ST Marys Hospital Decatur of the Hospital Sisters of the Third Order

ST Marys Hospital Decatur of the Hospital Sisters of the Third Order was paid $515K by Medicaid between Jan 2018 and Jun 2020, across 73 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 64% of everything it billed.

33Billing provider infoST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
DECATUR, IL 62521

33aNPI1326041229assigned 05/24/2005

33bProvider typeGeneral Acute Care Hospital

28Total paid$515K

24GClaims34,118

24DCodes billed73

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other General Acute Care Hospital providers in Illinois

Rank by total paid#66 of 129

Median peer was paid$547K

This provider vs. median0.9×

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.

Entity ProliferationAuthorized official BOND, ANN controls 15+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	5,482	$109K
2019	16,528	$260K
2020	12,108	$146K

Box 24 · Service lines

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	64%	3,536	775	$329K
97161		6.3%	301	218	$33K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	5.4%	1,327	1,198	$28K
77067	Screening mammography, bilateral, including computer-aided detection	2.6%	237	232	$13K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	2.5%	730	669	$13K
80053	Comprehensive metabolic panel	1.9%	3,104	2,647	$10K
84443	Thyroid stimulating hormone (TSH)	1.8%	1,641	1,487	$9K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.7%	255	170	$9K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	1.6%	606	557	$8K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	1.6%	608	559	$8K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	1.1%	408	308	$5K
86780		<1%	1,186	1,060	$4K

61 more codes

93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	477	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	3,248	$4K
71046	Radiologic examination, chest; 2 views	<1%	290	$2K
87340		<1%	808	$2K
84702		<1%	554	$2K
86803		<1%	466	$2K
87653		<1%	102	$2K
87086	Culture, bacterial; quantitative colony count, urine	<1%	626	$2K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	155	$2K
77063	Screening digital breast tomosynthesis, bilateral	<1%	224	$2K
80048	Basic metabolic panel (calcium, ionized)	<1%	542	$1K
85027		<1%	1,192	$1K
87480		<1%	345	$1K
87081		<1%	615	$1K
85610		<1%	937	$1K
87510		<1%	344	$1K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	193	$1K
86787		<1%	327	$1K
80061	Lipid panel	<1%	1,159	$1K
86850		<1%	743	$877.19
84439		<1%	430	$777.26
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	76	$746.19
G0145	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision	<1%	400	$703.19
87481		<1%	105	$674.03
86762		<1%	379	$650.79
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	360	$636.25
83036	Hemoglobin; glycosylated (A1C)	<1%	566	$619.80
86901		<1%	699	$618.87
82607		<1%	188	$595.84
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	24	$595.01
87660		<1%	348	$581.81
82950		<1%	372	$483.34
86900		<1%	696	$442.51
87186		<1%	93	$398.65
87088		<1%	119	$353.16
81003		<1%	812	$349.62
87070		<1%	104	$236.61
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	<1%	33	$206.08
82728		<1%	161	$195.46
82247		<1%	101	$191.73
84403		<1%	13	$149.46
86038		<1%	34	$124.56
82105		<1%	39	$119.85
86336		<1%	13	$117.97
86140		<1%	158	$98.58
86706		<1%	28	$81.74
83001		<1%	17	$79.56
83516		<1%	26	$68.96
85652		<1%	170	$64.87
84146		<1%	16	$52.24
85660		<1%	38	$52.21
80076		<1%	19	$46.95
83550		<1%	13	$33.28
81001		<1%	41	$32.02
83002		<1%	17	$25.86
82677		<1%	13	$24.60
36415	Collection of venous blood by venipuncture	<1%	35	$23.94
86225		<1%	34	$22.96
82784		<1%	14	$22.09
83540		<1%	13	$18.60
84156		<1%	15	$3.36

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.

From NPPES

Who's on the registration

Authorized officialBOND, ANN (SYSTEM DIRECTOR-GOVERNMENT REIMB)

Same official

Other billing entities under BOND, ANN

Full network →

Provider	Location	Paid
ST Anthonys Memorial Hospital of the Hospital Sisters of the Third	Effingham, IL	$9.36M
ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde	Breese, IL	$2.50M
HSHS Good Shepherd Hospital INC	Shelbyville, IL	$1.60M
HSHS Holy Family Hospital INC	Greenville, IL	$1.39M
ST Josephs Hospital of the Hospital Sisters of the Third Order of ST F	Highland, IL	$891K
ST Anthonys Memorial Hospital of the Hospital Sisters of the Third	Effingham, IL	$803K
ST Francis Hospital of the Hospital Sisters of the Third Order of ST F	Litchfield, IL	$803K
ST Elizabeths Hospital of the Hospital Sisters of the Third Order	O Fallon, IL	$292K
ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde	Breese, IL	$250K
HSHS Holy Family Hospital INC	Greenville, IL	$181K
ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde	Carlyle, IL	$152K
HSHS Good Shepherd Hospital INC	Shelbyville, IL	$137K
ST Johns Hospital of the Hospital Sisters of the Third Order of ST F	Springfield, IL	$67K
ST Elizabeths Hospital of the Hospital Sisters of the Third Order	O Fallon, IL	$7K
ST Elizabeths Hospital of the Hospital Sisters of the Third Order	O Fallon, IL	$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.