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    OpenPayerNPI Medicare & MedicaidSaint Anthony Medical Center
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    Saint Anthony Medical Center — Billing Profile & Reimbursement Data

    NPI 1023051992 · Loves Park, IL · Home Health Agency

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    Saint Anthony Medical Center is a home health agency provider located in Loves Park, Illinois. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSaint Anthony Medical Center
    Address9951 Rock Cut Xing
    CityLoves Park
    StateIL
    ZIP61111
    TaxonomyHome Health Agency
    NPI EnumeratedJune 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes27,830$140$3.9M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes12,700$140$1.8M
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes5,240$140$738.3K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes1,660$110$185.7K
    G0153Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.250$110$26.6K
    G0155Services of clinical social worker in home health or hospice settings, each 15 minutes190$80$14.7K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes20$110$2.6K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes61103,040$160$1M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes8802,730$180$868.1K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes750860$170$362.1K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes5101,630$150$250.4K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes930540$140$157.1K
    G0153Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.310250$110$121.7K
    G0155Services of clinical social worker in home health or hospice settings, each 15 minutes110110$100$10.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Saint Anthony Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Osf Healthcare SystemILHome Health Agency$0$3.4M
    Michael XuCANeurology Physician$42.7K$621.8K
    Tiffany RadkeMNAcute Care Nurse Practitioner$628.8K$0
    Anupama UpadhyayIAPsychiatry Physician$31.6K$560.4K
    Mark OyerILOrthopaedic Surgery Physician$465.8K$910
    Matthew KeeneILPrimary Podiatric Medicine Podiatrist$144.7K$297.2K
    Jonathan FergusonILPlastic Surgery within the Head & Neck (Otolaryngology) Physician$79.5K$342.1K
    John BottrosILOrthopaedic Surgery Physician$376.5K$5.8K
    Timothy JessenILAllergy & Immunology Physician$20.4K$283.7K
    Sameer AnsarILEndocrinology, Diabetes & Metabolism Physician$97.9K$189.3K

    Nearby Providers

    Other providers in the same ZIP code as Saint Anthony Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$10.5M
    Aashish TanejaILDermatology Physician$198K$16.5K
    Costco Wholesale CorporationILCommunity/Retail Pharmacy$60.1K$0
    Nandini ChattopadhyayILFamily Medicine Physician$52.2K$5.7K
    John JaworowiczILAnesthesiology Physician$7.6K$21K
    Kyle WilhiteILAnesthesiology Physician$12.2K$0
    Agata RejaILCertified Registered Nurse Anesthetist$10.2K$1.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Saint Anthony Medical Center — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois