Kirby Medical Center

Kirby Medical Center was paid $176K by Medicaid between Jan 2018 and Jun 2020, across 26 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 86% of everything it billed.

33Billing provider infoKIRBY MEDICAL CENTER
MONTICELLO, IL 61856

33aNPI1730179847assigned 10/28/2005

33bProvider typeCritical Access Hospital

28Total paid$176K

24GClaims6,741

24DCodes billed26

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Critical Access Hospital providers in Illinois

Rank by total paid#30 of 47

Median peer was paid$315K

This provider vs. median0.6×

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	1,461	$31K
2019	3,815	$124K
2020	1,465	$21K

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	86%	849	205	$150K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	5.5%	376	358	$10K
84443	Thyroid stimulating hormone (TSH)	2.5%	686	600	$4K
80053	Comprehensive metabolic panel	1.4%	974	857	$3K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	1.2%	22	14	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	914	787	$1K
87086	Culture, bacterial; quantitative colony count, urine	<1%	290	204	$967.78
87276		<1%	117	111	$643.06
80305		<1%	132	114	$614.75
80061	Lipid panel	<1%	491	447	$491.47
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	23	13	$406.73
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	12	12	$391.23

14 more codes

83036	Hemoglobin; glycosylated (A1C)	<1%	333	$388.94
81003		<1%	441	$274.33
87275		<1%	117	$238.90
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	23	$224.04
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	162	$218.41
36415	Collection of venous blood by venipuncture	<1%	565	$138.74
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	13	$131.54
71046	Radiologic examination, chest; 2 views	<1%	12	$117.59
84466		<1%	38	$94.97
82728		<1%	56	$80.50
87186		<1%	16	$49.80
80048	Basic metabolic panel (calcium, ionized)	<1%	15	$45.04
83540		<1%	38	$43.85
81025		<1%	26	$17.65

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 officialTENHOUSE, STEVEN (CEO)

Same official

Other billing entities under TENHOUSE, STEVEN

Full network →

Provider	Location	Paid
Kirby Medical Center	Monticello, IL	$2.84M
Kirby Medical Center	Atwood, IL	$736K
Kirby Medical Center	Cerro Gordo, IL	$512K
Kirby Medical Center	Monticello, IL	$179K

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