Presence Central and Suburban Hospitals Network

Presence Central and Suburban Hospitals Network was paid $620K by Medicaid between Jan 2018 and Jun 2020, across 26 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 90% of everything it billed.

33Billing provider infoPRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
ELGIN, IL 60123

33aNPI1598845828assigned 10/17/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$620K

24GClaims13,469

24DCodes billed26

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other General Acute Care Hospital providers in Illinois

Rank by total paid#62 of 129

Median peer was paid$547K

This provider vs. median1.1×

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	4,932	$241K
2019	6,443	$274K
2020	2,094	$105K

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	90%	5,598	1,168	$556K
77067	Screening mammography, bilateral, including computer-aided detection	3.0%	335	319	$19K
97161		1.9%	148	66	$12K
97162		1.1%	75	55	$7K
80053	Comprehensive metabolic panel	<1%	1,325	997	$5K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,783	1,307	$3K
84443	Thyroid stimulating hormone (TSH)	<1%	498	434	$3K
77063	Screening digital breast tomosynthesis, bilateral	<1%	278	262	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	82	64	$3K
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%	26	24	$2K
71046	Radiologic examination, chest; 2 views	<1%	198	172	$2K
85610		<1%	748	401	$1K

14 more codes

80061	Lipid panel	<1%	595	$1K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	271	$743.33
80048	Basic metabolic panel (calcium, ionized)	<1%	180	$576.82
83036	Hemoglobin; glycosylated (A1C)	<1%	330	$562.65
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	15	$364.31
36415	Collection of venous blood by venipuncture	<1%	642	$307.67
84439		<1%	108	$248.42
87634		<1%	18	$75.90
81001		<1%	92	$74.40
83735		<1%	35	$67.54
87081		<1%	37	$57.57
71045	Radiologic examination, chest; single view	<1%	15	$47.36
84484		<1%	17	$44.22
83690		<1%	20	$43.41

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)

Same official

Other billing entities under CARTER, RICHARD

Full network →

Provider	Location	Paid
Barbourville Family Health Center	Barbourville, KY	$7.48M
Presence Central and Suburban Hospitals Network	Joliet, IL	$4.82M
Hunt Regional Urgent Care	Greenville, TX	$907K
Presence Central and Suburban Hospitals Network	Aurora, IL	$810K
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.