Sparta Community Hospital

Sparta Community Hospital was paid $575K by Medicaid between Jan 2018 and Jun 2020, across 30 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 92% of everything it billed.

33Billing provider infoSPARTA COMMUNITY HOSPITAL
SPARTA, IL 62286

33aNPI1548216476assigned 05/25/2006

33bProvider typeCritical Access Hospital

28Total paid$575K

24GClaims11,580

24DCodes billed30

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Critical Access Hospital providers in Illinois

Rank by total paid#11 of 47

Median peer was paid$315K

This provider vs. median1.8×

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	2,299	$115K
2019	5,802	$315K
2020	3,479	$145K

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	92%	3,557	561	$527K
97162		5.2%	155	119	$30K
84443	Thyroid stimulating hormone (TSH)	<1%	959	845	$5K
80053	Comprehensive metabolic panel	<1%	1,548	1,287	$3K
87086	Culture, bacterial; quantitative colony count, urine	<1%	476	426	$2K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	31	24	$2K
71046	Radiologic examination, chest; 2 views	<1%	150	142	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,614	1,327	$974.73
87400		<1%	213	193	$933.19
72110		<1%	33	27	$480.97
80061	Lipid panel	<1%	855	770	$348.40
83036	Hemoglobin; glycosylated (A1C)	<1%	496	448	$346.97

18 more codes

84439		<1%	497	$303.53
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	27	$268.06
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	27	$245.75
86038		<1%	22	$215.19
73564		<1%	19	$210.91
80048	Basic metabolic panel (calcium, ionized)	<1%	91	$210.00
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	32	$146.54
87070		<1%	63	$132.96
73630		<1%	12	$104.89
83655		<1%	17	$80.78
86701		<1%	18	$31.55
36415	Collection of venous blood by venipuncture	<1%	504	$23.94
82728		<1%	16	$20.91
77063	Screening digital breast tomosynthesis, bilateral	<1%	17	$13.73
86140		<1%	36	$11.45
85652		<1%	42	$10.19
82570		<1%	18	$4.54
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	35	$0.30

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 officialERNSTING, LISA (CFO)

Same official

Other billing entities under ERNSTING, LISA

Full network →

Provider	Location	Paid
Sparta Community Hospital D/B/A Quality Healthcare Clinics	Sparta, IL	$2.37M
Sparta Community Hospital D/B/A Quality Healthcare Clinics	Sparta, IL	$1.36M
Sparta Community Hospital D/B/A Quality Healthcare Clinics	Sparta, IL	$1.07M
Sparta Community Hospital D/B/A Quality Healthcare Clinics	Coulterville, IL	$1.06M
Sparta Community Hospital D/B/A Quality Healthcare Clinics	Marissa, IL	$961K
Sparta Community Hospital D/B/A Quality Healthcare Clinics	Steeleville, IL	$530K
Sparta Community Hospital	Sparta, IL	$216K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.