Hospital
Advocate Health and Hospitals Corporation
Advocate Health and Hospitals Corporation was paid $2.31M by Medicaid between Jan 2018 and Jun 2020, across 54 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 76% of everything it billed.
33Billing provider infoADVOCATE HEALTH AND HOSPITALS CORPORATION
OAK LAWN, IL 60453
OAK LAWN, IL 60453
33aNPI1548375082assigned 08/21/2006
33bProvider typePsychiatric Hospital Unit
28Total paid$2.31M
24GClaims61,832
24DCodes billed54
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Psychiatric Hospital Unit providers in Illinois
Rank by total paid#5 of 24
Median peer was paid$554K
This provider vs. median4.2×
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 RICHARDSON, KARA 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 | 22,118 | $639K | |
| 2019 | 30,802 | $1.42M | |
| 2020 | 8,912 | $252K |
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 | 76% | 16,767 | 2,645 | $1.75M |
| 97161 | 9.2% | 1,944 | 957 | $213K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 4.4% | 1,910 | 1,731 | $101K |
| 97162 | 2.3% | 465 | 208 | $52K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 957 | 637 | $23K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,968 | 1,724 | $21K |
| 80053 | Comprehensive metabolic panel | <1% | 6,013 | 3,302 | $20K |
| 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% | 178 | 150 | $17K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,168 | 971 | $12K |
| 93750 | <1% | 468 | 346 | $11K | |
| 77066 | Tomosynthesis, mammo | <1% | 157 | 136 | $10K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,421 | 3,305 | $10K |
42 more codes
| 83880 | <1% | 1,334 | $9K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 859 | $8K |
| 83735 | <1% | 3,636 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 996 | $7K |
| 85610 | <1% | 3,327 | $5K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 358 | $5K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,482 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 704 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 893 | $3K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 366 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 275 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 586 | $3K |
| 72100 | <1% | 141 | $2K | |
| 85027 | <1% | 964 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 27 | $2K |
| 83615 | <1% | 878 | $1K | |
| 86850 | <1% | 687 | $1K | |
| 86901 | <1% | 804 | $991.42 | |
| 80061 | Lipid panel | <1% | 527 | $791.48 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $780.06 |
| 86900 | <1% | 816 | $775.76 | |
| 81003 | <1% | 972 | $683.50 | |
| 81001 | <1% | 735 | $591.43 | |
| Q3014 | Telehealth originating site facility fee | <1% | 19 | $467.63 |
| 82570 | <1% | 318 | $422.09 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 329 | $345.57 |
| 84100 | <1% | 258 | $341.07 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 102 | $321.26 |
| 72040 | <1% | 28 | $310.12 | |
| 87210 | <1% | 134 | $213.35 | |
| 84156 | <1% | 288 | $188.12 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 14 | $180.48 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 14 | $137.01 |
| 84439 | <1% | 75 | $83.09 | |
| 82607 | <1% | 23 | $53.52 | |
| 84702 | <1% | 17 | $43.33 | |
| 85018 | <1% | 32 | $21.74 | |
| 84703 | <1% | 14 | $7.13 | |
| 85652 | <1% | 13 | $3.93 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 267 | $2.76 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 0% | 50 | $0.00 |
| 36591 | 0% | 29 | $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 officialRICHARDSON, KARA (VP MANAGED HEALTH)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.