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NPI 1225548753 · O Fallon, IL · Sleep Disorder Diagnostic Clinic/Center
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St Elizabeths Hospital Of The Hospital Sisters Of The Third Order is a sleep disorder diagnostic clinic/center provider located in O Fallon, Illinois. This profile covers 3 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | St Elizabeths Hospital Of The Hospital Sisters Of The Third Order |
| Address | 791 Wall St Ste 200 |
| City | O Fallon |
| State | IL |
| ZIP | 62269 |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| NPI Enumerated | October 11, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $83.7K |
| Medicaid | $2.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 100 | $380 | $38.1K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 90 | $340 | $29.8K |
| G0400 | Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels | 170 | $90 | $15.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 10 | $180 | $2.1K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 47 | 50 | 50 | $110 | $15.7K |
Other providers in the same ZIP code as St Elizabeths Hospital Of The Hospital Sisters Of The Third Order, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Southern Illinois Healthcare Foundation Inc | IL | Federally Qualified Health Center (FQHC) | $0 | $7.9M |
| Ssm Cardinal Glennon Childrens Hospital | IL | Pediatrics Physician | $0 | $5.4M |
| John Visconti | IL | Medical Oncology Physician | $2.8M | $149.1K |
| Brett Herzog | IL | Medical Oncology Physician | $1.9M | $40.7K |
| Mark Walshauser | IL | Hematology & Oncology Physician | $437.5K | $395.5K |
| O'fallon Surgical Center, LLC | IL | Ambulatory Surgical Clinic/Center | $793.7K | $0 |
| Scott Roustio | IL | Emergency Medicine Physician | $83.8K | $625.5K |
| Michael Stock | IL | Ophthalmology Physician | $669.2K | $0 |
| Patrick Win | IL | Allergy & Immunology Physician | $597.5K | $0 |
| Scott Carrizales | IL | Dermatology Physician | $492.6K | $7.4K |
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