Physician
Ascension ST John Hospital
Ascension ST John Hospital was paid $2.29M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoASCENSION ST JOHN HOSPITAL
CHICAGO, IL 60677
CHICAGO, IL 60677
33aNPI1457663197assigned 07/10/2010
33bProvider typeFamily Medicine Physician
28Total paid$2.29M
24GClaims233,172
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#39 of 2,947
Median peer was paid$43K
This provider vs. median54×
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.
Entity ProliferationAuthorized official STARKEL, SARAH controls 20+ related entities in our dataset. Read more
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 | 21,845 | $186K | |
| 2019 | 18,327 | $239K | |
| 2020 | 13,994 | $218K | |
| 2021 | 35,198 | $333K | |
| 2022 | 45,209 | $345K | |
| 2023 | 59,700 | $521K | |
| 2024incomplete | 38,899 | $445K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 18,135 | 17,470 | $988K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 14,923 | 14,071 | $515K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 7.6% | 2,947 | 2,905 | $173K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.1% | 1,746 | 1,738 | $139K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.7% | 2,563 | 2,522 | $131K |
| 99223 | Prolong inpt eval add15 m | 4.3% | 935 | 913 | $98K |
| 99385 | 2.4% | 908 | 906 | $55K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 1,259 | 543 | $54K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 259 | 256 | $21K |
| 99386 | <1% | 234 | 234 | $17K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 332 | 331 | $17K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 395 | 372 | $15K |
63 more codes
| 99283 | Emergency room visit (moderate) | <1% | 59 | $8K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 1,001 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 125 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 141 | $5K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 80 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 181 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 751 | $3K |
| 93298 | <1% | 173 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 84 | $3K |
| 99496 | <1% | 25 | $3K | |
| 36224 | <1% | 13 | $3K | |
| 99442 | <1% | 157 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 56 | $2K |
| 98966 | <1% | 1,614 | $2K | |
| 36226 | <1% | 14 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 19 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $1K |
| 99406 | <1% | 172 | $1K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 23 | $993.60 |
| 99441 | <1% | 88 | $618.62 | |
| 99443 | <1% | 13 | $241.86 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 41 | $171.08 |
| 99000 | <1% | 690 | $150.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $112.00 |
| 90686 | <1% | 17 | $102.84 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 86 | $80.88 |
| 81025 | <1% | 14 | $53.95 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 25 | $52.24 |
| 81002 | <1% | 33 | $33.24 | |
| 97802 | <1% | 13 | $30.00 | |
| 99499 | <1% | 135 | $0.34 | |
| 1000F | 0% | 812 | $0.00 | |
| 3079F | 0% | 8,385 | $0.00 | |
| 3044F | 0% | 986 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13,437 | $0.00 |
| 1126F | 0% | 9,955 | $0.00 | |
| 1125F | 0% | 5,775 | $0.00 | |
| 1036F | 0% | 15,257 | $0.00 | |
| 3080F | 0% | 2,038 | $0.00 | |
| 1035F | 0% | 1,142 | $0.00 | |
| 3074F | 0% | 16,119 | $0.00 | |
| 3075F | 0% | 4,136 | $0.00 | |
| 1034F | 0% | 4,570 | $0.00 | |
| 3008F | 0% | 24,152 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 14 | $0.00 |
| 3052F | 0% | 12 | $0.00 | |
| A9270 | Non-covered item or service | 0% | 24 | $0.00 |
| 99024 | 0% | 26 | $0.00 | |
| 81001 | 0% | 14 | $0.00 | |
| 4010F | 0% | 12 | $0.00 | |
| 3078F | 0% | 12,345 | $0.00 | |
| 3288F | 0% | 8,331 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 2,372 | $0.00 |
| 3725F | 0% | 13,152 | $0.00 | |
| 1159F | 0% | 11,941 | $0.00 | |
| 1160F | 0% | 13,657 | $0.00 | |
| 3077F | 0% | 2,668 | $0.00 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 10,023 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 1,085 | $0.00 |
| 3051F | 0% | 25 | $0.00 | |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 177 | $0.00 |
| 1003F | 0% | 12 | $0.00 | |
| 3046F | 0% | 13 | $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 officialSTARKEL, SARAH (CREDENTIALING COORDINATOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.