Medicaid Provider Spending

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

ADVOCATE HEALTH AND HOSPITALS CORPORATION

NPI: 1164539730 · PARK RIDGE, IL 60068 · Psychiatric Hospital Unit · NPI assigned 08/23/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RICHARDSON, KARA controls 20+ related entities in our dataset. Read more

$3.89M
Total Medicaid Paid
62,671
Total Claims
26,229
Beneficiaries
56
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialRICHARDSON, KARA (VP MANAGED HEALTH)
NPI Enumeration Date08/23/2006

Related Entities

Other providers sharing the same authorized official: RICHARDSON, KARA

ProviderCityStateTotal Paid
AURORA HEALTH CARE METRO, INC. MILWAUKEE WI $182.03M
A2CL SERVICES, LLC WEST ALLIS WI $98.74M
AURORA PSYCHIATRIC HOSPITAL, INC. WAUWATOSA WI $28.09M
BAYCARE AURORA, LLC GREEN BAY WI $25.37M
WEST ALLIS MEMORIAL HOSPITAL, INC. WEST ALLIS WI $23.29M
AURORA MEDICAL CENTER OF OSHKOSH, INC OSHKOSH WI $16.47M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WEST ALLIS WI $15.36M
AURORA HEALTH CARE CENTRAL, INC. SHEBOYGAN WI $12.39M
VISITING NURSE ASSOCIATION OF WISCONSIN, INC. WAUWATOSA WI $9.78M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $9.68M
LAKESHORE MEDICAL CLINIC, LLC SAINT FRANCIS WI $8.38M
EHS HOME HEALTH CARE SERVICE INC OAK BROOK IL $7.28M
AURORA HEALTH CARE NORTH, INC. TWO RIVERS WI $6.80M
ADVOCATE HOME CARE PRODUCTS INC DOWNERS GROVE IL $5.39M
AURORA HEALTH CARE SOUTHERN LAKES, INC. BURLINGTON WI $5.25M
AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC. HARTFORD WI $3.25M
ADVOCATE HOME CARE PRODUCTS, INC BRIDGEVIEW IL $2.37M
ADVOCATE HEALTH AND HOSPITALS CORPORATION OAK LAWN IL $2.31M
AURORA MEDICAL CENTER BAY AREA, INC MARINETTE WI $1.55M
ADVOCATE NORTH SIDE HEALTH NETWORK CHICAGO IL $1.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,036 $1.43M
2019 30,350 $1.96M
2020 10,285 $501K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 27,843 6,038 $2.57M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 9,031 2,071 $400K
97161 1,911 1,405 $205K
97162 1,481 992 $153K
V5140 Binaural, behind the ear 166 164 $117K
92523 1,560 864 $107K
77067 Screening mammography, bilateral, including computer-aided detection 1,264 1,159 $64K
V5160 Dispensing fee, binaural 187 187 $64K
97165 967 574 $33K
92610 417 230 $18K
92587 772 440 $17K
92579 765 421 $16K
92567 1,023 590 $15K
71046 Radiologic examination, chest; 2 views 1,366 1,272 $14K
77063 Screening digital breast tomosynthesis, bilateral 1,301 1,157 $13K
V5264 Ear mold/insert, not disposable, any type 159 159 $10K
96132 233 73 $8K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 763 677 $8K
97166 157 105 $7K
96133 95 28 $7K
92557 173 96 $6K
92591 158 111 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,020 1,945 $4K
80053 Comprehensive metabolic panel 1,276 937 $4K
72082 151 140 $4K
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 32 32 $3K
96137 47 12 $3K
80048 Basic metabolic panel (calcium, ionized) 978 463 $2K
84443 Thyroid stimulating hormone (TSH) 458 380 $2K
85610 1,264 768 $2K
J3490 Unclassified drugs 40 12 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 334 304 $1K
77072 73 68 $910.89
80076 528 246 $870.00
74018 86 69 $868.41
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 16 $862.54
83655 159 136 $776.34
72100 66 64 $712.61
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 28 27 $557.30
73564 53 46 $545.62
86850 391 293 $526.21
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20 16 $484.32
80061 Lipid panel 366 313 $472.16
86901 387 286 $354.33
96136 46 12 $324.24
81001 319 253 $264.30
86900 388 287 $254.95
36415 Collection of venous blood by venipuncture 99 75 $239.95
72081 13 13 $163.57
73610 12 12 $153.56
83036 Hemoglobin; glycosylated (A1C) 99 82 $136.83
73100 12 12 $126.04
73630 12 12 $118.94
84439 32 28 $52.58
81003 55 41 $25.22
85652 18 16 $8.89