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    OpenPayerNPI Medicare & MedicaidAdvocate Health And Hospitals Corporation
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    Advocate Health And Hospitals Corporation — Billing Profile & Reimbursement Data

    NPI 1164539730 · Park Ridge, IL · General Acute Care Hospital

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    Advocate Health And Hospitals Corporation is a general acute care hospital provider located in Park Ridge, 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAdvocate Health And Hospitals Corporation
    Address1775 Dempster Street
    CityPark Ridge
    StateIL
    ZIP60068
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedAugust 23, 2006

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

    Payer SourceTotal Paid
    Medicaid$3.9M
    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
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…27,840$90$2.6M
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…9,030$40$397.4K
    97161The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…1,910$110$204.5K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…1,480$100$152.5K
    V5140Binaural, behind the ear170$710$117.2K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.1,560$70$107.6K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…1,260$50$64.5K
    V5160Dispensing fee, binaural190$340$63.8K
    97165The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…970$30$32.9K
    92610Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…420$40$18.3K

    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
    V5140Binaural, behind the ear1120170$720$568.2K
    U0003Infectious 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…287350400$70$514.7K
    V5160Dispensing fee, binaural2040190$350$225.1K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…211,220540$60$179.4K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…1011,2101,070$30$102.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.337740960$10$75.9K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…327530840$10$73.9K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.813090$180$60.6K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…215370560$10$60.5K
    97161The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…17200200$90$51.4K

    Showing 1–10 of 56

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Advocate Health And Hospitals Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard BoneILGastroenterology Physician$1.8M$28.2M
    Kevin MccuneILFamily Medicine Physician$0$9.6M
    Aaron WeinbergILRetina Specialist (Ophthalmology) Physician$3.3M$1.2M
    Omprakash SawlaniILPediatrics Physician$0$3.3M
    Zaki SiddiquiILPediatrics Physician$0$3.2M
    Amar HamadILHematology & Oncology Physician$3M$97.1K
    George WyhinnyILRetina Specialist (Ophthalmology) Physician$2.9M$33.9K
    Daniel AlterILRetina Specialist (Ophthalmology) Physician$2.7M$9K
    Enrique Garcia-valenzuelaILRetina Specialist (Ophthalmology) Physician$2.2M$129.5K
    Tarek KaramanILHospitalist Physician$1.1M$770.6K

    Nearby Providers

    Other providers in the same ZIP code as Advocate Health And Hospitals Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John HamiltonILAnatomic Pathology & Clinical Pathology Physician$6.4K$11.7M
    Medlab Technologies LLCILClinical Medical Laboratory$7.3M$87.6K
    Michael PinsILSpecialist$67.2K$5.6M
    Rahul KhapekarILFamily Medicine Physician$5.2M$410
    William MenegasILGeneral Practice Dentistry$0$3.4M
    Cranial Technologies, Inc.ILProsthetic/Orthotic Supplier$0$3.1M
    Rajendra GogiaILPain Medicine (Physical Medicine & Rehabilitation) Physician$893.5K$1.6M
    Oliver KimILAnatomic Pathology & Clinical Pathology Physician$98.6K$2M
    Andrea BlumsteinILAnatomic Pathology & Clinical Pathology Physician$66.1K$1.9M
    City Of Park RidgeILLand Ambulance$463.9K$1.1M

    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
    3 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Advocate Health And Hospitals Corporation — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois