Hospital
Palos Community Hospital
Palos Community Hospital was paid $629K by Medicaid between Jan 2018 and Feb 2024, across 31 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 82% of everything it billed.
33Billing provider infoPALOS COMMUNITY HOSPITAL
PALOS HEIGHTS, IL 60463
PALOS HEIGHTS, IL 60463
33aNPI1851386692assigned 09/19/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$629K
24GClaims14,301
24DCodes billed31
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other General Acute Care Hospital providers in Illinois
Rank by total paid#61 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 | 4,355 | $200K | |
| 2019 | 7,106 | $294K | |
| 2020 | 2,807 | $134K | |
| 2024incomplete | 33 | $501.00 |
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 | 82% | 5,375 | 1,038 | $516K |
| 97161 | 4.3% | 292 | 222 | $27K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 707 | 521 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 1,321 | 1,070 | $12K |
| 97162 | 1.7% | 118 | 91 | $11K | |
| 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 | 1.1% | 80 | 62 | $7K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.1% | 125 | 112 | $7K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 219 | 187 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 119 | 106 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 969 | 825 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 374 | 298 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 102 | 70 | $3K |
19 more codes
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 461 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 238 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 962 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 37 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 120 | $1K |
| 87081 | <1% | 505 | $892.65 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 195 | $805.28 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 282 | $617.24 |
| 80061 | Lipid panel | <1% | 447 | $591.36 |
| 85027 | <1% | 301 | $493.00 | |
| 86769 | <1% | 20 | $415.11 | |
| 84439 | <1% | 154 | $358.35 | |
| 81003 | <1% | 452 | $300.15 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 16 | $219.68 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 100 | $149.59 |
| 81001 | <1% | 136 | $105.11 | |
| 85610 | <1% | 35 | $48.56 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 15 | $40.30 |
| 82570 | <1% | 24 | $37.22 |
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 officialVIVODA, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Delnor Community Hospital | Geneva, IL | $1.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.