Hospital
ST. Margaret's Health - Spring Valley
ST. Margaret's Health - Spring Valley was paid $304K by Medicaid between Jan 2018 and Jun 2020, across 47 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 73% of everything it billed.
33Billing provider infoST. MARGARET'S HEALTH - SPRING VALLEY
SPRING VALLEY, IL 61362
SPRING VALLEY, IL 61362
33aNPI1861494072assigned 06/01/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$304K
24GClaims21,863
24DCodes billed47
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Acute Care Hospital providers in Illinois
Rank by total paid#81 of 129
Median peer was paid$547K
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 | 6,499 | $141K | |
| 2019 | 11,166 | $143K | |
| 2020 | 4,198 | $20K |
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 | 73% | 2,257 | 435 | $222K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 4.8% | 769 | 692 | $15K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | 3.5% | 533 | 438 | $11K |
| 84443 | Thyroid stimulating hormone (TSH) | 3.0% | 1,800 | 1,719 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 219 | 199 | $6K |
| 80053 | Comprehensive metabolic panel | 2.1% | 2,635 | 2,405 | $6K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.1% | 370 | 348 | $3K |
| 87086 | Culture, bacterial; quantitative colony count, urine | 1.1% | 1,139 | 1,038 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.1% | 366 | 344 | $3K |
| 97161 | <1% | 26 | 26 | $3K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 72 | 68 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,898 | 2,563 | $2K |
35 more codes
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 198 | $2K |
| 88142 | <1% | 805 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 32 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,084 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | $1K |
| 87186 | <1% | 294 | $1K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 68 | $855.46 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 333 | $841.32 |
| 83655 | <1% | 172 | $829.11 | |
| 80061 | Lipid panel | <1% | 1,320 | $781.98 |
| 87340 | <1% | 283 | $619.02 | |
| 80306 | <1% | 273 | $596.99 | |
| 99283 | Emergency room visit (moderate) | <1% | 18 | $579.60 |
| 86803 | <1% | 298 | $567.24 | |
| 84702 | <1% | 179 | $483.99 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 55 | $448.93 |
| 84439 | <1% | 628 | $403.26 | |
| 86904 | <1% | 250 | $387.35 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 16 | $342.02 |
| 86592 | <1% | 746 | $292.75 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 216 | $237.76 |
| 87081 | <1% | 78 | $173.21 | |
| 85610 | <1% | 224 | $161.97 | |
| 86762 | <1% | 155 | $140.20 | |
| 81001 | <1% | 302 | $123.12 | |
| 82950 | <1% | 140 | $98.15 | |
| 85018 | <1% | 242 | $69.26 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 12 | $63.30 |
| 86140 | <1% | 29 | $27.66 | |
| 85014 | <1% | 118 | $26.17 | |
| 85652 | <1% | 80 | $23.09 | |
| 82570 | <1% | 27 | $20.55 | |
| 82607 | <1% | 26 | $17.52 | |
| 83540 | <1% | 14 | $9.49 | |
| 82728 | <1% | 13 | $6.96 |
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 officialMUNTZ, TIMOTHY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| ST. Margaret's Health - Spring Valley | Spring Valley, IL | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.