21 |
| 87661 |
|
28 |
25 |
$141.99 |
| 83540 |
|
338 |
289 |
$137.20 |
| 80074 |
|
12 |
12 |
$115.32 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
13 |
13 |
$104.80 |
| 82043 |
|
344 |
298 |
$83.14 |
| 85610 |
|
122 |
90 |
$73.59 |
| 84481 |
|
127 |
106 |
$66.80 |
| 86592 |
|
139 |
117 |
$51.07 |
| 82570 |
|
306 |
259 |
$46.09 |
| 81025 |
|
64 |
57 |
$42.57 |
| 83735 |
|
184 |
152 |
$41.63 |
| 84550 |
|
299 |
229 |
$40.98 |
| 85652 |
|
340 |
266 |
$40.90 |
| 84153 |
|
17 |
15 |
$39.54 |
| 86431 |
|
57 |
39 |
$39.39 |
| 80076 |
|
49 |
39 |
$31.05 |
| 80047 |
|
13 |
12 |
$28.85 |
| 86140 |
|
77 |
51 |
$18.43 |
| 84702 |
|
13 |
13 |
$17.59 |
| 82950 |
|
15 |
14 |
$11.64 |
| 80069 |
|
15 |
13 |
$4.14 |
| 36415 |
|
143 |
130 |
$0.00 |
| 84156 |
|
47 |
40 |
$0.00 |