Hospital
Edward Hospital
Edward Hospital was paid $2.16M by Medicaid between Jan 2018 and Jun 2020, across 128 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 56% of everything it billed.
33Billing provider infoEDWARD HOSPITAL
NAPERVILLE, IL 60540
NAPERVILLE, IL 60540
33aNPI1427069632assigned 08/11/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$2.16M
24GClaims97,305
24DCodes billed128
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Acute Care Hospital providers in Illinois
Rank by total paid#19 of 129
Median peer was paid$547K
This provider vs. median3.9×
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 | 44,132 | $862K | |
| 2019 | 35,103 | $843K | |
| 2020 | 18,070 | $450K |
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 | 56% | 11,287 | 2,407 | $1.21M |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 5.2% | 1,255 | 447 | $112K |
| 97162 | 2.6% | 689 | 395 | $56K | |
| 97161 | 2.4% | 681 | 386 | $52K | |
| 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 | 2.4% | 529 | 476 | $52K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.3% | 560 | 208 | $49K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.1% | 814 | 594 | $46K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1.9% | 1,748 | 1,405 | $41K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.8% | 2,325 | 1,802 | $39K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.8% | 2,341 | 1,811 | $39K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.7% | 2,763 | 740 | $36K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 1.3% | 3,808 | 3,105 | $29K |
116 more codes
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 1.3% | 2,376 | $28K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.2% | 1,701 | $25K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.1% | 861 | $24K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,998 | $21K |
| 80053 | Comprehensive metabolic panel | <1% | 4,724 | $19K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,679 | $15K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 3,939 | $15K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 476 | $15K |
| 87510 | <1% | 1,369 | $13K | |
| 87480 | <1% | 1,369 | $13K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,233 | $11K |
| 86480 | <1% | 441 | $11K | |
| 87660 | <1% | 1,380 | $8K | |
| 87081 | <1% | 3,168 | $7K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 276 | $7K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 495 | $7K |
| 86780 | <1% | 958 | $7K | |
| 83516 | <1% | 801 | $6K | |
| 97163 | <1% | 94 | $6K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 398 | $5K |
| 86803 | <1% | 653 | $5K | |
| 80061 | Lipid panel | <1% | 2,359 | $5K |
| 87430 | <1% | 997 | $5K | |
| 87186 | <1% | 1,059 | $5K | |
| 82607 | <1% | 965 | $5K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 173 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,337 | $4K |
| 82784 | <1% | 606 | $4K | |
| 87653 | <1% | 242 | $4K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,242 | $4K |
| 84439 | <1% | 1,134 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,552 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 346 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 123 | $3K |
| 86235 | <1% | 182 | $3K | |
| 87340 | <1% | 562 | $3K | |
| 83883 | <1% | 376 | $3K | |
| 82570 | <1% | 1,278 | $3K | |
| 86003 | <1% | 224 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 337 | $3K |
| 86334 | <1% | 195 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 738 | $3K |
| 86160 | <1% | 311 | $3K | |
| 86706 | <1% | 386 | $2K | |
| 81001 | <1% | 1,856 | $2K | |
| 86038 | <1% | 341 | $2K | |
| 84403 | <1% | 190 | $2K | |
| 86850 | <1% | 905 | $2K | |
| 86901 | <1% | 909 | $2K | |
| 87088 | <1% | 404 | $2K | |
| 80074 | <1% | 126 | $2K | |
| 82746 | <1% | 284 | $1K | |
| 81003 | <1% | 1,397 | $1K | |
| 82728 | <1% | 542 | $1K | |
| 85610 | <1% | 832 | $1K | |
| 82043 | <1% | 790 | $1K | |
| 86762 | <1% | 429 | $1K | |
| 86900 | <1% | 912 | $1K | |
| 84402 | <1% | 138 | $1K | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 139 | $1K |
| 83550 | <1% | 330 | $1K | |
| 73630 | <1% | 101 | $989.62 | |
| 84165 | <1% | 195 | $915.25 | |
| 83540 | <1% | 343 | $791.84 | |
| 73560 | <1% | 77 | $741.60 | |
| 87070 | <1% | 250 | $639.29 | |
| 86256 | <1% | 81 | $626.21 | |
| 86140 | <1% | 307 | $592.89 | |
| 87522 | Neg quan hep c or qual rna | <1% | 21 | $576.45 |
| 85652 | <1% | 522 | $510.10 | |
| 86431 | <1% | 161 | $483.44 | |
| 85027 | <1% | 206 | $465.10 | |
| 86704 | <1% | 57 | $431.62 | |
| 87045 | <1% | 78 | $416.36 | |
| 84156 | <1% | 396 | $415.79 | |
| 87147 | <1% | 342 | $384.64 | |
| 81002 | <1% | 502 | $381.01 | |
| 87205 | <1% | 258 | $365.49 | |
| 81025 | <1% | 430 | $363.53 | |
| 82950 | <1% | 163 | $335.33 | |
| 83970 | <1% | 21 | $311.20 | |
| 87272 | <1% | 43 | $306.86 | |
| 86141 | <1% | 35 | $292.76 | |
| 87209 | <1% | 29 | $287.97 | |
| 87077 | <1% | 211 | $285.85 | |
| 72110 | <1% | 15 | $278.13 | |
| 83655 | <1% | 26 | $277.60 | |
| 86800 | <1% | 57 | $255.12 | |
| 86200 | <1% | 61 | $237.60 | |
| 86376 | <1% | 67 | $232.55 | |
| 88342 | <1% | 20 | $230.71 | |
| 73610 | <1% | 14 | $196.26 | |
| 87329 | <1% | 43 | $196.05 | |
| 84550 | <1% | 73 | $150.98 | |
| 86787 | <1% | 21 | $149.80 | |
| 74018 | <1% | 13 | $131.93 | |
| 86618 | <1% | 12 | $129.90 | |
| 83001 | <1% | 17 | $126.52 | |
| 87177 | <1% | 27 | $120.18 | |
| 81015 | <1% | 91 | $119.84 | |
| 73030 | <1% | 13 | $119.40 | |
| 86225 | <1% | 22 | $116.88 | |
| 82785 | <1% | 27 | $115.43 | |
| 85613 | <1% | 25 | $103.41 | |
| 83735 | <1% | 32 | $86.50 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 100 | $83.24 |
| 87046 | <1% | 78 | $81.33 | |
| 87427 | <1% | 12 | $67.56 | |
| 84153 | <1% | 13 | $59.04 | |
| 83002 | <1% | 17 | $57.35 | |
| 83615 | <1% | 19 | $35.52 | |
| 84100 | <1% | 19 | $34.83 | |
| 82248 | <1% | 18 | $30.17 | |
| 82962 | <1% | 26 | $29.64 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 38 | $0.48 |
| 80050 | General health panel | 0% | 23 | $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 officialWALDER, SHAUN (VP, PATIENT FINANCIAL SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Elmhurst Memorial Hospital | Elmhurst, IL | $1.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.