ST. Alexius Medical Center
ST. Alexius Medical Center was paid $2.03M by Medicaid between Jan 2018 and Jul 2020, across 49 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 81% of everything it billed.
HOFFMAN ESTATES, IL 60169
Next to other General Acute Care Hospital providers in Illinois
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,838 | $812K | |
| 2019 | 18,942 | $919K | |
| 2020 | 6,863 | $298K |
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 | 81% | 16,446 | 2,181 | $1.64M |
| 97161 | 7.1% | 1,594 | 848 | $144K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 4.9% | 1,732 | 1,585 | $99K |
| 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 | 1.7% | 372 | 305 | $35K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,374 | 347 | $17K |
| 97014 | <1% | 181 | 50 | $15K | |
| 97035 | <1% | 106 | 16 | $11K | |
| 80053 | Comprehensive metabolic panel | <1% | 3,051 | 2,239 | $11K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,505 | 1,203 | $9K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 923 | 817 | $8K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 449 | 357 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,242 | 1,529 | $4K |
37 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 2,222 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,166 | $3K |
| 80061 | Lipid panel | <1% | 1,604 | $3K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 56 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,278 | $2K |
| 85027 | <1% | 1,107 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 517 | $2K |
| 82607 | <1% | 404 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 135 | $1K |
| 82951 | <1% | 159 | $899.62 | |
| 81001 | <1% | 921 | $723.35 | |
| 84439 | <1% | 293 | $718.64 | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 39 | $695.36 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 19 | $646.96 |
| 83735 | <1% | 236 | $474.10 | |
| 73564 | <1% | 21 | $331.49 | |
| 85610 | <1% | 318 | $308.85 | |
| 86850 | <1% | 173 | $268.67 | |
| 73630 | <1% | 17 | $222.37 | |
| 73030 | <1% | 20 | $210.58 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 16 | $207.39 |
| 86901 | <1% | 171 | $203.04 | |
| 72100 | <1% | 12 | $148.67 | |
| 86900 | <1% | 171 | $142.02 | |
| 82952 | <1% | 113 | $110.14 | |
| 83540 | <1% | 53 | $78.31 | |
| 82043 | <1% | 91 | $74.10 | |
| 84550 | <1% | 49 | $74.00 | |
| 83550 | <1% | 34 | $62.79 | |
| 82570 | <1% | 34 | $52.94 | |
| 85730 | <1% | 63 | $46.44 | |
| 81003 | <1% | 61 | $45.10 | |
| 82728 | <1% | 34 | $41.96 | |
| 84481 | <1% | 12 | $40.26 | |
| 82550 | <1% | 16 | $38.72 | |
| 84100 | <1% | 16 | $20.73 | |
| 84156 | <1% | 17 | $9.14 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Presence Chicago Hospitals Network | Chicago, IL | $4.43M |
| Presence Chicago Hospitals Network | Chicago, IL | $2.70M |
| Alexian Brothers Medical Center | Elk Grove Village, IL | $1.74M |
| Alexian Brothers Medical Center | Hanover Park, IL | $1.35M |
| Presence Chicago Hospitals Network | Evanston, IL | $876K |
| Presence Central and Suburban Hospitals Network | Kankakee, IL | $468K |
| ST. Alexius Medical Center | Hoffman Estates, IL | $415K |
| Presence Chicago Hospitals Network | Des Plaines, IL | $414K |
| Presence Chicago Hospitals Network | Chicago, IL | $163K |
| Presence Central and Suburban Hospitals Network | Champaign, IL | $47K |
| Presence Chicago Hospitals Network | Chicago, IL | $6K |
| Presence Central and Suburban Hospitals Network | Urbana, IL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.