Carlinville Area Hospital Association

Carlinville Area Hospital Association was paid $515K by Medicaid between Jan 2018 and Jun 2020, across 15 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 96% of everything it billed.

33Billing provider infoCARLINVILLE AREA HOSPITAL ASSOCIATION
CARLINVILLE, IL 62626

33aNPI1841366556assigned 11/27/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$515K

24GClaims8,173

24DCodes billed15

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other General Acute Care Hospital providers in Illinois

Rank by total paid#67 of 129

Median peer was paid$547K

This provider vs. median0.9×

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	1,634	$109K
2019	4,648	$307K
2020	1,891	$99K

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	96%	3,117	601	$495K
80053	Comprehensive metabolic panel	<1%	1,445	1,210	$5K
84443	Thyroid stimulating hormone (TSH)	<1%	630	587	$4K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	216	40	$3K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,228	1,034	$2K
71046	Radiologic examination, chest; 2 views	<1%	174	145	$1K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	25	24	$1K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	81	76	$806.90
80061	Lipid panel	<1%	575	526	$735.54
83036	Hemoglobin; glycosylated (A1C)	<1%	379	346	$613.02
87807		<1%	40	24	$172.36
85027		<1%	73	68	$81.76

3 more codes

87086	Culture, bacterial; quantitative colony count, urine	<1%	14	$66.99
36415	Collection of venous blood by venipuncture	<1%	160	$59.85
80048	Basic metabolic panel (calcium, ionized)	<1%	16	$56.42

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 officialBURNSIDE, BRIAN (CEO)

Parent organizationMIDDLE MACOUPIN HEALTHCARE SYSTEM, INC

Same official

Other billing entities under BURNSIDE, BRIAN

Full network →

Provider	Location	Paid
Carlinville Area Hospital Association	Virden, IL	$253K
Carlinville Area Hospital Association	Carlinville, IL	$11K

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