Agency
Madison Co Spec Educ Ja Reg 1
Madison Co Spec Educ Ja Reg 1 was paid $544K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 97535, Self-care/home management training, each 15 minutes — 36% of everything it billed.
33Billing provider infoMADISON CO SPEC EDUC JA REG 1
GRANITE CITY, IL 62040
GRANITE CITY, IL 62040
33aNPI1467623645assigned 03/17/2008
33bProvider typeLocal Education Agency (LEA)
28Total paid$544K
24GClaims22,076
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in Illinois
Rank by total paid#161 of 694
Median peer was paid$109K
This provider vs. median5.0×
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.
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 | 4,465 | $99K | |
| 2019 | 4,924 | $90K | |
| 2020 | 1,993 | $49K | |
| 2021 | 2,552 | $68K | |
| 2022 | 2,541 | $84K | |
| 2023 | 2,735 | $79K | |
| 2024incomplete | 2,866 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97535 | Self-care/home management training, each 15 minutes | 36% | 9,955 | 4,349 | $197K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 34% | 1,866 | 1,793 | $186K |
| 97799 | 15% | 6,063 | 2,676 | $80K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 14% | 3,565 | 1,416 | $74K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 1.1% | 627 | 190 | $6K |
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 officialHAMILTON, KRISTEN (SECRETARY)
Parent organizationCOUNTY OF MADISON GRANITE CITY COM UNIT SCH DIST 9