PEKIN HOSPITAL
NPI: 1437274602
· PEKIN, IL 61554
· General Acute Care Hospital
· NPI assigned 03/20/2007
$493K
Total Medicaid Paid
Provider Details
| Authorized Official | JEPSON, GARY (CEO) |
| Parent Organization | PEKIN MEMORIAL HOSPITAL |
| NPI Enumeration Date | 03/20/2007 |
Related Entities
Other providers sharing the same authorized official: JEPSON, GARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,295 |
$106K |
| 2019 |
9,000 |
$257K |
| 2020 |
4,200 |
$129K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
3,692 |
875 |
$380K |
| 97162 |
|
308 |
252 |
$33K |
| 77067 |
|
436 |
409 |
$23K |
| 87502 |
|
429 |
362 |
$14K |
| 87651 |
|
487 |
423 |
$8K |
| 87880 |
|
1,248 |
1,157 |
$7K |
| 92507 |
|
120 |
12 |
$5K |
| 84443 |
|
783 |
718 |
$4K |
| 97161 |
|
32 |
31 |
$3K |
| 80053 |
|
1,532 |
1,325 |
$3K |
| 71046 |
|
463 |
400 |
$3K |
| 87086 |
|
523 |
420 |
$1K |
| 85025 |
|
1,371 |
1,161 |
$1K |
| 77063 |
|
435 |
408 |
$927.13 |
| 87389 |
|
31 |
26 |
$742.84 |
| 87081 |
|
1,015 |
939 |
$722.82 |
| 96372 |
|
81 |
31 |
$592.10 |
| 93005 |
|
71 |
63 |
$573.99 |
| 82306 |
|
330 |
298 |
$507.00 |
| 81001 |
|
1,039 |
814 |
$502.38 |
| 80061 |
|
765 |
725 |
$433.62 |
| 87400 |
|
136 |
67 |
$396.87 |
| 85610 |
|
307 |
174 |
$340.52 |
| 84439 |
|
428 |
395 |
$334.94 |
| 87088 |
|
121 |
118 |
$322.62 |
| 85027 |
|
320 |
297 |
$265.41 |
| 80048 |
|
119 |
106 |
$212.42 |
| 83036 |
|
280 |
264 |
$203.95 |
| 73610 |
|
14 |
12 |
$139.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
30 |
12 |
$132.37 |
| 73630 |
|
13 |
13 |
$115.06 |
| 87186 |
|
14 |
13 |
$71.50 |
| 87070 |
|
17 |
15 |
$46.10 |
| 81025 |
|
163 |
124 |
$44.13 |
| 86850 |
|
43 |
40 |
$41.66 |
| 84703 |
|
30 |
27 |
$38.84 |
| 86901 |
|
43 |
41 |
$34.83 |
| 83735 |
|
23 |
12 |
$12.94 |
| 86900 |
|
43 |
41 |
$10.36 |
| 87147 |
|
32 |
30 |
$3.12 |
| 36415 |
|
128 |
121 |
$0.00 |