Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Alton Memorial Hospital

Alton Memorial Hospital was paid $297K by Medicaid between Jan 2018 and Jun 2020, across 52 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 67% of everything it billed.

33Billing provider infoALTON MEMORIAL HOSPITAL
ALTON, IL 62002
33aNPI1548278476assigned 08/04/2006
33bProvider typeAmbulance
28Total paid$297K
24GClaims11,859
24DCodes billed52
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Ambulance providers in Illinois

Rank by total paid#87 of 137
Median peer was paid$601K
This provider vs. median0.5×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,583$41K
20195,787$117K
20204,489$139K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 67% 3,860 538 $200K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.3% 772 707 $19K
87631 3.6% 213 198 $11K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3.2% 508 370 $10K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 3.2% 126 90 $9K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 2.9% 233 204 $9K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.7% 162 144 $8K
70450 Computed tomography, head or brain; without contrast material 2.0% 39 33 $6K
97161 1.8% 189 123 $5K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.3% 27 27 $4K
80053 Comprehensive metabolic panel <1% 923 719 $3K
71046 Radiologic examination, chest; 2 views <1% 305 274 $2K
40 more codes
77067 Screening mammography, bilateral, including computer-aided detection <1% 36 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 80 $2K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 102 $1K
97014 <1% 33 $1K
99214 Doctor's office visit, returning patient (more involved) <1% 27 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 353 $928.55
84443 Thyroid stimulating hormone (TSH) <1% 174 $907.19
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 52 $725.92
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 178 $696.84
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,070 $561.22
81001 <1% 675 $288.45
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 118 $210.09
97010 <1% 48 $205.44
96361 Intravenous infusion, hydration; each additional hour <1% 31 $167.34
87040 <1% 29 $105.12
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 101 $86.25
81003 <1% 238 $80.28
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 74 $73.75
80061 Lipid panel <1% 106 $72.93
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 65 $68.71
84702 <1% 43 $47.50
71045 Radiologic examination, chest; single view <1% 30 $46.88
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 55 $42.33
83605 <1% 47 $33.42
77063 Screening digital breast tomosynthesis, bilateral <1% 36 $27.46
96375 Therapeutic injection; each additional sequential IV push <1% 51 $27.22
85610 <1% 79 $24.18
83036 Hemoglobin; glycosylated (A1C) <1% 38 $21.43
80048 Basic metabolic panel (calcium, ionized) <1% 18 $16.12
81025 <1% 60 $14.40
84484 <1% 84 $10.83
84439 <1% 14 $8.64
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 21 $7.85
83690 <1% 59 $6.54
36415 Collection of venous blood by venipuncture <1% 150 $0.43
85379 0% 16 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 63 $0.00
85730 0% 17 $0.00
87070 0% 15 $0.00
87077 0% 16 $0.00

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 officialKOESTERER, SUSAN (VICE PRESIDENT FINANCE)
Same official

Other billing entities under KOESTERER, SUSAN

Full network →
ProviderLocationPaid
Christian Hospital Northeast-NorthwestSaint Louis, MO$21.66M
Alton Memorial HospitalAlton, IL$4.11M
Christian Hospital Physician Billing Services LLCSaint Louis, MO$160K

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