ST. Alexius Medical Center
ST. Alexius Medical Center was paid $415K by Medicaid between Jan 2018 and Jun 2020, across 37 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 67% of everything it billed.
HOFFMAN ESTATES, IL 60169
Next to other Children's 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 | 12,453 | $185K | |
| 2019 | 12,216 | $147K | |
| 2020 | 4,831 | $83K |
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 | 67% | 2,731 | 377 | $278K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 7.2% | 942 | 583 | $30K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.2% | 2,637 | 2,218 | $17K |
| 80053 | Comprehensive metabolic panel | 3.0% | 3,203 | 2,599 | $12K |
| 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% | 101 | 88 | $10K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.3% | 2,883 | 2,386 | $9K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 2.1% | 61 | 29 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 1,009 | 754 | $7K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 3,538 | 2,869 | $7K |
| 83655 | 1.3% | 1,047 | 859 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | 1.1% | 506 | 421 | $5K |
| 80061 | Lipid panel | <1% | 2,046 | 1,757 | $4K |
25 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,048 | $4K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 245 | $2K |
| 84439 | <1% | 758 | $2K | |
| 85027 | <1% | 1,012 | $2K | |
| 87070 | <1% | 607 | $2K | |
| 86003 | <1% | 125 | $1K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 63 | $1K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 289 | $1K |
| 81001 | <1% | 903 | $854.73 | |
| 87081 | <1% | 326 | $787.74 | |
| 86308 | <1% | 306 | $637.50 | |
| 87486 | <1% | 33 | $601.56 | |
| 87581 | <1% | 33 | $601.56 | |
| 73630 | <1% | 42 | $318.42 | |
| 85652 | <1% | 328 | $245.25 | |
| 86140 | <1% | 201 | $232.38 | |
| 72081 | <1% | 14 | $193.87 | |
| 81003 | <1% | 230 | $170.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 980 | $112.05 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 32 | $78.11 |
| 89220 | <1% | 119 | $71.86 | |
| 87077 | <1% | 47 | $71.42 | |
| 83002 | <1% | 19 | $60.34 | |
| 82785 | <1% | 17 | $46.14 | |
| 85651 | <1% | 19 | $29.72 |
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 |
| ST. Alexius Medical Center | Hoffman Estates, IL | $2.03M |
| 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 |
| 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.