Hospital
Advocate Health and Hospitals Corporation
Advocate Health and Hospitals Corporation was paid $3.89M by Medicaid between Jan 2018 and Jul 2020, across 56 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 66% of everything it billed.
33Billing provider infoADVOCATE HEALTH AND HOSPITALS CORPORATION
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
33aNPI1164539730assigned 08/23/2006
33bProvider typePsychiatric Hospital Unit
28Total paid$3.89M
24GClaims62,671
24DCodes billed56
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Psychiatric Hospital Unit providers in Illinois
Rank by total paid#2 of 24
Median peer was paid$554K
This provider vs. median7.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RICHARDSON, KARA controls 20+ related entities in our dataset. Read more
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 | 22,036 | $1.43M | |
| 2019 | 30,350 | $1.96M | |
| 2020 | 10,285 | $501K |
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 | 66% | 27,843 | 6,038 | $2.57M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 10% | 9,031 | 2,071 | $400K |
| 97161 | 5.3% | 1,911 | 1,405 | $205K | |
| 97162 | 3.9% | 1,481 | 992 | $153K | |
| V5140 | Binaural, behind the ear | 3.0% | 166 | 164 | $117K |
| 92523 | 2.8% | 1,560 | 864 | $107K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.7% | 1,264 | 1,159 | $64K |
| V5160 | Dispensing fee, binaural | 1.6% | 187 | 187 | $64K |
| 97165 | <1% | 967 | 574 | $33K | |
| 92610 | <1% | 417 | 230 | $18K | |
| 92587 | <1% | 772 | 440 | $17K | |
| 92579 | <1% | 765 | 421 | $16K |
44 more codes
| 92567 | <1% | 1,023 | $15K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,366 | $14K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,301 | $13K |
| V5264 | Ear mold/insert, not disposable, any type | <1% | 159 | $10K |
| 96132 | <1% | 233 | $8K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 763 | $8K |
| 97166 | <1% | 157 | $7K | |
| 96133 | <1% | 95 | $7K | |
| 92557 | <1% | 173 | $6K | |
| 92591 | <1% | 158 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,020 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 1,276 | $4K |
| 72082 | <1% | 151 | $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 | <1% | 32 | $3K |
| 96137 | <1% | 47 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 978 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 458 | $2K |
| 85610 | <1% | 1,264 | $2K | |
| J3490 | Unclassified drugs | <1% | 40 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 334 | $1K |
| 77072 | <1% | 73 | $910.89 | |
| 80076 | <1% | 528 | $870.00 | |
| 74018 | <1% | 86 | $868.41 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $862.54 |
| 83655 | <1% | 159 | $776.34 | |
| 72100 | <1% | 66 | $712.61 | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | <1% | 28 | $557.30 |
| 73564 | <1% | 53 | $545.62 | |
| 86850 | <1% | 391 | $526.21 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | $484.32 |
| 80061 | Lipid panel | <1% | 366 | $472.16 |
| 86901 | <1% | 387 | $354.33 | |
| 96136 | <1% | 46 | $324.24 | |
| 81001 | <1% | 319 | $264.30 | |
| 86900 | <1% | 388 | $254.95 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 99 | $239.95 |
| 72081 | <1% | 13 | $163.57 | |
| 73610 | <1% | 12 | $153.56 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 99 | $136.83 |
| 73100 | <1% | 12 | $126.04 | |
| 73630 | <1% | 12 | $118.94 | |
| 84439 | <1% | 32 | $52.58 | |
| 81003 | <1% | 55 | $25.22 | |
| 85652 | <1% | 18 | $8.89 |
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 officialRICHARDSON, KARA (VP MANAGED HEALTH)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.