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 1891780615 · Champaign, IL · Home Health Agency

    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 home health agency provider located in Champaign, Illinois. This profile covers 0 Medicare and 5 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
    Address4116 Fieldstone Rd
    CityChampaign
    StateIL
    ZIP61822
    TaxonomyHome Health Agency
    NPI EnumeratedSeptember 19, 2005

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

    Payer SourceTotal Paid
    Medicaid$6.4M
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes18,360$170$3.1M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes11,520$150$1.8M
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes5,280$170$898.3K
    G0153Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.4,440$110$497.3K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes690$110$74.7K

    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

    5 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 minutes91103,040$160$1M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes9802,730$180$868.1K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes650860$170$362.1K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes1330540$140$157.1K
    G0153Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.110250$110$121.7K

    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 HospitalILDurable Medical Equipment & Medical Supplies$0$4.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Irene WongILDentist$0$7.1M
    Champaign Surgicenter, LLCILAmbulatory Surgical Clinic/Center$1.3M$0
    Craig NeitzelILDermatology Physician$204.8K$543.9K
    Sami ZabanehILInternal Medicine Physician$457.1K$53.1K
    Ashok JagasiaILOtolaryngology Physician$109.1K$307.5K
    Yasser HaiderILEndocrinology, Diabetes & Metabolism Physician$371.9K$43.3K
    Ryan PorterILOtolaryngology Physician$22.1K$377.9K
    Brian OganILPain Medicine (Anesthesiology) Physician$223.2K$42.4K
    Janice JonesILMedical Physician Assistant$243.7K$1.9K
    Abu-bakar ZafarILOphthalmology Physician$154K$47.7K

    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 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois