Medicaid Provider Spending

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

THE CARLE FOUNDATION HOSPITAL

NPI: 1013071653 · URBANA, IL 61801 · Occupational Therapist · NPI assigned 12/20/2006

$830K
Total Medicaid Paid
27,704
Total Claims
18,042
Beneficiaries
144
Codes Billed
2018-04
First Month
2022-01
Last Month

Provider Details

Authorized OfficialLEONARD, JAMES (CEO)
NPI Enumeration Date12/20/2006

Related Entities

Other providers sharing the same authorized official: LEONARD, JAMES

ProviderCityStateTotal Paid
CARLE FOUNDATION HOSPITAL URBANA IL $8.32M
THE CARLE FOUNDATION HOSPITAL CHAMPAIGN IL $6.36M
THE CARLE FOUNDATION HOSPITAL CHAMPAIGN IL $4.77M
THE CARLE FOUNDATION HOSPITAL URBANA IL $2.52M
THE CARLE FOUNDATION HOSPITAL DANVILLE IL $1.29M
THE CARLE FOUNDATION HOSPITAL MATTOON IL $457K
THE CARLE FOUNDATION HOSPITAL NORMAL IL $4K
CARLE HEALTH CARE INCORPORATED CHAMPAIGN IL $681.19

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,136 $640K
2019 843 $121K
2020 1,705 $68K
2022 20 $852.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,569 784 $407K
90837 Psychotherapy, 53 minutes with patient 831 467 $116K
97162 582 258 $66K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 188 185 $27K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 938 196 $19K
90792 Psychiatric diagnostic evaluation with medical services 51 50 $13K
90670 420 391 $12K
90651 231 183 $12K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 626 355 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 627 356 $10K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 120 107 $9K
90834 Psychotherapy, 45 minutes with patient 57 44 $8K
90791 Psychiatric diagnostic evaluation 31 31 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 171 129 $6K
84443 Thyroid stimulating hormone (TSH) 799 678 $6K
J1050 Injection, medroxyprogesterone acetate, 1 mg 103 73 $5K
90710 144 136 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 309 287 $5K
80053 Comprehensive metabolic panel 1,185 944 $4K
97163 32 12 $4K
17110 51 44 $4K
90734 194 166 $3K
77067 Screening mammography, bilateral, including computer-aided detection 72 72 $3K
90715 274 224 $3K
87086 Culture, bacterial; quantitative colony count, urine 581 450 $3K
87536 38 15 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 408 280 $3K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 97 88 $2K
90732 29 13 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 122 82 $2K
0502F 60 51 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 394 337 $2K
87081 355 336 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,337 1,040 $2K
90686 165 155 $2K
92015 Determination of refractive state 341 253 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 47 33 $1K
92551 98 97 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 187 130 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 129 125 $1K
90723 323 309 $1K
86480 35 30 $1K
80048 Basic metabolic panel (calcium, ionized) 301 246 $1K
71046 Radiologic examination, chest; 2 views 99 93 $1K
90681 158 147 $1K
73630 93 66 $1K
83036 Hemoglobin; glycosylated (A1C) 535 459 $1K
97161 19 12 $1K
99173 157 144 $967.50
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 20 12 $852.93
90633 224 211 $852.34
82784 71 34 $844.44
85610 266 173 $775.73
73610 56 51 $774.90
80061 Lipid panel 432 392 $765.28
87808 171 111 $762.36
84702 130 86 $747.51
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 316 236 $736.99
90716 57 50 $711.82
90647 258 247 $687.09
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 67 41 $680.33
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening 344 225 $680.31
86803 151 87 $633.10
72110 37 36 $625.35
83655 101 100 $603.00
87186 113 80 $595.82
73560 41 29 $558.60
94060 29 22 $544.33
87340 187 100 $536.40
81002 294 265 $533.17
80074 22 12 $499.20
73110 42 35 $477.30
82728 286 237 $472.21
87905 158 102 $453.62
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 39 35 $450.76
84466 191 150 $439.80
88305 Level IV - Surgical pathology, gross and microscopic examination 18 16 $425.50
84439 183 160 $363.08
82607 169 136 $322.02
81025 237 177 $298.82
86038 75 41 $261.62
92134 15 12 $260.20
87088 40 34 $239.48
73130 23 17 $237.90
92567 28 19 $221.30
90696 77 73 $217.09
87077 69 45 $194.70
85027 139 124 $178.75
86592 302 186 $174.49
69210 13 12 $171.20
90700 61 61 $164.45
86901 124 76 $164.11
90707 38 36 $147.55
73030 13 12 $144.30
81001 280 207 $142.52
83540 202 159 $139.68
86140 140 110 $138.98
83516 44 27 $131.70
88720 32 24 $129.80
73140 19 16 $129.04
83735 112 67 $117.18
82570 117 107 $116.24
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 36 35 $110.27
87070 46 33 $105.40
74018 12 12 $101.90
95117 24 12 $99.60
80305 13 13 $98.78
77063 Screening digital breast tomosynthesis, bilateral 17 17 $98.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 30 15 $96.19
90460 Immunization administration through 18 years of age via any route, first or only component 172 158 $80.90
J1885 Injection, ketorolac tromethamine, per 15 mg 75 53 $73.52
80076 18 17 $71.82
82950 78 66 $68.99
86850 104 68 $67.35
G0009 Administration of pneumococcal vaccine 29 13 $62.98
82043 66 65 $55.16
85652 132 95 $52.05
86696 34 14 $42.65
86762 86 55 $40.34
84550 43 36 $39.54
86360 38 15 $38.02
83721 134 127 $37.36
83615 50 34 $35.36
87210 121 68 $32.90
87205 45 33 $28.00
83986 14 14 $24.64
90461 93 88 $24.45
86900 121 75 $24.22
86359 38 15 $22.32
86200 21 14 $21.70
83690 16 15 $20.16
Q0112 All potassium hydroxide (koh) preparations 15 14 $19.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 224 166 $16.18
85018 15 15 $13.92
84156 22 22 $6.90
86695 34 14 $5.81
85014 14 14 $4.64
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 39 28 $2.10
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 50 33 $1.95
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 33 30 $0.14
36416 22 21 $0.00
G0008 Administration of influenza virus vaccine 92 82 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18 18 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 34 34 $0.00