Supplier
The Carle Foundation Hospital
The Carle Foundation Hospital was paid $1.29M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 20% of everything it billed.
33Billing provider infoTHE CARLE FOUNDATION HOSPITAL
DANVILLE, IL 61832
DANVILLE, IL 61832
33aNPI1831156124assigned 04/28/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.29M
24GClaims29,523
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Illinois
Rank by total paid#87 of 323
Median peer was paid$217K
This provider vs. median5.9×
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 | 1,709 | $75K | |
| 2019 | 2,825 | $125K | |
| 2020 | 4,140 | $163K | |
| 2021 | 4,293 | $208K | |
| 2022 | 4,834 | $222K | |
| 2023 | 6,250 | $274K | |
| 2024incomplete | 5,472 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 20% | 2,600 | 2,349 | $264K |
| E0601 | Continuous positive airway pressure (cpap) device | 20% | 4,463 | 4,218 | $257K |
| A7030 | Full face mask used with positive airway pressure device, each | 9.3% | 1,021 | 959 | $120K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 7.2% | 4,371 | 4,127 | $93K |
| E0570 | Nebulizer, with compressor | 6.2% | 1,800 | 1,657 | $79K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 5.4% | 1,931 | 1,820 | $70K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 4.1% | 863 | 838 | $53K |
| A4670 | Automatic blood pressure monitor | 4.0% | 836 | 808 | $52K |
| A7035 | Headgear used with positive airway pressure device | 3.8% | 1,959 | 1,858 | $49K |
| T4541 | Incontinence product, disposable underpad, large, each | 3.6% | 754 | 714 | $46K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | 3.3% | 1,263 | 1,181 | $42K |
| K0001 | Standard wheelchair | 2.3% | 1,119 | 1,059 | $30K |
20 more codes
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 1.7% | 620 | $22K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.4% | 2,912 | $18K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1.3% | 1,256 | $16K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 1.2% | 297 | $15K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 1.1% | 105 | $14K |
| A7031 | Face mask interface, replacement for full face mask, each | <1% | 294 | $11K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 122 | $9K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 209 | $7K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 42 | $5K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 43 | $3K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 258 | $3K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 26 | $3K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 43 | $2K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 124 | $1K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 51 | $1K |
| E0156 | Seat attachment, walker | <1% | 40 | $571.29 |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 14 | $521.75 |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 29 | $288.24 |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 38 | $153.38 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 20 | $29.32 |
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 officialLEONARD, JAMES (CEO)
Parent organizationCARLE FOUNDATION HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Carle Foundation Hospital | Urbana, IL | $8.32M |
| The Carle Foundation Hospital | Champaign, IL | $6.36M |
| The Carle Foundation Hospital | Champaign, IL | $4.77M |
| The Carle Foundation Hospital | Urbana, IL | $2.52M |
| The Carle Foundation Hospital | Urbana, IL | $830K |
| The Carle Foundation Hospital | Mattoon, IL | $457K |
| The Carle Foundation Hospital | Normal, IL | $4K |
| Carle Health Care Incorporated | Champaign, IL | $681.19 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.