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    OpenPayerNPI Medicare & MedicaidMemorial Medical Center
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    Memorial Medical Center — Billing Profile & Reimbursement Data

    NPI 1427181882 · Springfield, IL · General Acute Care Hospital

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    Memorial Medical Center is a general acute care hospital provider located in Springfield, Illinois. This profile covers 0 Medicare and 167 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMemorial Medical Center
    Address701 N 1st St
    CitySpringfield
    StateIL
    ZIP62781
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedMarch 14, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    167 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…14,140$90$1.2M
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.18,370$20$349K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…7,810$30$250K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…1,560$60$95.3K
    U0003Infectious 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…980$100$94.5K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.6,330$10$88.6K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.6,300$10$88.1K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…970$80$76.5K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…5,160$10$67.1K
    97161The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…790$80$60K

    Showing 1–10 of 167

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    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

    167 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…4470570$50$565.6K
    U0003Infectious 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…143350400$70$514.7K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.832801,120$30$218.9K
    87902The lab analyst performs the technical lab test to analyze the specific genotype by nucleic acid of a specimen containing hepatitis C virus.101080$160$192K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…44250450$40$185.7K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…501,220540$60$179.4K
    80081The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…2830170$50$169.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.38360600$30$165.1K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.37360630$30$165K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…2011,2101,070$30$102.1K

    Showing 1–10 of 167

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Memorial Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Craig RussoILDiagnostic Radiology Physician$129.6K$800.1K
    Edward HarterILDiagnostic Radiology Physician$242.8K$666.8K
    Mohamed LabediILCardiovascular Disease Physician$115K$417.9K
    Nasaraiah NallamothuILCardiovascular Disease Physician$248.3K$125.9K
    Patrick KnightMOOrthopaedic Surgery Physician$195.5K$3.6K
    Sarah SmithILFamily Nurse Practitioner$25K$96.3K
    Sang ShinILAnesthesiology Physician$18.9K$68.6K
    Edward TrudeauILPhysical Medicine & Rehabilitation Physician$86.8K$0
    Kevin O'lenaAZCertified Registered Nurse Anesthetist$40.5K$0
    Reginald BulkleyMOAnesthesiology Physician$16.5K$4.3K

    Nearby Providers

    Other providers in the same ZIP code as Memorial Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Home ServicesILHome Health Agency$0$3.5M
    Marisa BlitsteinILDiagnostic Radiology Physician$190.6K$556K
    Junaid BaqaiILAnatomic Pathology & Clinical Pathology Physician$72K$492.5K
    Daniel FerraroILRadiation Oncology Physician$247.2K$0
    Nassim BanisaeedILAnatomic Pathology & Clinical Pathology Physician$108K$135.1K
    Allison RetzerILDiagnostic Radiology Physician$177.5K$0
    Alex HallILDiagnostic Radiology Physician$174.2K$0
    Christopher BradburyILRadiation Oncology Physician$146.7K$1.5K
    Cullen HoosILHospitalist Physician$104.6K$20.6K
    Sajedabanu MominILHospitalist Physician$75.5K$14.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Illinois Providers
    3 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Memorial Medical Center — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois