Supplier
The Carle Foundation Hospital
The Carle Foundation Hospital was paid $4.77M by Medicaid between Jan 2018 and Nov 2024, across 56 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 — 24% of everything it billed.
33Billing provider infoTHE CARLE FOUNDATION HOSPITAL
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
33aNPI1104883487assigned 04/28/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$4.77M
24GClaims101,300
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Illinois
Rank by total paid#36 of 323
Median peer was paid$217K
This provider vs. median22×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,458 | $379K | |
| 2019 | 13,044 | $576K | |
| 2020 | 17,118 | $717K | |
| 2021 | 15,506 | $842K | |
| 2022 | 14,841 | $777K | |
| 2023 | 18,227 | $882K | |
| 2024incomplete | 13,106 | $597K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 24% | 10,350 | 9,343 | $1.13M |
| E0601 | Continuous positive airway pressure (cpap) device | 18% | 14,356 | 13,279 | $848K |
| E0570 | Nebulizer, with compressor | 6.6% | 6,133 | 5,659 | $314K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 6.4% | 14,335 | 13,303 | $306K |
| A7030 | Full face mask used with positive airway pressure device, each | 5.2% | 2,291 | 2,155 | $250K |
| 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 | 4.0% | 5,624 | 5,097 | $193K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 4.0% | 2,764 | 2,621 | $189K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 3.2% | 2,003 | 1,888 | $155K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 3.2% | 4,229 | 3,995 | $153K |
| E0603 | Breast pump, electric (ac and/or dc), any type | 2.7% | 1,139 | 1,099 | $129K |
| K0001 | Standard wheelchair | 2.5% | 4,193 | 3,925 | $121K |
| A4670 | Automatic blood pressure monitor | 2.5% | 1,922 | 1,850 | $121K |
44 more codes
| A7035 | Headgear used with positive airway pressure device | 2.3% | 4,380 | $108K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 2.1% | 2,058 | $99K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 1.7% | 1,472 | $81K |
| T4541 | Incontinence product, disposable underpad, large, each | 1.5% | 1,254 | $74K |
| L0970 | Tlso, corset front | 1.1% | 726 | $51K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 1,317 | $47K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 5,638 | $35K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 2,588 | $34K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 914 | $33K |
| E0730 | Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation | <1% | 1,213 | $32K |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | <1% | 616 | $29K |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | <1% | 344 | $23K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | <1% | 157 | $21K |
| K0003 | Lightweight wheelchair | <1% | 350 | $20K |
| E1392 | Portable oxygen concentrator, rental | <1% | 1,049 | $19K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 174 | $18K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 685 | $15K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 314 | $14K |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | <1% | 385 | $13K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 101 | $12K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 74 | $9K |
| E0630 | Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) | <1% | 150 | $9K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 650 | $8K |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | <1% | 134 | $6K |
| E0245 | Tub stool or bench | <1% | 132 | $5K |
| E0971 | Manual wheelchair accessory, anti-tipping device, each | <1% | 721 | $5K |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 31 | $5K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 363 | $5K |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 475 | $5K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 1,697 | $4K |
| E0156 | Seat attachment, walker | <1% | 383 | $4K |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | <1% | 26 | $3K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | <1% | 29 | $3K |
| A7037 | Tubing used with positive airway pressure device | <1% | 108 | $2K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 13 | $2K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 53 | $2K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 25 | $2K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 90 | $2K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 315 | $1K |
| A6197 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | <1% | 12 | $989.67 |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 340 | $859.56 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 376 | $526.10 |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 17 | $267.06 |
| A4565 | Slings | <1% | 12 | $76.45 |
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
| Provider | Location | Paid |
|---|---|---|
| Carle Foundation Hospital | Urbana, IL | $8.32M |
| The Carle Foundation Hospital | Champaign, IL | $6.36M |
| The Carle Foundation Hospital | Urbana, IL | $2.52M |
| The Carle Foundation Hospital | Danville, IL | $1.29M |
| The Carle Foundation Hospital | Urbana, IL | $830K |
| The Carle Foundation Hospital | Mattoon, IL | $457K |
| The Carle Foundation Hospital | Normal, IL | $4K |
| Carle Health Care Incorporated | Champaign, IL | $681.19 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.