Advocate Health & Hospitals Corporation
Advocate Health & Hospitals Corporation was paid $1.64M by Medicaid between Jan 2018 and Jul 2020, across 55 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 65% of everything it billed.
OAK LAWN, IL 60453
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 | 18,748 | $647K | |
| 2019 | 21,172 | $749K | |
| 2020 | 6,779 | $239K |
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 | 65% | 12,862 | 3,105 | $1.06M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 17% | 6,494 | 1,669 | $277K |
| 97161 | 3.6% | 556 | 410 | $59K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.1% | 1,913 | 647 | $51K |
| 92567 | 2.2% | 2,487 | 2,060 | $37K | |
| 92587 | 1.8% | 1,800 | 1,580 | $30K | |
| 92579 | 1.1% | 835 | 677 | $18K | |
| 92611 | <1% | 218 | 131 | $16K | |
| 92555 | <1% | 957 | 795 | $14K | |
| 80053 | Comprehensive metabolic panel | <1% | 3,337 | 2,355 | $9K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 863 | 793 | $8K |
| 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% | 74 | 70 | $7K |
43 more codes
| 86003 | <1% | 268 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,298 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,413 | $5K |
| 92523 | <1% | 76 | $4K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 682 | $4K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 349 | $4K |
| 83655 | <1% | 529 | $2K | |
| 92582 | <1% | 100 | $2K | |
| 97165 | <1% | 20 | $820.42 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 29 | $809.33 |
| 97166 | <1% | 15 | $743.03 | |
| 92610 | <1% | 14 | $672.51 | |
| 92593 | <1% | 45 | $666.37 | |
| 92557 | <1% | 16 | $592.37 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 174 | $563.35 |
| 72170 | <1% | 75 | $524.48 | |
| 74230 | <1% | 41 | $521.16 | |
| 74018 | <1% | 51 | $487.46 | |
| 86850 | <1% | 342 | $484.05 | |
| 84439 | <1% | 747 | $406.78 | |
| 82248 | <1% | 719 | $397.31 | |
| 92552 | <1% | 25 | $370.17 | |
| 80061 | Lipid panel | <1% | 775 | $330.72 |
| 86140 | <1% | 292 | $318.27 | |
| 86901 | <1% | 265 | $311.48 | |
| 86900 | <1% | 334 | $288.53 | |
| 82247 | <1% | 192 | $272.91 | |
| V5266 | Battery for use in hearing device | <1% | 12 | $270.26 |
| 85027 | <1% | 147 | $254.30 | |
| 82728 | <1% | 154 | $243.89 | |
| 81001 | <1% | 398 | $242.82 | |
| 85652 | <1% | 389 | $201.72 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 656 | $173.46 |
| 83550 | <1% | 75 | $134.08 | |
| 73562 | <1% | 12 | $127.79 | |
| 83540 | <1% | 98 | $116.27 | |
| 81003 | <1% | 245 | $114.55 | |
| 83020 | <1% | 38 | $113.93 | |
| 83516 | <1% | 19 | $93.95 | |
| 85610 | <1% | 28 | $24.28 | |
| 83498 | <1% | 14 | $21.56 | |
| 84436 | <1% | 24 | $16.62 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 108 | $11.97 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.