ST Anthonys Memorial Hospital of the Hospital Sisters of the Third
ST Anthonys Memorial Hospital of the Hospital Sisters of the Third was paid $803K by Medicaid between Jan 2018 and Feb 2024, across 52 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 68% of everything it billed.
EFFINGHAM, IL 62401
Next to other General Acute Care 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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,496 | $210K | |
| 2019 | 13,476 | $425K | |
| 2020 | 6,238 | $168K | |
| 2024incomplete | 28 | $276.94 |
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 | 68% | 6,678 | 1,459 | $547K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 12% | 2,557 | 579 | $99K |
| 97162 | 2.8% | 253 | 179 | $23K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.8% | 412 | 377 | $23K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 1.4% | 78 | 60 | $11K |
| 97161 | 1.3% | 111 | 83 | $11K | |
| Q3014 | Telehealth originating site facility fee | 1.3% | 429 | 301 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 757 | 527 | $9K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 760 | 650 | $8K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,251 | 1,157 | $7K |
| 87430 | <1% | 968 | 894 | $7K | |
| 80053 | Comprehensive metabolic panel | <1% | 2,155 | 1,856 | $6K |
40 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 129 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 89 | $4K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 370 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 352 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,588 | $3K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 80 | $3K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 300 | $2K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 58 | $2K |
| 87088 | <1% | 376 | $1K | |
| 87486 | <1% | 78 | $1K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 77 | $1K |
| 87581 | <1% | 78 | $1K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 449 | $1K |
| 85610 | <1% | 528 | $944.36 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 259 | $940.32 |
| 73630 | <1% | 86 | $925.74 | |
| 80061 | Lipid panel | <1% | 852 | $922.65 |
| 74018 | <1% | 77 | $801.28 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 351 | $633.08 |
| 99460 | <1% | 17 | $536.62 | |
| 72100 | <1% | 37 | $477.57 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 391 | $442.68 |
| 81002 | <1% | 578 | $412.25 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $380.81 |
| 82607 | <1% | 99 | $334.48 | |
| 87070 | <1% | 154 | $294.21 | |
| 84439 | <1% | 136 | $216.15 | |
| 86141 | <1% | 26 | $182.08 | |
| 87807 | <1% | 33 | $151.96 | |
| 73130 | <1% | 15 | $126.22 | |
| 87186 | <1% | 35 | $115.93 | |
| 73560 | <1% | 12 | $114.48 | |
| 81001 | <1% | 185 | $113.48 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 739 | $93.91 |
| 81025 | <1% | 76 | $50.42 | |
| 83540 | <1% | 28 | $31.18 | |
| 83735 | <1% | 15 | $15.95 | |
| 82728 | <1% | 12 | $14.03 | |
| 84550 | <1% | 15 | $10.75 | |
| 82043 | <1% | 35 | $9.65 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.