ST Elizabeths Hospital of the Hospital Sisters of the Third Order
ST Elizabeths Hospital of the Hospital Sisters of the Third Order was paid $292K by Medicaid between Jan 2018 and Jun 2020, across 49 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 41% of everything it billed.
O FALLON, IL 62269
Next to other General Acute Care Hospital providers in Illinois
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,916 | $111K | |
| 2019 | 14,042 | $147K | |
| 2020 | 1,814 | $34K |
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 | 41% | 3,528 | 544 | $121K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 31% | 2,965 | 452 | $90K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 9.1% | 395 | 373 | $27K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.8% | 1,407 | 1,170 | $8K |
| 80053 | Comprehensive metabolic panel | 2.5% | 2,227 | 1,689 | $7K |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.4% | 928 | 740 | $7K |
| 71046 | Radiologic examination, chest; 2 views | 1.9% | 309 | 265 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 122 | 73 | $4K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.4% | 810 | 666 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,521 | 1,883 | $2K |
| 72100 | <1% | 110 | 90 | $2K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 645 | 514 | $1K |
37 more codes
| 80061 | Lipid panel | <1% | 1,402 | $1K |
| 73630 | <1% | 48 | $1K | |
| 80306 | <1% | 156 | $1K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 359 | $1K |
| 73562 | <1% | 53 | $992.44 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 35 | $910.68 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 74 | $814.28 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 576 | $754.71 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 73 | $623.85 |
| 81003 | <1% | 668 | $597.49 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 73 | $579.31 |
| 82607 | <1% | 276 | $408.66 | |
| 87186 | <1% | 121 | $407.14 | |
| 86038 | <1% | 46 | $322.79 | |
| 86850 | <1% | 90 | $312.85 | |
| 84439 | <1% | 254 | $227.33 | |
| 85610 | <1% | 93 | $166.86 | |
| 86900 | <1% | 100 | $115.03 | |
| 83540 | <1% | 136 | $110.72 | |
| 86901 | <1% | 100 | $92.63 | |
| 87081 | <1% | 43 | $76.16 | |
| 83550 | <1% | 96 | $70.84 | |
| 82746 | <1% | 79 | $55.80 | |
| 84550 | <1% | 121 | $42.24 | |
| 82043 | <1% | 147 | $38.80 | |
| 85027 | <1% | 178 | $30.77 | |
| 86780 | <1% | 13 | $25.23 | |
| 87205 | <1% | 64 | $24.07 | |
| 84153 | <1% | 18 | $19.26 | |
| 87147 | <1% | 38 | $17.16 | |
| 83735 | <1% | 32 | $16.04 | |
| 87070 | <1% | 22 | $12.08 | |
| 82550 | <1% | 42 | $11.70 | |
| 85652 | <1% | 86 | $7.69 | |
| 86140 | <1% | 32 | $6.87 | |
| 81015 | <1% | 30 | $2.54 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 31 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.