RICHLAND MEMORIAL HOSPITAL, INC
NPI: 1326566290
· OLNEY, IL 62450
· 261QR1300X
$4.93M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,733 |
$162K |
| 2019 |
12,314 |
$402K |
| 2020 |
9,186 |
$363K |
| 2021 |
17,026 |
$736K |
| 2022 |
23,884 |
$1.01M |
| 2023 |
25,572 |
$1.08M |
| 2024 |
26,325 |
$1.18M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
61,108 |
45,635 |
$4.93M |
| 99213 |
|
33,024 |
26,798 |
$1K |
| 99214 |
|
9,184 |
7,793 |
$106.51 |
| 99212 |
|
1,225 |
1,069 |
$24.25 |
| G2012 |
Brief check in by md/qhp |
19 |
16 |
$13.19 |
| 81003 |
|
628 |
568 |
$0.00 |
| 99203 |
|
1,514 |
1,405 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
419 |
375 |
$0.00 |
| 99391 |
|
732 |
641 |
$0.00 |
| 99392 |
|
341 |
331 |
$0.00 |
| 90671 |
|
114 |
103 |
$0.00 |
| 90833 |
|
450 |
403 |
$0.00 |
| 87880 |
|
232 |
171 |
$0.00 |
| 87502 |
|
325 |
301 |
$0.00 |
| 90670 |
|
79 |
69 |
$0.00 |
| 99394 |
|
72 |
71 |
$0.00 |
| 99393 |
|
124 |
122 |
$0.00 |
| 90832 |
|
137 |
105 |
$0.00 |
| 99204 |
|
35 |
29 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| G2211 |
Complex e/m visit add on |
99 |
96 |
$0.00 |
| 90837 |
|
117 |
79 |
$0.00 |
| 87275 |
|
158 |
121 |
$0.00 |
| 90715 |
|
27 |
26 |
$0.00 |
| 90633 |
|
50 |
46 |
$0.00 |
| 99244 |
|
14 |
13 |
$0.00 |
| 81025 |
|
17 |
17 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
14 |
12 |
$0.00 |
| 90686 |
|
579 |
545 |
$0.00 |
| 99243 |
|
258 |
242 |
$0.00 |
| 99202 |
|
1,900 |
1,686 |
$0.00 |
| 90834 |
|
310 |
243 |
$0.00 |
| 87635 |
|
460 |
435 |
$0.00 |
| 90471 |
|
200 |
192 |
$0.00 |
| 90792 |
|
362 |
354 |
$0.00 |
| 87651 |
|
2,274 |
2,169 |
$0.00 |
| 90677 |
|
15 |
13 |
$0.00 |
| 90647 |
|
58 |
53 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
14 |
13 |
$0.00 |
| 90723 |
|
65 |
65 |
$0.00 |
| 90656 |
|
102 |
94 |
$0.00 |
| 87807 |
|
60 |
59 |
$0.00 |
| 96372 |
|
77 |
54 |
$0.00 |
| G0008 |
Admin influenza virus vac |
35 |
33 |
$0.00 |