Protestant Memorial Medical Center,inc

Protestant Memorial Medical Center,inc was paid $64K by Medicaid between Jan 2018 and Aug 2018, across 11 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 96% of everything it billed.

33Billing provider infoPROTESTANT MEMORIAL MEDICAL CENTER,INC
BELLEVILLE, IL 62226

33aNPI1477633766assigned 10/17/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$64K

24GClaims1,540

24DCodes billed11

24AFirst – last monthJan 2018 – Aug 2018

Compared with peers

Next to other General Acute Care Hospital providers in Illinois

Rank by total paid#104 of 129

Median peer was paid$547K

This provider vs. median0.1×

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	1,540	$64K

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	96%	962	119	$62K
77067	Screening mammography, bilateral, including computer-aided detection	1.6%	30	30	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	177	157	$357.52
84443	Thyroid stimulating hormone (TSH)	<1%	56	52	$275.96
80053	Comprehensive metabolic panel	<1%	119	110	$228.26
77063	Screening digital breast tomosynthesis, bilateral	<1%	30	30	$155.21
71046	Radiologic examination, chest; 2 views	<1%	14	12	$99.34
80061	Lipid panel	<1%	60	59	$99.20
83036	Hemoglobin; glycosylated (A1C)	<1%	43	42	$74.12
80048	Basic metabolic panel (calcium, ionized)	<1%	35	35	$74.08
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	14	13	$25.89

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 officialLANIUS, JOE (VICE PRESIDENT, FINANCE)