Mason Hospital District

Mason Hospital District was paid $119K by Medicaid between Jan 2018 and Jun 2020, across 23 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 65% of everything it billed.

33Billing provider infoMASON HOSPITAL DISTRICT
HAVANA, IL 62644

33aNPI1902849649assigned 06/13/2006

33bProvider typeCritical Access Hospital

28Total paid$119K

24GClaims5,214

24DCodes billed23

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Critical Access Hospital providers in Illinois

Rank by total paid#34 of 47

Median peer was paid$315K

This provider vs. median0.4×

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	1,012	$6K
2019	2,763	$61K
2020	1,439	$53K

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	65%	326	49	$77K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	13%	756	705	$15K
A0425	Ground mileage, per statute mile	7.3%	143	52	$9K
84443	Thyroid stimulating hormone (TSH)	2.3%	522	499	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.3%	83	80	$3K
80053	Comprehensive metabolic panel	2.1%	976	867	$3K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	2.1%	58	29	$2K
87486		1.4%	93	85	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.1%	39	36	$1K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	39	13	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	719	600	$587.48
87086	Culture, bacterial; quantitative colony count, urine	<1%	219	205	$584.68

11 more codes

71046	Radiologic examination, chest; 2 views	<1%	68	$453.41
83036	Hemoglobin; glycosylated (A1C)	<1%	301	$377.15
80061	Lipid panel	<1%	429	$355.87
83655		<1%	45	$257.08
85027		<1%	185	$177.38
80048	Basic metabolic panel (calcium, ionized)	<1%	49	$130.06
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	14	$119.45
87186		<1%	13	$61.25
84439		<1%	57	$51.91
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	28	$47.92
81000		<1%	52	$23.11

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 officialSTOLBA, ROBERT (CHIEF FINANCIAL OFFICER)

Same official

Other billing entities under STOLBA, ROBERT

Full network →

Provider	Location	Paid
Mason Hospital District	Mason City, IL	$354K
Mason Hospital District	Havana, IL	$192K

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