ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde
ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde was paid $135K by Medicaid between Jan 2018 and Apr 2021, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
GERMANTOWN, IL 62245
Next to other Family Medicine Physician providers in Illinois
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 757 | $27K | |
| 2019 | 406 | $18K | |
| 2020 | 1,820 | $78K | |
| 2021 | 212 | $12K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 2,092 | 1,274 | $135K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 119 | 119 | $0.00 |
| 99177 | 0% | 30 | 30 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 80 | 76 | $0.00 |
| 90670 | 0% | 72 | 70 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 18 | 18 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 37 | 37 | $0.00 |
| 90707 | 0% | 17 | 16 | $0.00 | |
| 90716 | 0% | 14 | 13 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 564 | 359 | $0.00 |
| 90698 | 0% | 41 | 39 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 62 | 62 | $0.00 |
1 more codes
| 90686 | 0% | 49 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| ST Marys Hospital Sisters of the Third Order of ST Francis | Decatur, IL | $7.04M |
| ST Johns Hospital of the Hospital Sisters of the Third Order of ST F | Springfield, IL | $1.70M |
| ST Johns Hospital of the Hospital Sisters of the Third Order of ST F | Springfield, IL | $1.33M |
| ST Elizabeths Hospital of the Hospital Sisters of the Third Order | O Fallon, IL | $637K |
| ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde | New Baden, IL | $133K |
| ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde | Carlyle, IL | $39K |
| ST Elizabeths Hospital of the Hospital Sisters of the Third Order | Belleville, IL | $38K |
| ST Josephs Hospital Breese of the Hospital Sisters of the Third Orde | Trenton, IL | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.