Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidThe Carle Foundation Hospital
    Ask Trek AI about this page

    The Carle Foundation Hospital — Billing Profile & Reimbursement Data

    NPI 1104883487 · Champaign, IL · Durable Medical Equipment & Medical Supplies

    Customize your policy alerts

    Sign up for The Carle Foundation Hospital — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    The Carle Foundation Hospital is a durable medical equipment & medical supplies provider located in Champaign, Illinois. This profile covers 0 Medicare and 56 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Carle Foundation Hospital
    Address1813 W Kirby Ave
    CityChampaign
    StateIL
    ZIP61821
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedApril 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$4.8M
    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.

    56 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate10,350$110$1.1M
    E0601Continuous positive airway pressure (CPAP) device14,360$60$847K
    E0570Nebulizer, with compressor6,130$50$312.8K
    E0562Humidifier, heated, used with positive airway pressure device14,340$20$301K
    A7030Full face mask used with positive airway pressure device, each2,290$110$249.7K
    K0738Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing5,620$30$191.2K
    A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap2,760$70$188K
    E0143Walker, folding, wheeled, adjustable or fixed height2,000$80$154.2K
    A4604Tubing with integrated heating element for use with positive airway pressure device4,230$40$152.2K
    E0603Breast pump, electric (ac and/or dc), any type1,140$110$128.7K

    Showing 1–10 of 56

    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

    56 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A6197Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing8101,250$220$1.6M
    E0603Breast pump, electric (ac and/or dc), any type1230650$100$786K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each77901,400$80$727.1K
    T4541Incontinence product, disposable underpad, large, each871302,190$50$644.7K
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each72801,230$100$639.8K
    A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each910470$100$628.4K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each73801,340$80$616.4K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each1031102,170$30$506.1K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate302001,950$90$492K
    A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each610340$40$428.7K

    Showing 1–10 of 56

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with The Carle Foundation Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carle Foundation HospitalILGeneral Acute Care Hospital$0$8.3M
    The Carle Foundation HospitalILHome Health Agency$0$6.4M

    Nearby Providers

    Other providers in the same ZIP code as The Carle Foundation Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals-ucpILCase Management Agency$0$3.8M
    John ZechILAllergy & Immunology Physician$26.2K$472.5K
    Rachael RubinILPsychologist$3.3K$8.5K

    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
    The Carle Foundation Hospital — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois