Northwestern Lake Forest Hospital

Northwestern Lake Forest Hospital was paid $1.85M by Medicaid between Jan 2018 and Mar 2023, across 43 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 71% of everything it billed.

33Billing provider infoNORTHWESTERN LAKE FOREST HOSPITAL
LAKE FOREST, IL 60045

33aNPI1124025176assigned 07/06/2005

33bProvider typeGeneral Acute Care Hospital

28Total paid$1.85M

24GClaims38,214

24DCodes billed43

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other General Acute Care Hospital providers in Illinois

Rank by total paid#31 of 129

Median peer was paid$547K

This provider vs. median3.4×

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	12,112	$636K
2019	18,143	$878K
2020	7,886	$333K
2023	73	$833.02

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	71%	14,758	3,108	$1.31M
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	18%	7,362	1,062	$337K
97162		3.5%	698	534	$65K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	1.4%	303	72	$26K
97161		1.3%	265	204	$24K
77067	Screening mammography, bilateral, including computer-aided detection	1.2%	393	357	$22K
92557		<1%	360	332	$13K
U0003	Infectious 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 throughput technologies as described by cms-2020-01-r	<1%	125	123	$10K
80053	Comprehensive metabolic panel	<1%	2,732	1,925	$8K
84443	Thyroid stimulating hormone (TSH)	<1%	1,275	1,120	$8K
92567		<1%	324	294	$5K
71046	Radiologic examination, chest; 2 views	<1%	427	384	$4K

31 more codes

85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,891	$4K
36415	Collection of venous blood by venipuncture	<1%	1,088	$3K
97163		<1%	16	$2K
77063	Screening digital breast tomosynthesis, bilateral	<1%	170	$2K
82607		<1%	344	$1K
84439		<1%	585	$867.57
80061	Lipid panel	<1%	631	$849.11
80048	Basic metabolic panel (calcium, ionized)	<1%	362	$840.63
99285	Emergency room visit (most serious)	<1%	20	$753.63
85610		<1%	470	$602.07
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	247	$561.18
92591		<1%	15	$513.56
82728		<1%	376	$460.78
84466		<1%	214	$450.75
82784		<1%	75	$414.13
83036	Hemoglobin; glycosylated (A1C)	<1%	303	$400.44
83540		<1%	274	$353.20
86235		<1%	12	$281.26
73630		<1%	29	$267.88
81001		<1%	299	$202.15
85027		<1%	150	$185.90
83615		<1%	96	$166.56
83516		<1%	18	$145.19
86140		<1%	125	$138.06
85652		<1%	235	$116.77
82746		<1%	48	$113.70
86038		<1%	33	$100.18
86160		<1%	15	$53.94
86225		<1%	17	$34.44
83735		<1%	21	$16.31
82043		<1%	13	$9.80

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 officialCOLLINS, SEAMUS (PRESIDENT)