Hospital
Sullivan County Memorial Hospital
Sullivan County Memorial Hospital was paid $199K by Medicaid between Jan 2018 and Sep 2024, across 16 billing codes. Its largest line is 99283, emergency room visit (moderate) — 40% of everything it billed.
33Billing provider infoSULLIVAN COUNTY MEMORIAL HOSPITAL
MILAN, MO 63556
MILAN, MO 63556
33aNPI1114067832assigned 02/08/2007
33bProvider typeCritical Access Hospital
28Total paid$199K
24GClaims3,575
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Critical Access Hospital providers in Missouri
Rank by total paid#27 of 33
Median peer was paid$2.24M
This provider vs. median0.1×
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 | 948 | $51K | |
| 2019 | 501 | $51K | |
| 2020 | 227 | $7K | |
| 2021 | 418 | $7K | |
| 2022 | 612 | $29K | |
| 2023 | 520 | $42K | |
| 2024incomplete | 349 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 40% | 596 | 507 | $79K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 13% | 143 | 114 | $25K |
| J3490 | Unclassified drugs | 9.6% | 332 | 268 | $19K |
| Y7506 | 8.8% | 139 | 99 | $18K | |
| 80053 | Comprehensive metabolic panel | 7.5% | 793 | 598 | $15K |
| X4011 | State-specific procedure code | 5.5% | 37 | 29 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.2% | 171 | 145 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.5% | 254 | 207 | $7K |
| 94760 | 2.9% | 586 | 455 | $6K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.0% | 20 | 12 | $4K |
| 36415 | Collection of venous blood by venipuncture | 1.4% | 323 | 227 | $3K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.0% | 14 | 13 | $2K |
4 more codes
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 officialMICHAEL, AMY (CHIEF OPERATINGOFFICER)
| Provider | Location | Paid |
|---|---|---|
| Sullivan County Memorial Hospital | Milan, MO | $710K |
| Sullivan County Memorial Hospital | Milan, MO | $363K |
| Sullivan County Memorial Hospital | Green City, MO | $107K |
| Sullivan County Memorial Hospital | Milan, MO | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.