Medicaid Provider Spending

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

PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION

NPI: 1174580831 · JACKSONVILLE, IL 62650 · General Acute Care Hospital · NPI assigned 04/27/2006

$36K
Total Medicaid Paid
308
Total Claims
94
Beneficiaries
3
Codes Billed
2018-04
First Month
2020-07
Last Month

Provider Details

Authorized OfficialEDDINGTON, PAUL (CFO)
Parent OrganizationMEMORIAL HEALTH SYSTEMS
NPI Enumeration Date04/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 235 $26K
2020 73 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 282 68 $36K
80053 Comprehensive metabolic panel 12 12 $59.04
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 14 $17.88