Valley West Community Hospital
Valley West Community Hospital was paid $461K by Medicaid between Jan 2018 and Jun 2020, across 10 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 96% of everything it billed.
SANDWICH, IL 60548
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 | 956 | $105K | |
| 2019 | 2,025 | $292K | |
| 2020 | 556 | $64K |
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 | 96% | 2,040 | 332 | $442K |
| 97161 | 3.1% | 92 | 54 | $14K | |
| 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% | 15 | 14 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 477 | 419 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 151 | 137 | $904.63 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | 31 | $828.70 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 517 | 459 | $338.63 |
| 80061 | Lipid panel | <1% | 127 | 113 | $101.62 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | 12 | $9.36 |
| 36415 | Collection of venous blood by venipuncture | 0% | 70 | 68 | $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 |
|---|---|---|
| Dekalb Behavioral Health Foundation, INC. | Dekalb, IL | $6.85M |
| Dekalb Behavioral Health Foundation, INC. | Dekalb, IL | $1.66M |
| Dekalb Behavioral Health Foundation, INC. | Dekalb, IL | $823K |
| Dekalb Behavioral Health Foundation, INC. | Sandwich, IL | $105K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.