Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Urbana › NPI 1083736177

Carle Foundation Hospital

Carle Foundation Hospital was paid $8.32M by Medicaid between Jan 2018 and Feb 2024, across 321 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 39% of everything it billed.

33Billing provider infoCARLE FOUNDATION HOSPITAL
URBANA, IL 61801
33aNPI1083736177assigned 04/06/2007
33bProvider typeOccupational Therapist
28Total paid$8.32M
24GClaims507,851
24DCodes billed321
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Occupational Therapist providers in Illinois

Rank by total paid#3 of 289
Median peer was paid$24K
This provider vs. median342×

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$200K$400K$600K2018201920202021202220232024
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
2018136,351$2.17M
2019269,208$4.28M
2020101,945$1.87M
2021288$3K
2024incomplete59$872.61
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 39% 38,591 11,129 $3.22M
97162 6.8% 5,124 3,482 $567K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4.7% 12,402 4,072 $395K
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 3.9% 4,499 2,563 $322K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.5% 4,772 4,171 $208K
J1050 Injection, medroxyprogesterone acetate, 1 mg 2.5% 4,120 1,825 $208K
90732 1.7% 1,468 600 $140K
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 1.5% 920 682 $129K
90670 1.5% 9,770 5,155 $127K
0502F 1.5% 3,019 1,075 $125K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.4% 8,094 7,294 $117K
77067 Screening mammography, bilateral, including computer-aided detection 1.4% 2,225 2,144 $114K
309 more codes
90651 1.4% 3,431 $112K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.3% 8,099 $110K
84443 Thyroid stimulating hormone (TSH) 1.3% 14,915 $107K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 1.3% 247 $104K
97163 1.2% 898 $103K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.0% 9,314 $84K
97161 <1% 794 $83K
92551 <1% 5,153 $71K
80053 Comprehensive metabolic panel <1% 21,592 $66K
90715 <1% 4,065 $64K
90688 <1% 6,940 $54K
71046 Radiologic examination, chest; 2 views <1% 4,443 $46K
87507 <1% 214 $44K
87081 <1% 11,380 $42K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,637 $38K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,951 $37K
90686 <1% 4,608 $33K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 3,048 $32K
73610 <1% 2,089 $31K
90734 <1% 2,569 $29K
73630 <1% 2,768 $29K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 2,241 $28K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 790 $26K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,112 $25K
58300 <1% 323 $25K
87536 <1% 525 $25K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 756 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 764 $22K
92523 <1% 423 $22K
87808 <1% 4,150 $21K
80048 Basic metabolic panel (calcium, ionized) <1% 5,588 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 24,092 $21K
90723 <1% 7,451 $19K
92567 <1% 1,455 $18K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 293 $18K
86480 <1% 563 $18K
90633 <1% 5,471 $18K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 848 $18K
92557 <1% 648 $18K
73560 <1% 1,890 $17K
94060 <1% 492 $17K
17110 <1% 268 $16K
97166 <1% 590 $16K
90647 <1% 7,172 $16K
73110 <1% 1,388 $16K
87631 <1% 199 $15K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 591 $15K
L3807 Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 102 $14K
87522 Neg quan hep c or qual rna <1% 524 $14K
86481 <1% 552 $14K
83655 <1% 2,112 $14K
72110 <1% 786 $14K
85610 <1% 6,605 $14K
83036 Hemoglobin; glycosylated (A1C) <1% 9,271 $13K
90710 <1% 3,182 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 677 $13K
0503F <1% 300 $13K
73030 <1% 1,150 $13K
90716 <1% 1,918 $13K
0500F <1% 307 $12K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,545 $12K
86803 <1% 2,236 $12K
87186 <1% 2,405 $11K
92015 Determination of refractive state <1% 1,314 $11K
74018 <1% 1,138 $11K
72050 <1% 677 $11K
90681 <1% 4,468 $11K
90707 <1% 1,878 $11K
73502 <1% 648 $10K
87529 <1% 453 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 791 $10K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 903 $10K
73130 <1% 1,113 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 253 $10K
92579 <1% 499 $10K
84702 <1% 2,447 $9K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 156 $9K
86235 <1% 590 $9K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,267 $9K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 662 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 2,637 $9K
73140 <1% 1,088 $8K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 404 $8K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 1,863 $8K
81002 <1% 5,856 $8K
72100 <1% 611 $8K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 90 $8K
73562 <1% 703 $7K
90696 <1% 2,210 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 204 $7K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,717 $7K
80061 Lipid panel <1% 7,731 $7K
82728 <1% 5,519 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 168 $7K
84466 <1% 3,688 $6K
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening <1% 1,801 $6K
90700 <1% 2,284 $6K
73080 <1% 546 $6K
87340 <1% 3,035 $6K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,305 $6K
81511 <1% 231 $6K
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 <1% 4,324 $6K
83516 <1% 1,493 $6K
88720 <1% 2,003 $5K
86038 <1% 1,533 $5K
81025 <1% 4,977 $5K
L1902 Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf <1% 152 $5K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 458 $5K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 1,208 $5K
90662 <1% 98 $5K
98926 <1% 270 $5K
82784 <1% 1,227 $5K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,079 $4K
92134 <1% 250 $4K
20552 <1% 196 $4K
84439 <1% 4,784 $4K
85027 <1% 3,576 $4K
82607 <1% 1,591 $4K
87088 <1% 954 $4K
83001 <1% 651 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 241 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 169 $4K
82105 <1% 547 $4K
83970 <1% 277 $4K
84403 <1% 649 $4K
80305 <1% 552 $4K
90847 Family psychotherapy with the patient present, 50 minutes <1% 69 $4K
83520 <1% 353 $4K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 412 $4K
86200 <1% 1,011 $4K
86003 <1% 541 $4K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 65 $3K
97165 <1% 196 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 769 $3K
86160 <1% 1,024 $3K
80074 <1% 277 $3K
97167 <1% 77 $3K
95117 <1% 878 $3K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 105 $3K
G0008 Administration of influenza virus vaccine <1% 1,627 $3K
87070 <1% 1,458 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 19 $3K
84410 <1% 202 $3K
99173 <1% 664 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 96 $3K
84112 <1% 87 $3K
92083 <1% 92 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 848 $2K
73590 <1% 232 $2K
81001 <1% 4,892 $2K
82570 <1% 3,439 $2K
94010 <1% 74 $2K
87338 <1% 212 $2K
86140 <1% 3,755 $2K
87905 <1% 3,516 $2K
A4565 Slings <1% 328 $2K
86592 <1% 4,486 $2K
83880 <1% 361 $2K
90636 <1% 26 $2K
80069 <1% 708 $2K
96118 <1% 28 $2K
80164 <1% 543 $2K
80076 <1% 847 $2K
69210 <1% 98 $2K
83020 <1% 565 $2K
83540 <1% 3,916 $2K
86696 <1% 610 $2K
96040 <1% 41 $2K
86901 <1% 1,791 $2K
86850 <1% 1,650 $2K
90746 <1% 32 $1K
86762 <1% 1,285 $1K
82950 <1% 2,353 $1K
83735 <1% 1,922 $1K
87077 <1% 705 $1K
73090 <1% 163 $1K
80055 <1% 132 $1K
L1836 Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf <1% 12 $1K
86787 <1% 319 $1K
86706 <1% 654 $1K
84146 <1% 620 $1K
86141 <1% 226 $1K
83993 <1% 228 $1K
96133 <1% 16 $1K
77065 Tomosynthesis, mammo <1% 21 $1K
86147 <1% 186 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 30 $1K
72082 <1% 48 $1K
86225 <1% 517 $1K
86580 <1% 329 $1K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 364 $1K
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens <1% 687 $1K
73660 <1% 121 $1K
85730 <1% 761 $991.06
92610 <1% 34 $990.39
85379 <1% 364 $963.70
92550 <1% 78 $944.74
G0009 Administration of pneumococcal vaccine <1% 475 $925.44
96111 <1% 57 $862.83
86704 <1% 346 $832.76
73564 <1% 57 $820.84
82043 <1% 2,513 $776.94
86900 <1% 1,797 $753.53
92555 <1% 53 $750.29
85652 <1% 3,316 $738.25
86431 <1% 1,006 $722.63
82951 <1% 142 $704.95
L3260 Surgical boot/shoe, each <1% 49 $672.12
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 13 $660.25
87493 <1% 29 $647.04
92582 <1% 30 $646.74
96132 <1% 44 $636.92
92060 <1% 50 $613.75
83615 <1% 1,112 $606.09
86376 <1% 562 $592.95
86360 <1% 586 $585.54
87210 <1% 2,229 $580.08
87205 <1% 1,249 $562.21
86695 <1% 634 $552.01
86769 <1% 17 $532.89
83883 <1% 171 $528.32
82533 <1% 76 $522.40
Q0112 All potassium hydroxide (koh) preparations <1% 464 $520.08
84550 <1% 1,224 $504.12
83690 <1% 649 $487.95
82962 <1% 540 $483.39
90461 <1% 148 $480.85
J2550 Injection, promethazine hcl, up to 50 mg <1% 110 $430.35
73120 <1% 52 $430.29
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard <1% 291 $414.57
84481 <1% 414 $379.60
82550 <1% 497 $353.28
81003 <1% 615 $352.55
83021 <1% 70 $350.79
86708 <1% 356 $334.30
J3490 Unclassified drugs <1% 85 $325.07
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 37 $321.05
90713 <1% 89 $312.18
91200 <1% 29 $309.15
83986 <1% 450 $307.54
82746 <1% 288 $306.89
84480 <1% 286 $299.00
84446 <1% 75 $297.46
J7510 Prednisolone oral, per 5 mg <1% 73 $297.02
88304 <1% 13 $254.37
82670 <1% 230 $246.67
86618 <1% 13 $245.64
82274 <1% 31 $245.20
86359 <1% 553 $238.28
84402 <1% 263 $237.13
84156 <1% 1,078 $235.71
84153 <1% 44 $224.75
84144 <1% 60 $219.90
86765 <1% 74 $215.46
72072 <1% 29 $214.16
85018 <1% 695 $203.61
92133 <1% 16 $203.10
83721 <1% 173 $200.53
82565 <1% 117 $190.58
85014 <1% 602 $184.34
11721 <1% 15 $176.11
84100 <1% 530 $174.83
84165 <1% 73 $168.63
83002 <1% 150 $150.89
86308 <1% 170 $145.40
81050 <1% 196 $141.17
82247 <1% 78 $140.86
86304 <1% 18 $126.72
84305 <1% 20 $124.73
82626 <1% 64 $120.71
80178 <1% 56 $113.20
84460 <1% 211 $106.59
84432 <1% 24 $106.55
87075 <1% 16 $102.17
99406 <1% 20 $99.33
88342 <1% 51 $98.67
84134 <1% 231 $97.74
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 134 $90.92
86800 <1% 90 $89.86
81015 <1% 140 $89.46
84590 <1% 81 $88.40
90744 <1% 26 $81.33
85613 <1% 49 $78.72
A6448 Light compression bandage, elastic, knitted/woven, width less than three inches, per yard <1% 78 $67.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 756 $64.72
82150 <1% 13 $51.89
86705 <1% 23 $44.94
82952 <1% 128 $42.83
84450 <1% 151 $42.37
86780 <1% 15 $42.28
84478 <1% 88 $38.08
86735 <1% 15 $37.08
83498 <1% 16 $34.52
84597 <1% 47 $31.78
82465 <1% 127 $25.48
82977 <1% 39 $21.04
36415 Collection of venous blood by venipuncture <1% 899 $16.29
82248 <1% 26 $14.28
83605 <1% 29 $12.93
88312 <1% 15 $11.49
83789 <1% 14 $6.98
85004 <1% 36 $6.60
86709 <1% 16 $5.40
85660 <1% 18 $4.54
82103 <1% 25 $4.31
82390 <1% 25 $4.31
36416 <1% 12 $4.10
84155 0% 21 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 14 $0.00

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)
Same official

Other billing entities under LEONARD, JAMES

Full network →
ProviderLocationPaid
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 HospitalMattoon, IL$457K
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.