Hospital
ST. Vincent Madison County Health System, INC
ST. Vincent Madison County Health System, INC was paid $1.35M by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99283, emergency room visit (moderate) — 53% of everything it billed.
33Billing provider infoST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC
ELWOOD, IN 46036
ELWOOD, IN 46036
33aNPI1477508596assigned 05/24/2006
33bProvider typeCritical Access Hospital
28Total paid$1.35M
24GClaims22,253
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Indiana
Rank by total paid#21 of 26
Median peer was paid$4.16M
This provider vs. median0.3×
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 | 3,359 | $34K | |
| 2019 | 1,943 | $40K | |
| 2020 | 1,811 | $117K | |
| 2021 | 3,296 | $229K | |
| 2022 | 4,757 | $338K | |
| 2023 | 3,750 | $311K | |
| 2024incomplete | 3,337 | $282K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 53% | 5,154 | 4,706 | $710K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 21% | 2,853 | 2,328 | $282K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 6.6% | 1,299 | 919 | $89K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.0% | 630 | 532 | $54K |
| 71045 | Radiologic examination, chest; single view | 4.0% | 392 | 333 | $54K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 4,944 | 3,805 | $26K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.5% | 151 | 141 | $21K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.5% | 478 | 345 | $20K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 440 | 398 | $17K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.2% | 255 | 230 | $16K |
| 80053 | Comprehensive metabolic panel | 1.2% | 3,066 | 2,435 | $16K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 1.2% | 300 | 244 | $16K |
25 more codes
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 100 | $7K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 115 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 41 | $4K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 13 | $3K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 397 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 193 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 97 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 245 | $999.95 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 36 | $818.64 |
| 80061 | Lipid panel | <1% | 91 | $753.97 |
| 73630 | <1% | 18 | $731.37 | |
| 84480 | <1% | 99 | $676.87 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 94 | $591.24 |
| 84484 | <1% | 78 | $484.47 | |
| 84436 | <1% | 99 | $418.24 | |
| 81001 | <1% | 354 | $372.00 | |
| 83605 | <1% | 54 | $341.77 | |
| 87634 | <1% | 14 | $204.27 | |
| 83690 | <1% | 65 | $181.51 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $104.70 |
| 87430 | <1% | 19 | $47.17 | |
| 87081 | <1% | 19 | $31.57 | |
| 83735 | <1% | 13 | $8.02 | |
| 85730 | <1% | 12 | $7.20 | |
| 85610 | <1% | 12 | $4.70 |
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 officialYATES, ANN (DIRECTOR OF NURSING, ST. VINCENT ME)