Hospital
Presence Central and Suburban Hospitals Network
Presence Central and Suburban Hospitals Network was paid $4.82M by Medicaid between Jan 2018 and Jul 2020, across 83 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 83% of everything it billed.
33Billing provider infoPRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
JOLIET, IL 60435
JOLIET, IL 60435
33aNPI1487715645assigned 12/12/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$4.82M
24GClaims83,951
24DCodes billed83
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other General Acute Care Hospital providers in Illinois
Rank by total paid#7 of 129
Median peer was paid$547K
This provider vs. median8.8×
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 | 32,628 | $1.76M | |
| 2019 | 37,706 | $2.15M | |
| 2020 | 13,617 | $902K |
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 | 83% | 40,478 | 8,239 | $4.02M |
| 97162 | 5.2% | 2,727 | 1,610 | $252K | |
| 97161 | 3.4% | 1,910 | 1,034 | $165K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.5% | 1,334 | 1,241 | $73K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.1% | 3,621 | 729 | $53K |
| 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 | 1.1% | 561 | 434 | $51K |
| 97163 | <1% | 192 | 112 | $20K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,690 | 1,455 | $16K |
| 80053 | Comprehensive metabolic panel | <1% | 4,169 | 3,230 | $15K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,192 | 1,820 | $14K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 313 | 283 | $11K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,155 | 1,057 | $11K |
71 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,329 | $9K |
| 97010 | <1% | 110 | $8K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 335 | $7K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 174 | $6K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 450 | $6K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 65 | $5K |
| 97014 | <1% | 159 | $5K | |
| 97035 | <1% | 91 | $5K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 553 | $4K |
| 97113 | <1% | 44 | $4K | |
| 83655 | <1% | 632 | $4K | |
| 72110 | <1% | 224 | $4K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 153 | $4K |
| 73564 | <1% | 271 | $4K | |
| 86480 | <1% | 133 | $3K | |
| 80061 | Lipid panel | <1% | 2,006 | $3K |
| 84439 | <1% | 1,210 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 845 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 294 | $3K |
| 97166 | <1% | 263 | $3K | |
| 73630 | <1% | 217 | $3K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 87 | $2K |
| 73610 | <1% | 144 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 535 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,301 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 886 | $2K |
| 73030 | <1% | 165 | $2K | |
| 74018 | <1% | 120 | $1K | |
| 87634 | <1% | 55 | $1K | |
| 97116 | <1% | 33 | $889.35 | |
| 85610 | <1% | 540 | $833.36 | |
| 81001 | <1% | 931 | $813.75 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,720 | $623.01 |
| 72120 | <1% | 17 | $434.71 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 85 | $419.02 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | $383.07 |
| 86850 | <1% | 206 | $379.49 | |
| 86780 | <1% | 56 | $365.53 | |
| 81003 | <1% | 609 | $364.62 | |
| 85652 | <1% | 523 | $340.94 | |
| 86140 | <1% | 247 | $319.79 | |
| 72040 | <1% | 28 | $313.38 | |
| 82607 | <1% | 70 | $282.06 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 19 | $249.56 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 19 | $249.56 |
| 86901 | <1% | 191 | $243.13 | |
| 72100 | <1% | 19 | $240.12 | |
| 82570 | <1% | 212 | $237.34 | |
| 73110 | <1% | 16 | $211.82 | |
| 86900 | <1% | 192 | $189.63 | |
| 83516 | <1% | 40 | $187.25 | |
| 82784 | <1% | 28 | $184.96 | |
| 85018 | <1% | 242 | $161.51 | |
| 73130 | <1% | 22 | $154.68 | |
| 84484 | <1% | 67 | $116.96 | |
| 87081 | <1% | 82 | $107.44 | |
| 84436 | <1% | 50 | $106.30 | |
| 83735 | <1% | 55 | $102.18 | |
| 82728 | <1% | 47 | $98.80 | |
| 85730 | <1% | 64 | $98.51 | |
| 84481 | <1% | 28 | $89.26 | |
| 86038 | <1% | 14 | $84.59 | |
| 86800 | <1% | 14 | $82.06 | |
| 83880 | <1% | 24 | $79.89 | |
| 84703 | <1% | 52 | $79.05 | |
| 71045 | Radiologic examination, chest; single view | <1% | 14 | $54.51 |
| 83690 | <1% | 40 | $52.32 | |
| 86376 | <1% | 14 | $49.85 | |
| 81025 | <1% | 58 | $46.87 | |
| 85379 | <1% | 16 | $32.85 | |
| 82043 | <1% | 14 | $9.75 |
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 officialCARTER, RICHARD (AMITA CFO)
| Provider | Location | Paid |
|---|---|---|
| Barbourville Family Health Center | Barbourville, KY | $7.48M |
| Hunt Regional Urgent Care | Greenville, TX | $907K |
| Presence Central and Suburban Hospitals Network | Aurora, IL | $810K |
| Presence Central and Suburban Hospitals Network | Elgin, IL | $620K |
| Hunt Regional Medical Partners | Greenville, TX | $140K |
| Presence Central and Suburban Hospitals Network | Danville, IL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.