Hospital
Presence Central and Suburban Hospitals Network
Presence Central and Suburban Hospitals Network was paid $810K by Medicaid between Jan 2018 and Jun 2020, across 34 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 78% of everything it billed.
33Billing provider infoPRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
AURORA, IL 60506
AURORA, IL 60506
33aNPI1265454391assigned 07/25/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$810K
24GClaims28,562
24DCodes billed34
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Acute Care Hospital providers in Illinois
Rank by total paid#52 of 129
Median peer was paid$547K
This provider vs. median1.5×
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 | 10,387 | $335K | |
| 2019 | 13,838 | $385K | |
| 2020 | 4,337 | $90K |
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 | 78% | 6,168 | 1,504 | $628K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 6.3% | 3,428 | 669 | $51K |
| 97161 | 3.9% | 331 | 215 | $32K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.8% | 414 | 363 | $23K |
| 80053 | Comprehensive metabolic panel | 2.1% | 4,215 | 2,986 | $17K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.4% | 113 | 18 | $11K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 5,562 | 3,819 | $9K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 647 | 559 | $7K |
| 97162 | <1% | 63 | 43 | $5K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 744 | 612 | $5K |
| 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% | 63 | 48 | $5K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 432 | 365 | $4K |
22 more codes
| 83550 | <1% | 779 | $2K | |
| 82728 | <1% | 828 | $2K | |
| 85610 | <1% | 974 | $2K | |
| 80061 | Lipid panel | <1% | 785 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 124 | $1K |
| 83655 | <1% | 144 | $992.06 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 496 | $839.62 |
| 82607 | <1% | 148 | $817.09 | |
| 73564 | <1% | 47 | $670.96 | |
| 73630 | <1% | 44 | $462.34 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,447 | $387.25 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 23 | $361.55 |
| 72110 | <1% | 12 | $189.20 | |
| 83615 | <1% | 99 | $165.44 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 13 | $146.74 |
| A4212 | Non-coring needle or stylet with or without catheter | <1% | 17 | $81.04 |
| 81001 | <1% | 99 | $74.39 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 17 | $58.10 |
| 36416 | <1% | 175 | $31.92 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 15 | $30.38 |
| 81003 | <1% | 14 | $7.43 | |
| 36591 | 0% | 82 | $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 officialCARTER, RICHARD (AMITA CFO)
| Provider | Location | Paid |
|---|---|---|
| Barbourville Family Health Center | Barbourville, KY | $7.48M |
| Presence Central and Suburban Hospitals Network | Joliet, IL | $4.82M |
| Hunt Regional Urgent Care | Greenville, TX | $907K |
| Presence Central and Suburban Hospitals Network | Elgin, IL | $620K |
| Hunt Regional Medical Partners | Greenville, TX | $140K |
| Presence Central and Suburban Hospitals Network | Danville, IL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.