Wabash General Hospital District
Wabash General Hospital District was paid $432K by Medicaid between Jan 2018 and Jun 2020, across 27 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 92% of everything it billed.
MOUNT CARMEL, IL 62863
Next to other Critical Access Hospital providers in Illinois
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 997 | $79K | |
| 2019 | 4,333 | $238K | |
| 2020 | 2,642 | $115K |
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 | 92% | 2,330 | 463 | $396K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.2% | 674 | 609 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 423 | 263 | $5K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 50 | 40 | $4K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 173 | 127 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 940 | 799 | $4K |
| 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 | <1% | 44 | 25 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,071 | 909 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 426 | 396 | $1K |
| 80061 | Lipid panel | <1% | 490 | 467 | $958.67 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 95 | 81 | $794.73 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 175 | 148 | $685.87 |
15 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 70 | $666.39 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 155 | $629.63 |
| 73110 | <1% | 52 | $604.92 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 14 | $536.48 |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 16 | $491.10 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 20 | $476.40 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 16 | $433.32 |
| 81001 | <1% | 338 | $319.64 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 13 | $218.54 |
| 84439 | <1% | 75 | $211.21 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 245 | $203.60 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 18 | $61.32 |
| 82570 | <1% | 14 | $20.43 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 17 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 18 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wabash General Hospital District | Mount Carmel, IL | $2.85M |
| Wabash General Hospital District | Mount Carmel, IL | $1.17M |
| Wabash General Hospital District | Mount Carmel, IL | $821K |
| Wabash General Hospital District | Mount Carmel, IL | $439K |
| Wabash General Hospital District | Mount Carmel, IL | $423K |
| Wabash General Hospital District | Albion, IL | $413K |
| Wabash General Hospital District | Mount Carmel, IL | $397K |
| Wabash General Hospital District | Grayville, IL | $232K |
| Wabash General Hospital District | Mount Carmel, IL | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.