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ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
NPI: 1710969563
· SPRINGFIELD, IL 62702
· 251F00000X
$1.33M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,725 |
$521K |
| 2019 |
7,681 |
$384K |
| 2020 |
8,904 |
$430K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4161 |
Ef ped hydrolyzed/amino acid |
2,433 |
692 |
$514K |
| B4035 |
Enteral feed supp pump per d |
9,096 |
1,413 |
$370K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
1,199 |
741 |
$171K |
| B4034 |
Enter feed supkit syr by day |
5,549 |
975 |
$129K |
| B4149 |
Ef blenderized foods |
317 |
230 |
$79K |
| B4088 |
Gastro/jejuno tube, low-pro |
443 |
378 |
$53K |
| A4222 |
Infusion supplies with pump |
124 |
54 |
$15K |
| A4221 |
Supp non-insulin inf cath/wk |
91 |
65 |
$3K |
| A6237 |
Hydrocolld drg <=16 in w/bdr |
15 |
12 |
$684.15 |
| A6457 |
Tubular dressing |
43 |
26 |
$77.12 |