Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

The Carle Foundation Hospital

The Carle Foundation Hospital was paid $457K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 32% of everything it billed.

33Billing provider infoTHE CARLE FOUNDATION HOSPITAL
MATTOON, IL 61938
33aNPI1053378349assigned 04/28/2006
28Total paid$457K
24GClaims13,153
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Illinois

Rank by total paid#131 of 323
Median peer was paid$217K
This provider vs. median2.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,008$36K
20191,796$54K
20202,759$72K
20212,415$86K
20221,914$76K
20232,365$98K
2024incomplete896$34K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 32% 1,897 1,663 $148K
E0601 Continuous positive airway pressure (cpap) device 25% 2,304 2,120 $113K
E0562 Humidifier, heated, used with positive airway pressure device 8.7% 2,184 2,022 $40K
E0570 Nebulizer, with compressor 6.3% 860 820 $29K
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing 5.7% 1,191 1,005 $26K
A4604 Tubing with integrated heating element for use with positive airway pressure device 5.5% 890 813 $25K
A7035 Headgear used with positive airway pressure device 3.6% 779 722 $16K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 3.1% 225 218 $14K
A7030 Full face mask used with positive airway pressure device, each 2.8% 161 150 $13K
A7038 Filter, disposable, used with positive airway pressure device 1.8% 1,770 1,601 $8K
T4541 Incontinence product, disposable underpad, large, each 1.7% 132 121 $8K
A7032 Cushion for use on nasal mask interface, replacement only, each 1.0% 144 131 $5K
6 more codes
A7031 Face mask interface, replacement for full face mask, each <1% 216 $4K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 288 $3K
A4670 Automatic blood pressure monitor <1% 38 $2K
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each <1% 25 $2K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 13 $1K
K0001 Standard wheelchair <1% 36 $602.22

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 officialLEONARD, JAMES (CEO)
Parent organizationCARLE FOUNDATION HOSPITAL
Same official

Other billing entities under LEONARD, JAMES

Full network →
ProviderLocationPaid
Carle Foundation HospitalUrbana, IL$8.32M
The Carle Foundation HospitalChampaign, IL$6.36M
The Carle Foundation HospitalChampaign, IL$4.77M
The Carle Foundation HospitalUrbana, IL$2.52M
The Carle Foundation HospitalDanville, IL$1.29M
The Carle Foundation HospitalUrbana, IL$830K
The Carle Foundation HospitalNormal, IL$4K
Carle Health Care IncorporatedChampaign, IL$681.19

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