Hospital
Saint Thomas Dekalb Hospital, LLC
Saint Thomas Dekalb Hospital, LLC was paid $1.05M by Medicaid between Jan 2018 and Oct 2024, across 36 billing codes. Its largest line is 99283, emergency room visit (moderate) — 57% of everything it billed.
33Billing provider infoSAINT THOMAS DEKALB HOSPITAL, LLC
SMITHVILLE, TN 37166
SMITHVILLE, TN 37166
33aNPI1649659582assigned 05/26/2015
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.05M
24GClaims19,075
24DCodes billed36
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Acute Care Hospital providers in Tennessee
Rank by total paid#60 of 71
Median peer was paid$6.96M
This provider vs. median0.2×
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 | 3,503 | $210K | |
| 2019 | 4,489 | $247K | |
| 2020 | 2,813 | $145K | |
| 2021 | 3,598 | $172K | |
| 2022 | 2,262 | $132K | |
| 2023 | 2,056 | $118K | |
| 2024incomplete | 354 | $31K |
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 | 57% | 4,889 | 4,501 | $604K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 35% | 2,543 | 2,254 | $372K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.8% | 301 | 249 | $40K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 1,537 | 1,313 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,732 | 2,394 | $7K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 177 | 172 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 2,379 | 2,044 | $4K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 42 | 41 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 85 | 81 | $3K |
| 85027 | <1% | 598 | 505 | $1K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 703 | 554 | $1K |
| 84484 | <1% | 239 | 175 | $1K |
24 more codes
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 264 | $1K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 391 | $770.60 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 173 | $688.13 |
| 71045 | Radiologic examination, chest; single view | <1% | 474 | $582.30 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 303 | $391.18 |
| 80306 | <1% | 115 | $372.73 | |
| 83690 | <1% | 110 | $234.49 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 61 | $231.66 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 58 | $206.31 |
| 83735 | <1% | 75 | $152.54 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 59 | $129.42 |
| 81001 | <1% | 330 | $112.40 | |
| 83605 | <1% | 18 | $48.41 | |
| 87070 | <1% | 15 | $39.42 | |
| 82150 | <1% | 14 | $38.13 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 45 | $35.81 |
| 84703 | <1% | 13 | $29.26 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $24.84 |
| 85610 | <1% | 29 | $18.02 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 61 | $0.00 |
| J3490 | Unclassified drugs | 0% | 168 | $0.00 |
| 91301 | 0% | 14 | $0.00 | |
| 83880 | 0% | 31 | $0.00 | |
| 80076 | 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 officialPOLKOW, CRAIG (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Dekalb Memorial Hospital, INC | Auburn, IN | $1.31M |
| Dekalb Memorial Hospital, INC | Auburn, IN | $73K |
| Dekalb Memorial Hospital, INC | Auburn, IN | $39K |
| Dekalb Health Memorial Hosptial INC | Auburn, IN | $15K |
| Dekalb Memorial Hospital, INC | Auburn, IN | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.