Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Presence Central And Suburban Hospitals Network (NPI 1487715645)

Field	Value
Entity Type	Organization
Organization	Presence Central And Suburban Hospitals Network
Address	333 Madison St
City	Joliet
State	IL
ZIP	60435
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic 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…	40,480	$100	$4M
97162	The 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…	2,730	$90	$250.9K
97161	The 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	$90	$164.3K
77067	The 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…	1,330	$60	$73.4K
92507	The 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…	3,620	$20	$54.3K
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…	560	$90	$51.1K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	190	$100	$19.8K
80053	The 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.	4,170	$1	$16.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,690	$10	$15.2K
84443	The 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…	2,190	$10	$13.2K

Showing 1–10 of 83

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Presence Central And Suburban Hospitals Network — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

83 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	164	350	400	$70	$514.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	192	280	1,120	$30	$218.9K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	175	250	450	$40	$185.7K
97110	Therapeutic 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…	12	1,220	540	$60	$179.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	328	360	600	$30	$165.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	329	360	630	$30	$165K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	307	350	390	$50	$107.7K
92507	The 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…	284	1,210	1,070	$30	$102.1K
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	60	120	140	$40	$89.7K
80053	The 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.	203	740	960	$10	$75.9K

Showing 1–10 of 83

Related Providers

Other providers that share a Tax Identification Number (TIN) with Presence Central And Suburban Hospitals Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presence Behavioral Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.3M
Presence Chicago Hospitals Network	IL	General Acute Care Hospital	$0	$4.4M
Mustafa Hindi	IL	Emergency Medicine Physician	$107.8K	$744.8K
Katrina Nguyen	IL	Emergency Medicine Physician	$654.1K	$112.5K
William Maloney	WI	Emergency Medicine Physician	$96.4K	$655.9K
Theresa Gandor	IL	Emergency Medicine Physician	$200K	$489K
Guneesh Saluja	IN	Emergency Medicine Physician	$119K	$494.6K
Khanh Huynh	KS	Emergency Medicine Physician	$40.9K	$557.3K
Philip Gomez	MO	Emergency Medicine Physician	$61.3K	$506.5K
John Paik	IL	Emergency Medicine Physician	$75.5K	$453.8K

Nearby Providers

Other providers in the same ZIP code as Presence Central And Suburban Hospitals Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornerstone Services Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23.2M
Rts Services Unlimited, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M
Pinnacle Dermatology, Sc	IL	Dermatology Physician	$0	$7.2M
Trinity Services Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7M
Presence Home Care	IL	Home Health Agency	$0	$5.2M
James Urban	IL	Anatomic Pathology & Clinical Pathology Physician	$204.1K	$4.5M
Basingers Pharmacy Inc	IL	Community/Retail Pharmacy	$22.9K	$4M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$4M
Aunt Martha's Health And Wellness, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$3.1M
Nabil Jaber	IL	Pediatrics Physician	$0	$3.1M

Presence Central And Suburban Hospitals Network — Billing Profile & Reimbursement Data

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Presence Central And Suburban Hospitals Network — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References