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

National Healthcare of MT Vernon INC

National Healthcare of MT Vernon INC was paid $158K by Medicaid between Jan 2018 and Jun 2020, across 24 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 92% of everything it billed.

33Billing provider infoNATIONAL HEALTHCARE OF MT VERNON INC
MOUNT VERNON, IL 62864
33aNPI1750353041assigned 02/02/2006
28Total paid$158K
24GClaims6,842
24DCodes billed24
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other General Acute Care Hospital providers in Illinois

Rank by total paid#96 of 129
Median peer was paid$547K
This provider vs. median0.3×

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.

Entity ProliferationAuthorized official COOPER, RANDY controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20181,426$3K
20194,062$137K
20201,354$18K
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 92% 1,695 155 $145K
84443 Thyroid stimulating hormone (TSH) 2.1% 586 551 $3K
80053 Comprehensive metabolic panel 1.5% 962 887 $2K
77067 Screening mammography, bilateral, including computer-aided detection <1% 38 37 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 51 45 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 940 854 $847.24
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 68 36 $625.02
71046 Radiologic examination, chest; 2 views <1% 68 57 $528.14
80061 Lipid panel <1% 479 456 $402.29
36415 Collection of venous blood by venipuncture <1% 562 364 $337.35
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 239 231 $286.60
83036 Hemoglobin; glycosylated (A1C) <1% 324 311 $286.30
12 more codes
77063 Screening digital breast tomosynthesis, bilateral <1% 38 $234.55
81001 <1% 352 $195.35
85610 <1% 109 $154.07
80048 Basic metabolic panel (calcium, ionized) <1% 36 $96.82
86901 <1% 67 $73.64
86900 <1% 67 $54.70
87081 <1% 33 $25.62
86850 <1% 36 $22.42
85027 <1% 16 $14.39
83540 <1% 13 $9.56
82607 <1% 15 $6.30
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 0% 48 $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 officialCOOPER, RANDY (SVP FINANCE OPERATIONS/AO)
Same official

Other billing entities under COOPER, RANDY

Full network →

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