Hospital
Loretto Hospital
Loretto Hospital was paid $203K by Medicaid between Jan 2018 and Jun 2020, across 38 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 infoLORETTO HOSPITAL
CHICAGO, IL 60644
CHICAGO, IL 60644
33aNPI1447280284assigned 07/04/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$203K
24GClaims11,567
24DCodes billed38
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Acute Care Hospital providers in Illinois
Rank by total paid#90 of 129
Median peer was paid$547K
This provider vs. median0.4×
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 | 2,664 | $78K | |
| 2019 | 6,978 | $94K | |
| 2020 | 1,925 | $31K |
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% | 1,414 | 299 | $114K |
| 97161 | 13% | 220 | 122 | $26K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.4% | 206 | 144 | $9K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 4.1% | 340 | 263 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 171 | 163 | $5K |
| 80053 | Comprehensive metabolic panel | 2.2% | 1,380 | 1,033 | $5K |
| 80074 | 1.8% | 238 | 181 | $4K | |
| H0031 | Mental health assessment, by non-physician | 1.7% | 57 | 46 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.5% | 174 | 90 | $3K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.4% | 287 | 225 | $3K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.3% | 51 | 45 | $3K |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 1.3% | 90 | 67 | $3K |
26 more codes
| 84443 | Thyroid stimulating hormone (TSH) | 1.3% | 613 | $3K |
| 87486 | 1.1% | 210 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,497 | $2K |
| 80061 | Lipid panel | <1% | 722 | $1K |
| 82607 | <1% | 337 | $1K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 75 | $1K |
| 80305 | <1% | 344 | $965.14 | |
| 82746 | <1% | 319 | $927.70 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 99 | $860.42 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 618 | $826.33 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 312 | $782.99 |
| H0032 | Mental health service plan development by non-physician | <1% | 53 | $615.21 |
| 81000 | <1% | 797 | $454.80 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 49 | $372.23 |
| 83540 | <1% | 256 | $302.74 | |
| 84153 | <1% | 58 | $277.68 | |
| 87252 | <1% | 73 | $225.64 | |
| 83550 | <1% | 155 | $211.03 | |
| 73630 | <1% | 16 | $157.19 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 19 | $129.66 |
| 85610 | <1% | 84 | $105.16 | |
| 82728 | <1% | 54 | $95.76 | |
| 86592 | <1% | 100 | $83.10 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 38 | $81.04 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 28 | $46.27 |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $15.96 |
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 officialANEWISHKI, TESA (PRESIDENT/CEO)