Medicaid Provider Spending

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

PINCKNEYVILLE COMMUNITY HOSPITAL

NPI: 1306818844 · PINCKNEYVILLE, IL 62274 · Rural Health Clinic/Center · NPI assigned 02/07/2006

$2.35M
Total Medicaid Paid
54,495
Total Claims
41,688
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, KARA (CFO)
Parent OrganizationPINCKNEYVILLE COMMUNITY HOSPITAL
NPI Enumeration Date02/07/2006

Related Entities

Other providers sharing the same authorized official: CARSON, KARA

ProviderCityStateTotal Paid
PINCKNEYVILLE COMMUNITY HOSPITAL PINCKNEYVILLE IL $8K
PINCKNEYVILLE COMMUNITY HOSPITAL PINCKNEYVILLE IL $23.94

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,959 $264K
2019 9,896 $291K
2020 7,412 $300K
2021 7,031 $335K
2022 7,035 $343K
2023 8,046 $402K
2024 8,116 $416K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 29,923 22,218 $2.29M
T1040 Medicaid certified community behavioral health clinic services, per diem 774 351 $57K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,142 11,848 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,593 3,885 $534.64
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,038 2,602 $231.07
99441 262 231 $17.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 55 51 $0.00
87081 80 79 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 21 13 $0.00
90834 Psychotherapy, 45 minutes with patient 18 13 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 104 102 $0.00
90837 Psychotherapy, 53 minutes with patient 349 162 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 32 31 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 104 102 $0.00