Protestant Memorial Medical Center, INC.

Protestant Memorial Medical Center, INC. was paid $655K by Medicaid between Jan 2018 and Jul 2020, across 45 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 88% of everything it billed.

33Billing provider infoPROTESTANT MEMORIAL MEDICAL CENTER, INC.
BELLEVILLE, IL 62226

33aNPI1982796181assigned 09/28/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$655K

24GClaims18,943

24DCodes billed45

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other General Acute Care Hospital providers in Illinois

Rank by total paid#59 of 129

Median peer was paid$547K

This provider vs. median1.2×

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	7,789	$297K
2019	6,417	$204K
2020	4,737	$154K

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	88%	7,956	1,393	$575K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	2.6%	300	187	$17K
97162		2.6%	287	215	$17K
84443	Thyroid stimulating hormone (TSH)	1.1%	852	693	$7K
97161		<1%	122	102	$6K
80053	Comprehensive metabolic panel	<1%	1,473	1,131	$4K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	107	97	$4K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	245	36	$4K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	65	54	$3K
80048	Basic metabolic panel (calcium, ionized)	<1%	715	546	$2K
71046	Radiologic examination, chest; 2 views	<1%	297	264	$2K
80306		<1%	275	185	$2K

33 more codes

85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,743	$2K
73562		<1%	192	$2K
73610		<1%	67	$1K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	137	$1K
80061	Lipid panel	<1%	1,025	$885.84
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	14	$875.49
73110		<1%	40	$543.97
83036	Hemoglobin; glycosylated (A1C)	<1%	574	$523.23
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	396	$515.27
85027		<1%	246	$478.26
73030		<1%	38	$435.15
81001		<1%	525	$375.58
87086	Culture, bacterial; quantitative colony count, urine	<1%	81	$367.92
77063	Screening digital breast tomosynthesis, bilateral	<1%	65	$361.20
73630		<1%	43	$298.44
72100		<1%	26	$297.43
85610		<1%	88	$196.32
84439		<1%	137	$157.52
82570		<1%	170	$64.34
86850		<1%	55	$49.65
82607		<1%	27	$49.20
86901		<1%	57	$41.52
82248		<1%	16	$28.47
86900		<1%	57	$27.81
82043		<1%	61	$25.95
84156		<1%	181	$23.82
82247		<1%	16	$22.67
83550		<1%	13	$18.84
85652		<1%	51	$16.62
84450		<1%	15	$10.54
83540		<1%	46	$6.21
84460		<1%	15	$5.70
99460		0%	32	$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 officialGUSMANO, JANE (VICE PRESIDENT)

Same official

Other billing entities under GUSMANO, JANE

Full network →

Provider	Location	Paid
Southwest Illinois Health Services, LLP	Swansea, IL	$8K

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