Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROTESTANT MEMORIAL MEDICAL CENTER, INC.

NPI: 1982796181 · BELLEVILLE, IL 62226 · General Acute Care Hospital · NPI assigned 09/28/2006

$655K
Total Medicaid Paid
18,943
Total Claims
9,832
Beneficiaries
45
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialGUSMANO, JANE (VICE PRESIDENT)
NPI Enumeration Date09/28/2006

Related Entities

Other providers sharing the same authorized official: GUSMANO, JANE

ProviderCityStateTotal Paid
SOUTHWEST ILLINOIS HEALTH SERVICES, LLP SWANSEA IL $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,789 $297K
2019 6,417 $204K
2020 4,737 $154K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 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 300 187 $17K
97162 287 215 $17K
84443 Thyroid stimulating hormone (TSH) 852 693 $7K
97161 122 102 $6K
80053 Comprehensive metabolic panel 1,473 1,131 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 107 97 $4K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 245 36 $4K
77067 Screening mammography, bilateral, including computer-aided detection 65 54 $3K
80048 Basic metabolic panel (calcium, ionized) 715 546 $2K
71046 Radiologic examination, chest; 2 views 297 264 $2K
80306 275 185 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,743 1,382 $2K
73562 192 145 $2K
73610 67 34 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 137 107 $1K
80061 Lipid panel 1,025 834 $885.84
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 14 $875.49
73110 40 37 $543.97
83036 Hemoglobin; glycosylated (A1C) 574 481 $523.23
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 396 317 $515.27
85027 246 180 $478.26
73030 38 29 $435.15
81001 525 417 $375.58
87086 Culture, bacterial; quantitative colony count, urine 81 75 $367.92
77063 Screening digital breast tomosynthesis, bilateral 65 54 $361.20
73630 43 29 $298.44
72100 26 26 $297.43
85610 88 66 $196.32
84439 137 120 $157.52
82570 170 134 $64.34
86850 55 37 $49.65
82607 27 13 $49.20
86901 57 38 $41.52
82248 16 12 $28.47
86900 57 38 $27.81
82043 61 41 $25.95
84156 181 139 $23.82
82247 16 12 $22.67
83550 13 12 $18.84
85652 51 38 $16.62
84450 15 13 $10.54
83540 46 24 $6.21
84460 15 14 $5.70
99460 32 17 $0.00