Presence Chicago Hospitals Network
Presence Chicago Hospitals Network was paid $163K by Medicaid between Jan 2018 and Jun 2021, across 23 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.
CHICAGO, IL 60622
Next to other General Acute Care 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 | 2,233 | $42K | |
| 2019 | 3,575 | $85K | |
| 2020 | 1,388 | $31K | |
| 2021 | 143 | $4K |
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% | 1,009 | 245 | $106K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 15% | 455 | 429 | $24K |
| 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 | 7.2% | 130 | 78 | $12K |
| 80053 | Comprehensive metabolic panel | 3.6% | 1,614 | 1,175 | $6K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 2.3% | 446 | 420 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 1,873 | 1,400 | $3K |
| 0002A | 1.4% | 54 | 53 | $2K | |
| 0001A | 1.2% | 49 | 48 | $2K | |
| 97161 | <1% | 40 | 13 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 120 | 114 | $1K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 23 | 18 | $533.05 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,260 | 1,009 | $311.65 |
11 more codes
| 73630 | <1% | 16 | $236.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 44 | $105.72 |
| 82378 | <1% | 17 | $98.97 | |
| 82950 | <1% | 40 | $91.82 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 15 | $50.20 |
| 82728 | <1% | 29 | $45.45 | |
| 83540 | <1% | 25 | $37.40 | |
| 83550 | <1% | 12 | $24.96 | |
| 81003 | <1% | 14 | $9.85 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $9.45 |
| 91300 | 0% | 40 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Presence Chicago Hospitals Network | Chicago, IL | $4.43M |
| Presence Chicago Hospitals Network | Chicago, IL | $2.70M |
| ST. Alexius Medical Center | Hoffman Estates, IL | $2.03M |
| Alexian Brothers Medical Center | Elk Grove Village, IL | $1.74M |
| Alexian Brothers Medical Center | Hanover Park, IL | $1.35M |
| Presence Chicago Hospitals Network | Evanston, IL | $876K |
| Presence Central and Suburban Hospitals Network | Kankakee, IL | $468K |
| ST. Alexius Medical Center | Hoffman Estates, IL | $415K |
| Presence Chicago Hospitals Network | Des Plaines, IL | $414K |
| Presence Central and Suburban Hospitals Network | Champaign, IL | $47K |
| Presence Chicago Hospitals Network | Chicago, IL | $6K |
| Presence Central and Suburban Hospitals Network | Urbana, IL | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.