#ProviderKeyID NPI ProviderTypeCd ProviderTypeDesc ProviderName ProvZipCd OfficeCountyCd OfficeCountyDesc ReimbursementTypeCd ReimbursementTypeDesc CriticalAccessInd PCPInd PrimSpecCdDesc CareCoordRINS CaseMgmt_InsuranceRINS ClinicServicesRINS DentalServicesRINS EPSDTRINS ERRINS HCBSRINS HomeHealthRINS HospiceRINS ICFMRRINS InpatientCareRINS LabRadiologyRINS NursingFacilityRINS OtherServicesRINS OutPatientRINS PDDRINS PrescDRUGsRINS RehabRINS SchoolBasedRINS TherapyRINS CaseMgmt_InsuranceEvents ClinicServicesEvents DentalServicesEvents EPSDTEvents EREvents HCBSEvents HomeHealthEvents HospiceEvents ICFMREvents InpatientCareEvents LabRadiologyEvents NursingFacilityEvents OtherServicesEvents OutPatientEvents PDDEvents PrescDRUGsEvents RehabEvents SchoolBasedEvents TherapyEvents CaseMgmt_InsuranceUOS ClinicServicesUOS DentalServicesUOS EPSDTUOS ERUOS HCBSUOS HomeHealthUOS HospiceUOS ICFMRUOS InpatientCareUOS LabRadiologyUOS NursingFacilityUOS OtherServicesUOS OutPatientUOS PDDUOS PrescDRUGsUOS RehabUOS SchoolBasedUOS TherapyUOS CaseMgmt_InsuranceCost ClinicServicesCost DentalServicesCost EPSDTCost ERCost HCBSCost HomeHealthCost HospiceCost ICFMRCost InpatientCareCost LabRadiologyCost NursingFacilityCost OtherServicesCost OutPatientCost PDDCost PrescDRUGsCost RehabCost SchoolBasedCost TherapyCost TotalCost HospStaticPayment CapitationPayments HospEncounterAddOnPayment 1101537075 83 Prepaid health plan--Managed care community network N L MERGER SUB INC 60606 200 Cook 0 0 "12,173" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "48,561,705.52" 0 1101537028 80 Prepaid health plan--Health maintenance organization AETNA BETTER HEALTH INC MMP 60606 200 Cook 0 0 "6,950" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "55,129,433.91" 0 1101537052 80 Prepaid health plan--Health maintenance organization HUMANA HEALTH PLAN INC MMP 60661 200 Cook 0 0 "7,704" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "56,183,836.26" 0 1101537081 83 Prepaid health plan--Managed care community network NEXTLEVEL HEALTH 60606 200 Cook 0 0 "46,659" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "203,014,920.83" 0 1101537046 80 Prepaid health plan--Health maintenance organization HARMONY HEALTH PLAN INC 60606 200 Cook 0 0 "217,347" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "699,620,829.03" 0 1101537069 80 Prepaid health plan--Health maintenance organization "MOLINA HEALTHCARE OF ILLINOIS," 60523 30 DuPage 0 0 "203,341" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "741,859,298.84" 0 1101537057 80 Prepaid health plan--Health maintenance organization ILLINICARE HEALTH PLAN 60559 30 DuPage 0 0 "310,558" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,638,808,243.01" 0 1101537040 83 Prepaid health plan--Managed care community network COOK COUNTY HEALTH OPERAINT AS 60612 200 Cook 0 0 "331,514" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "1,751,208,098.50" 0 1101537034 80 Prepaid health plan--Health maintenance organization BLUE CROSS AND BLUE SHIELD OF 60601 200 Cook 0 0 "444,819" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,098,644,312.45" 0 1101537063 80 Prepaid health plan--Health maintenance organization MERIDIAN HEALTH PLAN OF ILLINO 60604 200 Cook 0 0 "555,581" 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 "2,291,109,356.56" 0 1101364294 1891796108 31 Psychiatric Hospitals BHC MEADOWS HOSPITAL 474041616 815 Indiana PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80538.51 0 0 0 0 0 0 0 0 0 80538.51 2208.78 0 0 1101146050 1033132220 30 General Hospitals BARNES JEWISH HOSPITAL 631101621 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 827 0 0 0 0 1123 0 0 0 2423 0 0 0 0 0 11 0 0 0 1079 0 0 0 0 1306 0 0 0 6088 0 0 0 0 0 15 0 0 0 1079 0 0 0 0 9026 0 0 0 6157 0 0 0 0 0 217.66 0 0 0 156832.46 0 0 0 0 12099416.4 0 0 0 1087761.13 0 0 0 0 0 13344227.65 5215.31 0 0 1001247833 1427098169 30 General Hospitals MERCY HOSPITAL ST LOUIS 631418221 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 65 0 0 0 0 52 0 0 0 46 0 0 0 0 0 0 0 0 0 70 0 0 0 0 54 0 0 0 64 0 0 0 0 0 0 0 0 0 75 0 0 0 0 256 0 0 0 66 0 0 0 0 0 0 0 0 0 13172.53 0 0 0 0 237927.53 0 0 0 15056.8 0 0 0 0 0 266156.86 8693.52 0 0 1101074153 1629328604 31 Psychiatric Hospitals GARFIELD PARK HOSPITAL 999999999 200 Cook 0 0 0 0 122 0 0 0 0 0 0 0 282 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 331 0 0 0 0 0 0 0 0 0 0 1344 0 0 0 0 0 0 0 4735 0 0 0 0 0 0 0 0 0 0 220044.92 0 0 0 0 0 0 0 6322366 0 0 0 0 0 0 0 0 0 6542410.92 13135.16 0 0 1004812023 1962572396 30 General Hospitals SSM HEALTH ST MARYS HOSPITAL S 631171811 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 185 0 0 0 0 1018 0 0 0 379 0 0 0 0 0 0 0 0 0 239 0 0 0 0 416 0 0 0 780 0 0 0 0 0 0 0 0 0 239 0 0 0 0 2217 0 0 0 821 0 0 0 0 0 0 0 0 0 28400.11 0 0 0 0 2045201.83 0 0 0 156084.26 0 0 0 0 0 2229686.2 31690.78 0 18226.93 1101151042 1528143088 30 General Hospitals KINDRED CHICAGO CENTRAL HOSP 606414799 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 LTAC Special Qualification 0 0 0 0 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2946 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2251678.78 0 0 0 0 0 0 0 0 0 2251678.78 43561.08 0 0 1101174472 1538177423 30 General Hospitals CHRISTIAN HOSPITAL NE NW 631366163 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 229 0 0 0 0 141 0 0 0 399 0 0 0 0 0 0 0 0 0 290 0 0 0 0 159 0 0 0 951 0 0 0 0 0 0 0 0 0 290 0 0 0 0 730 0 0 0 959 0 0 0 0 0 0 0 0 0 35734.7 0 0 0 0 337330.69 0 0 0 110358.16 0 0 0 0 0 483423.55 55725.24 0 0 1101052067 1184844938 30 General Hospitals MORRISON COMMUNITY HOSPITAL 612703042 106 Whiteside DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 295 0 0 0 0 4 0 0 2 186 0 0 0 0 0 0 0 0 0 361 0 0 0 0 4 0 0 2 478 0 0 0 0 0 0 0 0 0 361 0 0 0 0 6 0 0 2 478 0 0 0 0 0 0 0 0 0 246559.62 0 0 0 0 7806.47 0 0 9043.82 215695.8 0 0 0 0 0 479105.71 55976.54 0 0 1101255765 1174569438 30 General Hospitals HOPEDALE HOSPITAL 617470267 98 Tazewell DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 111 0 0 0 0 7 0 0 0 70 0 0 0 0 0 0 0 0 0 146 0 0 0 0 7 0 0 0 155 0 0 0 0 0 0 0 0 0 146 0 0 0 0 23 0 0 0 155 0 0 0 0 0 0 0 0 0 21074.81 0 0 0 0 1340 0 0 0 10586.63 0 0 0 0 0 33001.44 62659.07 0 0 1101426271 1952409765 30 General Hospitals MIDWEST MEDICAL CENTER 610368118 51 Jo Daviess DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 308 0 0 0 0 15 0 0 0 137 0 0 0 0 0 0 0 0 0 425 0 0 0 0 17 0 0 0 214 0 0 0 0 0 0 0 0 0 425 0 0 0 0 49 0 0 0 223 0 0 0 0 0 0 0 0 0 306612.48 0 0 0 0 12006.62 0 0 0 180318.82 0 0 0 0 0 498937.92 76531.01 0 0 1101104923 1215901970 32 Rehabilitation Hospitals VAN MATRE HEALTHSOUTH REHAB 611084274 109 Winnebago REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 24 0 0 0 0 0 0 0 82 0 0 0 0 0 0 0 0 0 0 72 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 364 0 0 0 0 0 0 0 1080 0 0 0 0 0 0 0 0 0 0 3808.76 0 0 0 0 0 0 0 563202.97 0 0 0 0 0 0 0 0 0 567011.73 77417.19 0 0 1101110006 1619910460 31 Psychiatric Hospitals NAPERVILLE PSYCH VENTURES 605407430 30 DuPage PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 130 0 0 0 0 0 0 0 111 0 0 0 0 0 0 0 0 0 0 274 0 0 0 0 0 0 0 131 0 0 0 0 0 0 0 0 0 0 1741 0 0 0 0 0 0 0 1611 0 0 0 0 0 0 0 0 0 0 169255.03 0 0 0 0 0 0 0 260565.17 0 0 0 0 0 0 0 0 0 429820.2 101942.07 0 0 1101266054 1427301308 30 General Hospitals GENESIS MEDICAL CENTER ALEDO 999999999 74 Mercer 0 0 0 2 0 0 0 280 0 0 0 0 12 0 0 0 128 0 0 0 0 0 2 0 0 0 412 0 0 0 0 13 0 0 0 238 0 0 0 0 0 2 0 0 0 412 0 0 0 0 55 0 0 0 238 0 0 0 0 0 109.52 0 0 0 110143.3 0 0 0 0 5948.22 0 0 0 43718.96 0 0 0 0 0 159920 106925.22 0 0 1101071043 1811006661 30 General Hospitals SOUTHEAST MISSOURI HOSPITAL 637015230 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 391 0 0 0 0 87 0 0 0 112 0 0 0 0 0 1 0 0 0 550 0 0 0 0 99 0 0 0 155 0 0 0 0 0 2 0 0 0 550 0 0 0 0 571 0 0 0 175 0 0 0 0 0 0 0 0 0 84331.97 0 0 0 0 417558.61 0 0 0 40382.1 0 0 0 0 0 542272.68 107480.64 0 0 1101140613 1033397138 31 Psychiatric Hospitals LINCOLN PRAIRIE BEHAVIORAL HC 627035128 91 Sangamon PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 0 540 0 0 0 0 0 0 0 821 0 0 0 0 0 0 0 0 0 0 2086 0 0 0 0 0 0 0 984 0 0 0 0 0 0 0 0 0 0 4671 0 0 0 0 0 0 0 13605 0 0 0 0 0 0 0 0 0 0 514652.03 0 0 0 0 0 0 0 17175139.14 0 0 0 0 0 0 0 0 0 17689791.17 157723.8 0 0 1101041999 1851390132 30 General Hospitals MEMORIAL HOSPITAL 622331116 87 Randolph ARS-PD Hospitals paid a Per Diem rate. 1 0 0 1 0 0 0 360 0 0 0 0 17 0 0 0 247 0 0 0 0 0 2 0 0 0 582 0 0 0 0 18 0 0 0 676 0 0 0 0 0 2 0 0 0 582 0 0 0 0 64 0 0 0 676 0 0 0 0 0 714.4 0 0 0 149370.34 0 0 0 0 17112.3 0 0 0 175805.05 0 0 0 0 0 343002.09 167914.83 0 0 1101292884 1306921911 30 General Hospitals SAINT MARGARET MERCY NO 463201931 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 1866 0 0 0 0 488 0 0 0 219 0 0 0 0 0 7 0 0 0 2613 0 0 0 0 415 0 0 0 453 0 0 0 0 0 7 0 0 0 2613 0 0 0 0 1851 0 0 0 453 0 0 0 0 0 2.61 0 0 0 377168.14 0 0 0 0 1061633.41 0 0 0 42014.66 0 0 0 0 0 1480818.82 170059.38 0 6198.59 1101097582 1578648028 30 General Hospitals KINDRED HOSPITAL SYCAMORE 601782137 27 Dekalb ARS-LS Long-term stay hospitals paid under an ARS 0 0 LTAC Special Qualification 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 88 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2432 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2162423.41 0 0 0 0 0 0 0 0 0 2162423.41 174115.52 0 0 1101139311 1376656538 30 General Hospitals SHRINERS HOSPITALS FOR CHILDRE 607073351 839 Pennsylvania CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Children's Hospital 0 0 0 0 0 0 0 0 0 0 50 0 0 0 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 396 0 0 0 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 802817.06 0 0 0 140328.03 0 0 0 0 0 943145.09 175688.08 0 0 1101378945 1881729036 30 General Hospitals TAYLORVILLE MEM CHILDRENS HOSP 625681562 20 Christian CHILDRENS Hospital designated as childrens hospitals and pai 1 0 General Hospital - Children Section 0 0 0 0 0 581 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 729 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 729 0 0 0 0 0 0 0 0 71 0 0 0 0 0 0 0 0 0 118760.51 0 0 0 0 0 0 0 0 30949.46 0 0 0 0 0 149709.97 176447.09 0 0 1004570096 1376544320 30 General Hospitals UNIVERSITY OF IOWA HOSPITAL 522421009 816 Iowa DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 9 0 0 82 0 0 0 0 112 0 0 0 233 0 0 0 0 0 0 14 0 0 90 0 0 0 0 126 0 0 0 455 0 0 0 0 0 0 14 0 0 92 0 0 0 0 1383 0 0 0 456 0 0 0 0 0 0 806.98 0 0 24410.22 0 0 0 0 1717774.21 0 0 0 31428.68 0 0 0 0 0 1774420.09 187797.12 0 0 1101180888 1811096811 30 General Hospitals THOMAS H BOYD MEMORIAL HOSP 620161436 39 Greene DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 381 0 0 0 0 15 0 0 0 192 0 0 0 0 0 2 0 0 0 550 0 0 0 0 16 0 0 0 370 0 0 0 0 0 2 0 0 0 550 0 0 0 0 46 0 0 0 370 0 0 0 0 0 663.51 0 0 0 314133.51 0 0 0 0 5446.69 0 0 0 104773.74 0 0 0 0 0 425017.45 189160.5 0 0 1101166360 1427001445 30 General Hospitals MERCY HARVARD HOSPITAL INC 600331821 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 355 0 0 0 0 24 0 0 0 199 0 0 0 0 0 1 0 0 0 581 0 0 0 0 24 0 0 0 287 0 0 0 0 0 1 0 0 0 581 0 0 0 0 75 0 0 0 304 0 0 0 0 0 0 0 0 0 174245.77 0 0 0 0 15046.26 0 0 0 126588.22 0 0 0 0 0 315880.25 193865.89 0 0 1101028964 1659321560 30 General Hospitals WASHINGTON COUNTY HOSP 622631534 103 Washington DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 256 0 0 0 0 6 0 0 0 102 0 0 0 0 0 2 0 0 0 347 0 0 0 0 6 0 0 0 183 0 0 0 0 0 2 0 0 0 347 0 0 0 0 17 0 0 0 183 0 0 0 0 0 228.48 0 0 0 127600.42 0 0 0 0 3811.63 0 0 0 50197.01 0 0 0 0 0 181837.54 196489.15 0 0 1101445396 1609803113 30 General Hospitals MENDOTA COMMUNITY HOSPITAL 613429216 58 La Salle DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 849 0 0 0 0 41 0 0 0 369 0 0 0 0 0 5 0 0 0 1181 0 0 0 0 42 0 0 0 811 0 0 0 0 0 5 0 0 0 1181 0 0 0 0 131 0 0 0 811 0 0 0 0 0 0 0 0 0 337199.74 0 0 0 0 34842.74 0 0 0 196705.17 0 0 0 0 0 568747.65 202403.91 0 0 1101148585 1689646523 30 General Hospitals PINCKNEYVILLE COMMUNITY HOSP 622741034 81 Perry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 411 0 0 0 0 34 0 0 0 274 0 0 0 0 0 3 0 0 0 600 0 0 0 0 34 0 0 0 808 0 0 0 0 0 3 0 0 0 600 0 0 0 0 111 0 0 0 808 0 0 0 0 0 80.32 0 0 0 336674.21 0 0 0 0 33379 0 0 0 306041.46 0 0 0 0 0 676174.99 205782.63 0 0 1101230341 1710946801 33 Nursing Facilities RED BUD REGIONAL CARE 622781116 87 Randolph 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1351987.23 0 0 0 0 0 0 0 1351987.23 208619 0 0 1101198243 1083660658 32 Rehabilitation Hospitals MARIANJOY REHABILITATION HOSP 601876002 30 DuPage REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 1 125 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 1 290 0 0 0 0 0 0 0 98 0 0 0 0 0 0 0 0 0 1 304 0 0 0 0 0 0 0 1530 0 0 0 0 0 0 0 0 0 19.28 21392.14 0 0 0 0 0 0 0 1207559.24 0 0 0 0 0 0 0 0 0 1228970.66 210288.42 0 0 1101412538 1538343876 30 General Hospitals ADVOCATE EUREKA HOSPITAL 615301246 110 Woodford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Hospital childrens mental health 0 0 0 0 0 300 0 0 0 0 13 0 0 0 161 0 0 0 0 0 0 0 0 0 426 0 0 0 0 14 0 0 0 404 0 0 0 0 0 0 0 0 0 426 0 0 0 0 46 0 0 0 404 0 0 0 0 0 0 0 0 0 91994.29 0 0 0 0 10769.35 0 0 0 55565.6 0 0 0 0 0 158329.24 216232.37 0 0 1101379212 1447352323 30 General Hospitals ST JOSEPHS HOSPITAL 622492806 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 353 0 0 0 0 37 0 0 0 368 0 0 0 0 0 0 0 0 0 533 0 0 0 0 42 0 0 0 1135 0 0 0 0 0 0 0 0 0 533 0 0 0 0 197 0 0 0 1230 0 0 0 0 0 0 0 0 0 192697.41 0 0 0 0 32559.44 0 0 0 308212.71 0 0 0 0 0 533469.56 222663.44 0 0 1101376698 1053348532 30 General Hospitals SHELBY MEMORIAL HOSPITAL 625651838 94 Shelby DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 633 0 0 0 0 94 0 0 0 292 0 0 0 0 0 6 0 0 0 946 0 0 0 0 99 0 0 0 479 0 0 0 0 0 6 0 0 0 946 0 0 0 0 284 0 0 0 479 0 0 0 0 0 88.38 0 0 0 95070.38 0 0 0 0 82983.61 0 0 0 40034.23 0 0 0 0 0 218176.6 233728.97 0 0 1101348803 1285732933 30 General Hospitals ST VINCENT EVANSVILLE HOSPITAL 477140541 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 134 0 0 0 0 88 0 0 0 165 0 0 0 0 0 0 0 0 0 163 0 0 0 0 94 0 0 0 209 0 0 0 0 0 0 0 0 0 165 0 0 0 0 593 0 0 0 213 0 0 0 0 0 0 0 0 0 26886.76 0 0 0 0 463929.61 0 0 0 60712.78 0 0 0 0 0 551529.15 235264.86 0 0 1101052999 1154329753 30 General Hospitals ABRAHAM LINCOLN MEMORIAL HOSP 626562671 62 Logan ARS-PD Hospitals paid a Per Diem rate. 1 0 General Hospital - Adults Section 0 3 0 0 0 1486 0 0 0 0 175 0 0 1 767 0 0 0 0 0 3 0 0 0 2693 0 0 0 0 185 0 0 1 1524 0 0 0 0 0 3 0 0 0 2693 0 0 0 0 506 0 0 1 1524 0 0 0 0 0 310.53 0 0 0 766642.18 0 0 0 0 159456.54 0 0 4809.24 505744.08 0 0 0 0 0 1436962.57 235811.25 0 0 1101388928 1144266024 30 General Hospitals INDIANA UNIVERSITY HEALTH INC 462021239 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 34 0 0 0 0 31 0 0 0 54 0 0 0 0 0 0 0 0 0 38 0 0 0 0 24 0 0 0 91 0 0 0 0 0 0 0 0 0 38 0 0 0 0 291 0 0 0 91 0 0 0 0 0 0 0 0 0 10197.29 0 0 0 0 644838.04 0 0 0 37136.75 0 0 0 0 0 692172.08 237410.34 0 921.18 1101194703 1750308631 30 General Hospitals COMMUNITY HOSPITAL STAUNTON 620881173 64 Macoupin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 0 0 0 0 649 0 0 0 0 23 0 0 0 299 0 0 0 0 0 0 0 0 0 861 0 0 0 0 25 0 0 0 729 0 0 0 0 0 0 0 0 0 862 0 0 0 0 75 0 0 0 729 0 0 0 0 0 0 0 0 0 187931.63 0 0 0 0 8180.82 0 0 0 119277.09 0 0 0 0 0 315389.54 249387.76 0 0 1003057185 1083021877 31 Psychiatric Hospitals CHICAGO BEHAVIORAL HOSPITAL 600164729 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 2 65 0 0 0 0 0 0 0 361 0 0 0 0 0 0 0 0 0 2 96 0 0 0 0 0 0 0 379 0 0 0 0 0 0 0 0 0 23 677 0 0 0 0 0 0 0 4351 0 0 0 0 0 0 0 0 0 2976.61 58784.93 0 0 0 0 0 0 0 1195272.62 0 0 0 0 0 0 0 0 0 1257034.16 286565.04 0 0 1101494058 1447257258 30 General Hospitals HAMILTON MEMORIAL HOSPITAL 628591213 41 Hamilton DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 1 0 0 0 870 0 0 0 0 64 0 0 0 406 0 0 0 0 0 1 0 0 0 1355 0 0 0 0 72 0 0 0 759 0 0 0 0 0 1 0 0 0 1355 0 0 0 0 205 0 0 0 777 0 0 0 0 0 0 0 0 0 392247.61 0 0 0 0 63638.01 0 0 0 241080.08 0 0 0 0 0 696965.7 287663.56 0 0 1101289325 1295739548 30 General Hospitals SALEM TOWNSHIP HOSPITAL 628814263 66 Marion DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 821 0 0 0 0 39 0 0 0 375 0 0 0 0 0 0 0 0 0 1066 0 0 0 0 39 0 0 0 572 0 0 0 0 0 0 0 0 0 1066 0 0 0 0 154 0 0 0 572 0 0 0 0 0 0 0 0 0 313948.66 0 0 0 0 54444.56 0 0 0 258112.84 0 0 0 0 0 626506.06 295686.75 0 0 1101123332 1811984388 30 General Hospitals MIDWESTERN REGIONAL MED CTR 600992676 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 29 0 0 0 0 1 0 0 0 7 0 0 0 0 0 0 0 0 0 33 0 0 0 0 1 0 0 0 9 0 0 0 0 0 0 0 0 0 33 0 0 0 0 1 0 0 0 9 0 0 0 0 0 0 0 0 0 5134.15 0 0 0 0 9838.01 0 0 0 67135.08 0 0 0 0 0 82107.24 308088.41 0 0 1101072156 1821053216 30 General Hospitals ROCHELLE COMMUNITY HOSP 610681764 79 Ogle DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 1114 0 0 0 0 64 0 0 1 351 0 0 0 0 0 1 0 0 0 1741 0 0 0 0 80 0 0 1 720 0 0 0 0 0 1 0 0 0 1744 0 0 0 0 208 0 0 1 720 0 0 0 0 0 320.58 0 0 0 535207.96 0 0 0 0 43002.47 0 0 2446.61 184893.77 0 0 0 0 0 765871.39 317337.05 0 0 1101269317 1124025176 30 General Hospitals NORTHWESTERN LAKE FOREST HSPTL 600451658 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 2528 0 0 0 0 584 0 0 0 1069 0 0 0 0 0 6 0 0 0 3333 0 0 0 0 630 0 0 0 2238 0 0 0 0 0 6 0 0 0 3333 0 0 0 0 2086 0 0 0 2263 0 0 0 0 0 19.35 0 0 0 754666.13 0 0 0 0 1289578.22 0 0 0 555114.97 0 0 0 0 0 2599378.67 323097.62 0 0 1005665076 1689775736 30 General Hospitals PRESENCE HOLY FAMILY MEDCL CTR 999999999 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 3 0 0 0 0 0 0 0 0 88 0 0 0 448 0 0 0 0 0 4 0 0 0 0 0 0 0 0 90 0 0 0 814 0 0 0 0 0 86 0 0 0 0 0 0 0 0 3110 0 0 0 821 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1530710.97 0 0 0 59928.05 0 0 0 0 0 1590639.02 349895.33 0 0 1101038616 1013017839 31 Psychiatric Hospitals ALEXIAN BROS BEHAVIORAL HLTH 601941010 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 156 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 294 0 0 0 0 0 0 0 110 0 0 0 0 0 0 0 0 0 0 1747 0 0 0 0 0 0 0 1328 0 0 0 0 0 0 0 0 0 0 219554.67 0 0 0 0 0 0 0 214125.67 0 0 0 0 0 0 0 0 0 433680.34 358540.37 0 0 1101215754 1124021308 30 General Hospitals PERRY MEMORIAL HOSPITAL 613563901 15 Bureau DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 846 0 0 0 0 60 0 0 0 508 0 0 0 0 0 1 0 0 0 1213 0 0 0 0 69 0 0 0 994 0 0 0 0 0 1 0 0 0 1227 0 0 0 0 196 0 0 0 1664 0 0 0 0 0 829.8 0 0 0 287658.76 0 0 0 0 99194.88 0 0 0 362256.58 0 0 0 0 0 749940.02 365951.48 0 0 1101201263 1164535431 30 General Hospitals HAMMOND HENRY DISTRICT HOSP 612541091 45 Henry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 379 0 0 0 0 40 0 0 0 238 0 0 0 0 0 2 0 0 0 564 0 0 0 0 42 0 0 0 390 0 0 0 0 0 2 0 0 0 564 0 0 0 0 135 0 0 0 390 0 0 0 0 0 364.62 0 0 0 107249.26 0 0 0 0 38515.14 0 0 0 114025.76 0 0 0 0 0 260154.78 368370.36 0 0 1101440208 1205850690 30 General Hospitals GREENVILLE REGIONAL HOSPITAL 622461154 12 Bond DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 760 0 0 0 0 198 0 0 0 469 0 0 0 0 0 7 0 0 0 1199 0 0 0 0 226 0 0 0 877 0 0 0 0 0 7 0 0 0 1203 0 0 0 0 710 0 0 0 877 0 0 0 0 0 74.93 0 0 0 105340.33 0 0 0 0 217692.24 0 0 0 93596.51 0 0 0 0 0 416704.01 385136.21 0 0 1101055385 1861494072 30 General Hospitals ST MARGARETS HEALTH 613621512 15 Bureau DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 1016 0 0 0 0 254 0 0 0 1258 0 0 0 0 0 15 0 0 0 1323 0 0 0 0 272 0 0 0 4315 0 0 0 0 0 15 0 0 0 1323 0 0 0 0 745 0 0 0 4315 0 0 0 0 0 407.59 0 0 0 131256.19 0 0 0 0 319743.2 0 0 0 285929.12 0 0 0 0 0 737336.1 385880.86 0 0 1101443838 1447368071 30 General Hospitals GOOD SHEPHERD HOSPITAL 600101919 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 978 0 0 0 0 356 0 0 0 735 0 0 0 0 0 8 0 0 0 1345 0 0 0 0 446 0 0 0 1410 0 0 0 0 0 12 0 0 0 1347 0 0 0 0 2067 0 0 0 1438 0 0 0 0 0 132.82 0 0 0 292035.04 0 0 0 0 1141479.95 0 0 0 203322.77 0 0 0 0 0 1636970.58 390798.73 0 0 1101104920 1457319154 30 General Hospitals ST JOSEPHS HOSPITAL 622300099 23 Clinton DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 375 0 0 0 0 129 0 0 0 474 0 0 0 0 0 0 0 0 0 498 0 0 0 0 133 0 0 0 961 0 0 0 0 0 0 0 0 0 498 0 0 0 0 386 0 0 0 1161 0 0 0 0 0 0 0 0 0 63367.1 0 0 0 0 148965.61 0 0 0 91313.69 0 0 0 0 0 303646.4 392311.74 0 0 1004703185 1689935397 30 General Hospitals SOUTH SHORE HOSPITAL CORP 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31229.65 0 0 0 0 0 0 0 0 0 31229.65 400000 0 0 1101250767 1992856819 30 General Hospitals VISTA MEDICAL CENTER WEST 600854980 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 202 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 239 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 31331.6 0 0 0 0 0 0 0 0 177.02 0 0 0 0 0 31508.62 400878.38 0 0 1101356334 1538165600 30 General Hospitals HARDIN CO GEN HOSP 629822467 43 Hardin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 585 0 0 0 0 90 0 0 0 282 0 0 0 0 0 1 0 0 0 1582 0 0 0 0 107 0 0 0 631 0 0 0 0 0 1 0 0 0 1587 0 0 0 0 352 0 0 0 631 0 0 0 0 0 0 0 0 0 124546.9 0 0 0 0 160638.26 0 0 0 54425.33 0 0 0 0 0 339610.49 408573.99 0 185 1101209963 1588644975 30 General Hospitals HILLSBORO AREA HOSPITAL 620491912 76 Montgomery DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 6 0 0 0 863 0 0 0 0 40 0 0 6 453 0 0 0 0 0 11 0 0 0 1290 0 0 0 0 46 0 0 6 865 0 0 0 0 0 11 0 0 0 1290 0 0 0 0 125 0 0 6 865 0 0 0 0 0 1541.26 0 0 0 437694.66 0 0 0 0 26749.43 0 0 27775.4 212843.89 0 0 0 0 0 706604.64 416080.11 0 0 1101253294 1033116876 30 General Hospitals PROCTOR HOSPITAL 616145069 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 2 0 0 0 1140 0 0 0 0 187 0 0 1 714 0 0 0 0 0 2 0 0 0 1515 0 0 0 0 204 0 0 1 1020 0 0 0 0 0 2 0 0 0 1515 0 0 0 0 798 0 0 1 1288 0 0 0 0 0 0 0 0 0 223654.63 0 0 0 0 221596.7 0 0 1938.46 266333.95 0 0 0 0 0 713523.74 431450.68 0 0 1101371278 1194728808 30 General Hospitals WABASH GENERAL HOSPITAL 628632638 101 Wabash DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 3 0 0 0 836 0 0 0 0 64 0 0 1 762 0 0 0 0 0 5 0 0 0 1198 0 0 0 0 65 0 0 1 1916 0 0 0 0 0 5 0 0 0 1198 0 0 0 0 195 0 0 1 1935 0 0 0 0 0 1156.53 0 0 0 295906.8 0 0 0 0 39813.11 0 0 4234.84 666456.86 0 0 0 0 0 1007568.14 449217.01 0 0 1101119112 1013969112 30 General Hospitals SARAH D CULBERTSON MEM 626811465 92 Schuyler DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 4 0 0 0 701 0 0 0 0 39 0 0 0 387 0 0 0 0 0 4 0 0 0 966 0 0 0 0 40 0 0 0 744 0 0 0 0 0 4 0 0 0 966 0 0 0 0 160 0 0 0 744 0 0 0 0 0 597.27 0 0 0 248079.88 0 0 0 0 27853.69 0 0 0 133647.53 0 0 0 0 0 410178.37 451250.95 0 0 1101023533 1730179847 30 General Hospitals KIRBY MEDICAL CENTER 618562116 82 Piatt DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 669 0 0 0 0 9 0 0 0 170 0 0 0 0 0 2 0 0 0 939 0 0 0 0 10 0 0 0 278 0 0 0 0 0 2 0 0 0 939 0 0 0 0 34 0 0 0 283 0 0 0 0 0 390.13 0 0 0 276349.43 0 0 0 0 2193.12 0 0 0 110618.19 0 0 0 0 0 389550.87 452508.55 0 0 1101119620 1821099441 30 General Hospitals MARSHALL BROWNING HOSPITAL 628320192 81 Perry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 3 0 0 0 808 0 0 0 0 41 0 0 0 436 0 0 0 0 0 9 0 0 0 1209 0 0 0 0 42 0 0 0 1114 0 0 0 0 0 11 0 0 0 1245 0 0 0 0 156 0 0 0 1400 0 0 0 0 0 1421.47 0 0 0 347884.11 0 0 0 0 33624.87 0 0 0 220023.37 0 0 0 0 0 602953.82 454138.19 0 0 1101030112 1396024162 30 General Hospitals LAWRENCE COUNTY MEMORIAL HOSP 999999999 59 Lawrence DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 2 0 0 0 746 0 0 0 0 60 0 0 0 476 0 0 0 0 0 6 0 0 0 1043 0 0 0 0 55 0 0 0 892 0 0 0 0 0 8 0 0 0 1046 0 0 0 0 248 0 0 0 1318 0 0 0 0 0 950.54 0 0 0 273265.18 0 0 0 0 60908.36 0 0 0 213301.43 0 0 0 0 0 548425.51 454805.23 0 135 1101113722 1851363154 30 General Hospitals CROSSROADS COMM HOSPITAL 628646224 49 Jefferson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1880 0 0 0 0 198 0 0 0 760 0 0 0 0 0 2 0 0 0 2863 0 0 0 0 218 0 0 0 1271 0 0 0 0 0 2 0 0 0 2863 0 0 0 0 690 0 0 0 1271 0 0 0 0 0 0 0 0 0 383585.48 0 0 0 0 724113.72 0 0 0 266861.13 0 0 0 0 0 1374560.33 466168.72 0 0 1101021178 1730139031 30 General Hospitals MEMORIAL HOSPITAL 623213551 42 Hancock DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 576 0 0 0 0 39 0 0 0 365 0 0 0 0 0 2 0 0 0 806 0 0 0 0 41 0 0 0 659 0 0 0 0 0 2 0 0 0 806 0 0 0 0 116 0 0 0 686 0 0 0 0 0 23.97 0 0 0 205602.87 0 0 0 0 52094.29 0 0 0 195420.52 0 0 0 0 0 453141.65 467913.96 0 0 1101522701 1902849649 30 General Hospitals MASON DISTRICT HOSPITAL 626441243 68 Mason DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 3 0 0 0 636 0 0 0 0 19 0 0 0 306 0 0 0 0 0 6 0 0 0 966 0 0 0 0 20 0 0 0 847 0 0 0 0 0 9 0 0 0 966 0 0 0 0 68 0 0 0 847 0 0 0 0 0 51.33 0 0 0 423177.63 0 0 0 0 11709.89 0 0 0 270222.66 0 0 0 0 0 705161.51 469788.41 0 0 1101270028 1235211301 30 General Hospitals DR JOHN WARNER HOSPITAL 617272140 28 De Witt DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 0 0 0 0 669 0 0 0 0 17 0 0 0 211 0 0 0 0 0 0 0 0 0 1039 0 0 0 0 18 0 0 0 405 0 0 0 0 0 0 0 0 0 1041 0 0 0 0 55 0 0 0 441 0 0 0 0 0 0 0 0 0 318003.47 0 0 0 0 20465.08 0 0 0 80906.48 0 0 0 0 0 419375.03 471201.4 0 0 1101482268 1407859655 30 General Hospitals DELNOR COMMUNITY HOSPITAL 601344200 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 1308 0 0 0 0 425 0 0 0 994 0 0 0 0 0 5 0 0 0 1805 0 0 0 0 475 0 0 0 2160 0 0 0 0 0 5 0 0 0 1805 0 0 0 0 1732 0 0 0 2161 0 0 0 0 0 227.05 0 0 0 347208.06 0 0 0 0 854828.31 0 0 0 473028.57 0 0 0 0 0 1675291.99 471593.19 0 0 1101295428 1841387388 30 General Hospitals INGALLS CHILDRENS HOSPITAL 604263558 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 1970 0 0 0 0 146 0 0 0 71 0 0 0 0 0 0 0 0 0 2412 0 0 0 0 149 0 0 0 76 0 0 0 0 0 0 0 0 0 2412 0 0 0 0 996 0 0 0 76 0 0 0 0 0 0 0 0 0 379290.51 0 0 0 0 1364502.63 0 0 0 39768.89 0 0 0 0 0 1783562.03 475685.06 0 0 1101473445 1184705931 30 General Hospitals VALLEY WEST COMMUNITY HOSPITAL 605482587 27 Dekalb DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 2 0 0 0 938 0 0 0 0 106 0 0 0 374 0 0 0 0 0 2 0 0 0 1289 0 0 0 0 109 0 0 0 753 0 0 0 0 0 2 0 0 0 1289 0 0 0 0 269 0 0 0 753 0 0 0 0 0 51.4 0 0 0 766500.9 0 0 0 0 148923.18 0 0 0 481420.74 0 0 0 0 0 1396896.22 478800.28 0 0 1101259572 1790788578 30 General Hospitals MASSAC MEMORIAL HOSPITAL 629602467 69 Massac DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 3 0 0 0 1383 0 0 0 0 160 0 0 0 698 0 0 0 0 0 4 0 0 0 2048 0 0 0 0 198 0 0 0 1804 0 0 0 0 0 4 0 0 0 2048 0 0 0 0 706 0 0 0 1804 0 0 0 0 0 326.48 0 0 0 549995.45 0 0 0 0 139699.16 0 0 0 385999.21 0 0 0 0 0 1076020.3 533832.67 0 0 1101456958 1184655136 30 General Hospitals CLAY COUNTY HOSPITAL 628393241 22 Clay ARS-PD Hospitals paid a Per Diem rate. 1 0 Government Owned 0 1 0 0 0 1254 0 0 0 0 71 0 0 0 628 0 0 0 0 0 4 0 0 0 2305 0 0 0 0 84 0 0 0 3186 0 0 0 0 0 7 0 0 0 2306 0 0 0 0 307 0 0 0 3186 0 0 0 0 0 179.08 0 0 0 516712.43 0 0 0 0 42734.66 0 0 0 515316.48 0 0 0 0 0 1074942.65 536686.92 0 0 1101013383 1699778951 30 General Hospitals FRANKLIN HOSPITAL 628121969 36 Franklin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 1157 0 0 0 0 53 0 0 0 474 0 0 0 0 0 2 0 0 0 1574 0 0 0 0 62 0 0 0 1203 0 0 0 0 0 2 0 0 0 1574 0 0 0 0 175 0 0 0 1203 0 0 0 0 0 421.31 0 0 0 555089.32 0 0 0 0 26668.31 0 0 0 414376.27 0 0 0 0 0 996555.21 537827.22 0 0 1101530724 1649370057 30 General Hospitals MORRIS HOSPITAL AND HEALTHCARE 604501463 40 Grundy DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 5 0 0 0 2213 0 0 0 0 446 0 0 3 1609 0 0 0 0 0 10 0 0 0 3212 0 0 0 0 480 0 0 3 3777 0 0 0 0 0 10 0 0 0 3213 0 0 0 0 1608 0 0 3 3836 0 0 0 0 0 123.86 0 0 0 571008.79 0 0 0 0 892535.34 0 0 2658.49 482368.92 0 0 0 0 0 1948695.4 540337.25 0 0 1101473860 1588673628 30 General Hospitals MEMORIAL MEDICAL CENTER 600987509 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 1 0 0 610 0 0 0 0 1 0 0 0 282 0 0 0 0 0 1 1 0 0 890 0 0 0 0 1 0 0 0 600 0 0 0 0 0 1 1 0 0 890 0 0 0 0 5 0 0 0 609 0 0 0 0 0 0 0 0 0 114269.93 0 0 0 0 0 0 0 0 33855.94 0 0 0 0 0 148125.87 541910.93 0 0 1101443285 1073581872 30 General Hospitals HARRISBURG MEDICAL CENTER 629462718 90 Saline DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 4 0 0 0 1905 0 0 0 0 319 0 0 0 1186 0 0 0 0 0 5 0 0 0 2925 0 0 0 0 418 0 0 0 1911 0 0 0 0 0 5 0 0 0 2925 0 0 0 0 1341 0 0 0 1938 0 0 0 0 0 229.71 0 0 0 547851.65 0 0 0 0 620279.08 0 0 0 359296.2 0 0 0 0 0 1527656.64 550350.96 0 0 1101180893 1710968276 30 General Hospitals ILL VALLEY COMMUNITY HOSP 613542757 58 La Salle DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1515 0 0 0 0 349 0 0 2 948 0 0 0 0 0 2 0 0 0 2144 0 0 0 0 365 0 0 2 2639 0 0 0 0 0 2 0 0 0 2144 0 0 0 0 917 0 0 2 2957 0 0 0 0 0 8.85 0 0 0 286237.16 0 0 0 0 407438.95 0 0 3455.63 266585.7 0 0 0 0 0 963726.29 561536.78 0 0 1101303795 1780693358 30 General Hospitals FAYETTE COUNTY HOSPITAL 624711227 34 Fayette DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 4 0 0 0 1144 0 0 0 0 93 0 0 0 691 0 0 0 0 0 14 0 0 0 1793 0 0 0 0 110 0 0 0 2355 0 0 0 0 0 16 0 0 0 1793 0 0 0 0 377 0 0 0 2359 0 0 0 0 0 956.34 0 0 0 390066.78 0 0 0 0 61542.14 0 0 0 430668.31 0 0 0 0 0 883233.57 589201.69 0 0 1101408586 1992727663 30 General Hospitals ST LOUIS CHILDRENS HOSPITAL 631101002 826 Missouri CHILDRENS Hospital designated as childrens hospitals and pai 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 895 0 0 0 0 752 0 0 0 1154 0 0 0 0 0 0 0 0 0 1081 0 0 0 0 759 0 0 0 1702 0 0 0 0 0 0 0 0 0 1081 0 0 0 0 7301 0 0 0 1722 0 0 0 0 0 0 0 0 0 170928.85 0 0 0 0 15051575.79 0 0 0 1021339.84 0 0 0 0 0 16243844.48 613812.55 0 27493.55 1101041878 1164539730 30 General Hospitals LUTHERAN GENERAL HOSPITAL 600681143 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 22 58 0 0 2144 0 0 0 0 2199 0 0 0 2350 0 0 0 0 0 32 287 0 0 2866 0 0 0 0 2761 0 0 0 4468 0 0 0 0 0 118 307 0 0 2873 0 0 0 0 14418 0 0 0 4500 0 0 0 0 0 1784.4 28657.6 0 0 502928.64 0 0 0 0 11081627.08 0 0 0 612392.41 0 0 0 0 0 12227390.13 629729.28 0 0 1101155331 1497861330 30 General Hospitals PASSAVANT AREA CHILDRENS HOSP 626501136 77 Morgan CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 1235 0 0 0 0 28 0 0 0 196 0 0 0 0 0 0 0 0 0 1643 0 0 0 0 28 0 0 0 214 0 0 0 0 0 0 0 0 0 1643 0 0 0 0 64 0 0 0 214 0 0 0 0 0 0 0 0 0 221822.09 0 0 0 0 47372.68 0 0 0 80743.71 0 0 0 0 0 349938.48 657395.16 0 0 1101518217 1942326970 30 General Hospitals PANA COMMUNITY HOSPITAL 625571716 20 Christian DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 5 0 0 0 987 0 0 0 0 59 0 0 0 400 0 0 0 0 0 11 0 0 0 1723 0 0 0 0 74 0 0 0 951 0 0 0 0 0 14 0 0 0 1723 0 0 0 0 231 0 0 0 1724 0 0 0 0 0 727.6 0 0 0 405186.15 0 0 0 0 57947.11 0 0 0 278641.62 0 0 0 0 0 742502.48 657837.78 0 0 1101490820 1801818240 30 General Hospitals SPARTA COMMUNITY HOSPITAL 622861820 87 Randolph ARS-PD Hospitals paid a Per Diem rate. 1 0 Government Owned 0 1 0 0 0 1121 0 0 0 0 53 0 0 0 586 0 0 0 0 0 1 0 0 0 1794 0 0 0 0 56 0 0 0 1512 0 0 0 0 0 1 0 0 0 1794 0 0 0 0 179 0 0 0 1512 0 0 0 0 0 30 0 0 0 333156.59 0 0 0 0 51980.86 0 0 0 377975.42 0 0 0 0 0 763142.87 665375.16 0 0 1101275750 1548393184 30 General Hospitals OSF HOLY FAMILY MEDICAL CENTER 614621007 102 Warren DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 972 0 0 0 0 35 0 0 0 448 0 0 0 0 0 2 0 0 0 1459 0 0 0 0 40 0 0 0 821 0 0 0 0 0 2 0 0 0 1459 0 0 0 0 120 0 0 0 823 0 0 0 0 0 905.84 0 0 0 761548.81 0 0 0 0 32367.75 0 0 0 362419.44 0 0 0 0 0 1157241.84 667074.98 0 0 1101262831 1114935681 30 General Hospitals GIBSON COMMUNITY HOSPITAL ASSO 609361477 35 Ford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 3 0 0 0 634 0 0 0 0 138 0 0 1 542 0 0 0 0 0 5 0 0 0 836 0 0 0 0 150 0 0 1 1090 0 0 0 0 0 5 0 0 0 836 0 0 0 0 318 0 0 1 1090 0 0 0 0 0 4523.13 0 0 0 367030.14 0 0 0 0 164885.9 0 0 5018.43 593956.16 0 0 0 0 0 1135413.76 669944.04 0 0 1101536231 1194713404 30 General Hospitals FERRELL HOSPITAL COMM FOUND 629301634 90 Saline DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 5 0 0 0 1128 0 0 0 0 146 0 0 0 617 0 0 0 0 0 16 0 0 0 1720 0 0 0 0 184 0 0 0 1309 0 0 0 0 0 27 0 0 0 1720 0 0 0 0 633 0 0 0 1309 0 0 0 0 0 151.48 0 0 0 180787.24 0 0 0 0 116626.08 0 0 0 149048.18 0 0 0 0 0 446612.98 709156.1 0 0 1101124568 1265493720 30 General Hospitals CRAWFORD MEMORIAL HOSPITAL 624541167 25 Crawford DRG Hospitals reimbursed under our Diagnosis Related G 1 0 Government Owned 0 2 0 0 0 1122 0 0 0 0 133 0 0 0 689 0 0 0 0 0 2 0 0 0 1699 0 0 0 0 146 0 0 0 1592 0 0 0 0 0 2 0 0 0 1699 0 0 0 0 417 0 0 0 1602 0 0 0 0 0 175.33 0 0 0 384093.68 0 0 0 0 171821.33 0 0 0 562046.69 0 0 0 0 0 1118137.03 723878.65 0 0 1101066220 1255422416 30 General Hospitals FAIRFIELD MEM HOSPITAL 628371203 104 Wayne DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 1 0 0 0 1113 0 0 0 0 82 0 0 3 797 0 0 0 0 0 2 0 0 0 1920 0 0 0 0 91 0 0 3 1818 0 0 0 0 0 2 0 0 0 1920 0 0 0 0 261 0 0 3 1825 0 0 0 0 0 71.19 0 0 0 244888.59 0 0 0 0 114894.42 0 0 4674.04 350089.43 0 0 0 0 0 714617.67 742724.66 0 0 1101089005 1053425124 30 General Hospitals CARLINVILLE AREA HOSPITAL 626263710 64 Macoupin DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 1 0 0 0 1096 0 0 0 0 65 0 0 0 512 0 0 0 0 0 1 0 0 0 1600 0 0 0 0 77 0 0 0 1309 0 0 0 0 0 1 0 0 0 1600 0 0 0 0 216 0 0 0 1309 0 0 0 0 0 0 0 0 0 531410.42 0 0 0 0 60305.16 0 0 0 359574.32 0 0 0 0 0 951289.9 750433.06 0 0 1004826923 1588713440 30 General Hospitals OSF SAINT ELIZABETH MEDICAL CE 613501604 58 La Salle ARS-PD Hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 13 0 0 0 3731 0 0 0 0 621 0 0 0 1980 0 0 0 0 0 40 0 0 0 5999 0 0 0 0 686 0 0 0 5016 0 0 0 0 0 43 0 0 0 5999 0 0 0 0 1925 0 0 0 5076 0 0 0 0 0 304.09 0 0 0 916822.34 0 0 0 0 892013.09 0 0 0 592789.32 0 0 0 0 0 2401928.84 783934.43 0 0 1101014213 1528158573 30 General Hospitals HERRIN HOSPITAL 629483631 108 Williamson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 13 0 0 0 4098 0 0 0 0 909 0 0 3 4021 0 0 0 0 0 22 0 0 0 6067 0 0 0 0 1231 0 0 3 8094 0 0 0 0 0 35 0 0 0 6067 0 0 0 0 4555 0 0 3 10044 0 0 0 0 0 443.86 0 0 0 977356.15 0 0 0 0 1873200.46 0 0 3669.58 785376.87 0 0 0 0 0 3640046.92 791095.02 0 0 1101097036 1780692087 30 General Hospitals GRAHAM HOSPITAL ASSOC 615202444 37 Fulton DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 1924 0 0 0 0 404 0 0 0 1330 0 0 0 0 0 4 0 0 0 2935 0 0 0 0 464 0 0 0 3632 0 0 0 0 0 4 0 0 0 2935 0 0 0 0 1530 0 0 0 3632 0 0 0 0 0 0 0 0 0 364804.88 0 0 0 0 721023.47 0 0 0 482665.66 0 0 0 0 0 1568494.01 797403.28 0 0 1101014699 1427043546 30 General Hospitals KATH SHAW BETHEA HOSP 610213116 60 Lee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 2135 0 0 0 0 291 0 0 0 1854 0 0 0 0 0 30 0 0 0 3134 0 0 0 0 311 0 0 0 6960 0 0 0 0 0 32 0 0 0 3140 0 0 0 0 895 0 0 0 9137 0 0 0 0 0 183.4 0 0 0 427523.73 0 0 0 0 623135.19 0 0 0 429284.74 0 0 0 0 0 1480127.06 803106.95 0 0 1101508012 1124099098 30 General Hospitals MEMORIAL MED CTR CHILDRENS HSP 627810001 91 Sangamon CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 1006 0 0 0 0 40 0 0 0 263 0 0 0 0 0 0 0 0 0 1174 0 0 0 0 42 0 0 0 281 0 0 0 0 0 0 0 0 0 1174 0 0 0 0 114 0 0 0 281 0 0 0 0 0 0 0 0 0 251421.78 0 0 0 0 200236.28 0 0 0 204781.63 0 0 0 0 0 656439.69 806719.66 0 0 1101428930 1720086218 30 General Hospitals ILLINI COMMUNITY HOSPITAL 623631350 83 Pike DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 2 0 0 0 901 0 0 0 0 34 0 0 0 422 0 0 0 0 0 3 0 0 0 1368 0 0 0 0 39 0 0 0 1145 0 0 0 0 0 3 0 0 0 1368 0 0 0 0 105 0 0 0 1145 0 0 0 0 0 256.76 0 0 0 538895.92 0 0 0 0 24769.29 0 0 0 667168.61 0 0 0 0 0 1231090.58 823850.11 0 0 1101369406 1811074651 30 General Hospitals SSM HEALTH CARDINAL GLENNON CH 631041003 826 Missouri CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 1618 0 0 0 0 576 0 0 0 1606 0 0 0 0 0 0 0 0 0 2087 0 0 0 0 766 0 0 0 2704 0 0 0 0 0 0 0 0 0 2087 0 0 0 0 5342 0 0 0 2833 0 0 0 0 0 0 0 0 0 299839.65 0 0 0 0 11546179.96 0 0 0 1727100.65 0 0 0 0 0 13573120.26 839892.06 0 0 1101372973 1841361748 30 General Hospitals RONALD MCDONALDS CHILDRENS HSP 601533304 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Perinatal Level II Center 0 0 0 0 0 836 0 0 0 0 295 0 0 0 702 0 0 0 0 0 0 0 0 0 994 0 0 0 0 335 0 0 0 910 0 0 0 0 0 0 0 0 0 1011 0 0 0 0 3250 0 0 0 946 0 0 0 0 0 0 0 0 0 260458.77 0 0 0 0 7045185.37 0 0 0 628102.02 0 0 0 0 0 7933746.16 840269.34 0 0 1101116647 1679502322 30 General Hospitals PARIS COMMUNITY HOSPITAL 619442460 31 Edgar DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 2 0 0 0 1163 0 0 0 0 55 0 0 0 713 0 0 0 0 0 3 0 0 0 1695 0 0 0 0 58 0 0 0 1491 0 0 0 0 0 3 0 0 0 1697 0 0 0 0 141 0 0 0 1517 0 0 0 0 0 0 0 0 0 432844.21 0 0 0 0 72700.8 0 0 0 496646.71 0 0 0 0 0 1002191.72 841630.37 0 0 1101424997 1174530489 30 General Hospitals PEKIN HOSPITAL 615544936 98 Tazewell DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1692 0 0 0 0 294 0 0 5 812 0 0 0 0 0 3 0 0 0 2491 0 0 0 0 320 0 0 5 1621 0 0 0 0 0 3 0 0 0 2491 0 0 0 0 950 0 0 5 1676 0 0 0 0 0 26.2 0 0 0 311368.87 0 0 0 0 260572.91 0 0 9283.03 135210.28 0 0 0 0 0 716461.29 841721.98 0 0 1101042825 1629003470 30 General Hospitals IROQUOIS MEMORIAL HOSPITAL 609701644 46 Iroquois DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 1 0 0 0 938 0 0 0 0 40 0 0 0 437 0 0 0 0 0 2 0 0 0 1386 0 0 0 0 42 0 0 0 719 0 0 0 0 0 2 0 0 0 1386 0 0 0 0 132 0 0 0 725 0 0 0 0 0 0 0 0 0 202913.27 0 0 0 0 50300.06 0 0 0 82465.45 0 0 0 0 0 335678.78 852297.22 0 0 1101499811 1497748040 30 General Hospitals HOOPESTON COMM MEMORIAL HOSP 609421801 100 Vermilion DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 3 0 0 0 1245 0 0 0 0 25 0 0 0 377 0 0 0 0 0 4 0 0 0 2158 0 0 0 0 27 0 0 0 599 0 0 0 0 0 4 0 0 0 2158 0 0 0 0 73 0 0 0 666 0 0 0 0 0 461.58 0 0 0 947396.46 0 0 0 0 30674.29 0 0 0 205002.3 0 0 0 0 0 1183534.63 857086.32 0 0 1101386062 1053361642 30 General Hospitals DEACONESS HOSPITAL INC 477101658 815 Indiana DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 2 0 0 357 0 0 0 0 440 0 0 0 341 0 0 0 0 0 5 2 0 0 424 0 0 0 0 494 0 0 0 529 0 0 0 0 0 14 5 0 0 424 0 0 0 0 2696 0 0 0 550 0 0 0 0 0 0 0 0 0 58137.38 0 0 0 0 2403432.4 0 0 0 129361.48 0 0 0 0 0 2590931.26 857685.72 0 0 1101521018 1144292020 30 General Hospitals TAYLORVILLE MEMORIAL HOSPITAL 625681562 20 Christian DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adults Section 0 4 0 0 0 1418 0 0 0 0 84 0 0 0 645 0 0 0 0 0 4 0 0 0 2576 0 0 0 0 99 0 0 0 1179 0 0 0 0 0 4 0 0 0 2576 0 0 0 0 460 0 0 0 1179 0 0 0 0 0 181.29 0 0 0 745170.12 0 0 0 0 83779.8 0 0 0 316331.86 0 0 0 0 0 1145463.07 860706.31 0 0 1101253679 1982611281 30 General Hospitals CENTEGRA HOSPITAL - MCHENRY 600508409 71 McHenry DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 10 0 0 0 2999 0 0 0 0 1225 0 0 0 1772 0 0 0 0 0 18 0 0 0 4534 0 0 0 0 1424 0 0 0 4952 0 0 0 0 0 40 0 0 0 4535 0 0 0 0 5398 0 0 0 4952 0 0 0 0 0 1052.71 0 0 0 891612.32 0 0 0 0 2783098.71 0 0 0 607856.75 0 0 0 0 0 4283620.49 876928.66 0 0 1101487181 1407889652 30 General Hospitals ADVENTIST LAGRANGE MEMORIAL HO 605252600 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1097 0 0 0 0 302 0 0 0 350 0 0 0 0 0 3 0 0 0 1471 0 0 0 0 341 0 0 0 696 0 0 0 0 0 13 0 0 0 1474 0 0 0 0 1637 0 0 0 729 0 0 0 0 0 0 0 0 0 197915.98 0 0 0 0 653676.86 0 0 0 50388.84 0 0 0 0 0 901981.68 881318.87 0 0 1101165464 1770610073 30 General Hospitals RICHLAND MEMORIAL HOSPITAL 624502553 88 Richland DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 3 0 0 0 1454 0 0 0 0 266 0 0 2 1168 0 0 0 0 0 3 0 0 0 2128 0 0 0 0 285 0 0 2 2539 0 0 0 0 0 3 0 0 0 2128 0 0 0 0 835 0 0 2 2539 0 0 0 0 0 0 0 0 0 257820.85 0 0 0 0 340581.92 0 0 1989.46 261886.26 0 0 0 0 0 862278.49 883319.62 0 0 1101466487 1710907175 30 General Hospitals HINSDALE HOSPITAL 605213829 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 1 4 0 0 801 0 0 0 0 591 0 0 0 916 0 0 0 0 0 3 6 0 0 980 0 0 0 0 628 0 0 0 1892 0 0 0 0 0 3 26 0 0 987 0 0 0 0 3578 0 0 0 1899 0 0 0 0 0 0 3573.45 0 0 227161.74 0 0 0 0 4004058.88 0 0 0 281294.59 0 0 0 0 0 4516088.66 885469.04 0 0 1101529872 1184630519 30 General Hospitals JERSEY COMMUNITY HOSPITAL 620522028 50 Jersey DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 1 0 0 0 1116 0 0 0 0 86 0 0 0 803 0 0 0 0 0 1 0 0 0 1722 0 0 0 0 95 0 0 0 1599 0 0 0 0 0 1 0 0 0 1733 0 0 0 0 258 0 0 0 1677 0 0 0 0 0 61.52 0 0 0 134836.05 0 0 0 0 28057.15 0 0 0 164583.37 0 0 0 0 0 327538.09 912229.87 0 0 1001679114 1871919381 30 General Hospitals OSF SAINT LUKE MEDICAL CENTER 614438354 45 Henry DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 2 0 0 0 1051 0 0 0 0 86 0 0 0 540 0 0 0 0 0 5 0 0 0 1827 0 0 0 0 100 0 0 0 1198 0 0 0 0 0 5 0 0 0 1827 0 0 0 0 242 0 0 0 1198 0 0 0 0 0 317.57 0 0 0 370916.47 0 0 0 0 71067.99 0 0 0 247217.57 0 0 0 0 0 689519.6 927258.04 0 0 1101404221 1285606509 30 General Hospitals UNION COUNTY HOSPITAL 629061668 99 Union DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 5 0 0 0 1472 0 0 0 0 119 0 0 0 755 0 0 0 0 0 15 0 0 0 2285 0 0 0 0 134 0 0 0 1491 0 0 0 0 0 15 0 0 0 2285 0 0 0 0 473 0 0 0 1520 0 0 0 0 0 1734.25 0 0 0 716170.71 0 0 0 0 121132.66 0 0 0 404936.58 0 0 0 0 0 1243974.2 933191.35 0 60 1101404860 1558391706 30 General Hospitals OAK PARK HOSPITAL 603041022 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 1952 0 0 0 0 320 0 0 0 1177 0 0 0 0 0 15 0 0 0 2672 0 0 0 0 360 0 0 0 2823 0 0 0 0 0 23 0 0 0 2672 0 0 0 0 1338 0 0 0 2901 0 0 0 0 0 853.05 0 0 0 267319.44 0 0 0 0 563468.99 0 0 0 199086.68 0 0 0 0 0 1030728.16 941344.36 0 0 1101184033 1902079973 30 General Hospitals KISHWAUKEE COMM HOSP 601159602 27 Dekalb DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 3121 0 0 0 0 775 0 0 3 1362 0 0 0 0 0 22 0 0 0 4791 0 0 0 0 878 0 0 3 3335 0 0 0 0 0 22 0 0 0 4791 0 0 0 0 3134 0 0 3 3335 0 0 0 0 0 1378.08 0 0 0 902780.74 0 0 0 0 1840594.3 0 0 6305.85 953710.46 0 0 0 0 0 3704769.43 965565.4 0 0 1001651821 1568538387 30 General Hospitals PRESENCE SAINT JOSEPH HOSPITAL 601234912 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 12 0 0 1770 0 0 0 0 336 0 0 0 623 0 0 0 0 0 9 86 0 0 2593 0 0 0 0 419 0 0 0 1414 0 0 0 0 0 9 120 0 0 2624 0 0 0 0 2074 0 0 0 3504 0 0 0 0 0 0 6288.59 0 0 345770.28 0 0 0 0 806163.15 0 0 0 190522.45 0 0 0 0 0 1348744.47 978610.18 0 0 1101330045 1659338168 31 Psychiatric Hospitals AURORA CHICAGO LAKESHORE HOSP 606407860 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 105 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 220 0 0 0 0 0 0 0 299 0 0 0 0 0 0 0 0 0 0 964 0 0 0 0 0 0 0 2772 0 0 0 0 0 0 0 0 0 0 94025.47 0 0 0 0 0 0 0 918688.85 0 0 0 0 0 0 0 0 0 1012714.32 1010971.85 0 0 1101392220 1669420766 30 General Hospitals MCDONOUGH DISTRICT HOSP 614553313 70 McDonough ARS-PD Hospitals paid a Per Diem rate. 0 0 General Hospital - Adult and Child 0 3 0 0 0 1758 0 0 0 0 237 0 0 0 1072 0 0 0 0 0 3 0 0 0 2856 0 0 0 0 256 0 0 0 2404 0 0 0 0 0 3 0 0 0 2859 0 0 0 0 821 0 0 0 2434 0 0 0 0 0 79.38 0 0 0 386468.72 0 0 0 0 277123.98 0 0 0 358953.92 0 0 0 0 0 1022626 1022030.99 0 0 1101459549 1548375082 30 General Hospitals CHRIST HOSPITAL 604532600 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 19 109 0 0 3680 0 0 0 0 3558 0 0 0 2282 0 0 0 0 0 32 983 0 0 4769 0 0 0 0 4393 0 0 0 5256 0 0 0 0 0 109 1008 0 0 4770 0 0 0 0 22408 0 0 0 5304 0 0 0 0 0 343.06 73179.7 0 0 1382634.34 0 0 0 0 15112420.08 0 0 0 1474351.02 0 0 0 0 0 18042928.2 1023928.4 0 0 1101398086 1902854623 30 General Hospitals CGH MEDICAL CENTER 610811278 106 Whiteside DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Government Owned 0 5 0 0 0 3223 0 0 0 0 646 0 0 2 1852 0 0 0 0 0 10 0 0 0 5167 0 0 0 0 727 0 0 2 4551 0 0 0 0 0 10 0 0 0 5167 0 0 0 0 2118 0 0 2 4551 0 0 0 0 0 92.83 0 0 0 793988.34 0 0 0 0 935614.78 0 0 3214.66 873679.4 0 0 0 0 0 2606590.01 1035532.35 0 0 1002480542 1770678260 30 General Hospitals PRESENCE ST MARYS HOSPITAL 609013661 54 Kankakee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 6 57 0 0 2248 0 0 0 0 729 0 0 0 1032 0 0 0 0 0 12 476 0 0 3533 0 0 0 0 882 0 0 0 2061 0 0 0 0 0 13 862 0 0 3550 0 0 0 0 3529 0 0 0 2867 0 0 0 0 0 61.09 35858.83 0 0 453371.75 0 0 0 0 1360383.89 0 0 0 297086.25 0 0 0 0 0 2146761.81 1037662.01 0 0 1101069743 1205879095 32 Rehabilitation Hospitals SHIRLEY RYAN ABILITY LAB 606113167 200 Cook REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 8 1255 0 0 0 0 0 0 0 271 0 0 0 0 0 0 0 0 0 15 3788 0 0 0 0 0 0 0 294 0 0 0 0 0 0 0 0 0 33 5087 0 0 0 0 0 0 0 7174 0 0 0 0 0 0 0 0 0 312.42 123392.35 0 0 0 0 0 0 0 5958824.57 0 0 0 0 0 0 0 0 0 6082529.34 1065556.23 0 0 1101398089 1447228788 30 General Hospitals FREEPORT MEM HOSP 610324864 97 Stephenson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 3577 0 0 0 0 557 0 0 0 1484 0 0 0 0 0 17 0 0 0 5830 0 0 0 0 628 0 0 0 4217 0 0 0 0 0 17 0 0 0 5830 0 0 0 0 2017 0 0 0 4217 0 0 0 0 0 20.06 0 0 0 927568.11 0 0 0 0 803610.4 0 0 0 804772.39 0 0 0 0 0 2535970.96 1088282.39 0 0 1004536904 1942685920 30 General Hospitals SSM HEALTH SAINT LOUIS UNIVERS 631102539 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 752 0 0 0 0 930 0 0 0 894 0 0 0 0 0 11 0 0 0 912 0 0 0 0 707 0 0 0 1693 0 0 0 0 0 13 0 0 0 912 0 0 0 0 4543 0 0 0 1762 0 0 0 0 0 22.7 0 0 0 150254.1 0 0 0 0 6523551.4 0 0 0 527404.59 0 0 0 0 0 7201232.79 1093398.41 0 13977.13 1101300399 1407808090 30 General Hospitals ST JAMES HOSPITAL 617649774 61 Livingston DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 1554 0 0 0 0 339 0 0 0 1081 0 0 0 0 0 18 0 0 0 2308 0 0 0 0 366 0 0 0 2341 0 0 0 0 0 18 0 0 0 2308 0 0 0 0 1039 0 0 0 2342 0 0 0 0 0 136.79 0 0 0 342490.67 0 0 0 0 383495.98 0 0 0 283003.17 0 0 0 0 0 1009126.61 1101422.01 0 0 1101043621 1306800602 30 General Hospitals ST ANTHONYS MEMORIAL HOSPITAL 624012006 33 Effingham DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 7 0 0 0 2185 0 0 0 0 600 0 0 0 1980 0 0 0 0 0 14 0 0 0 3256 0 0 0 0 655 0 0 0 4810 0 0 0 0 0 15 0 0 0 3256 0 0 0 0 1953 0 0 0 4860 0 0 0 0 0 1244.81 0 0 0 459917.85 0 0 0 0 822459.59 0 0 0 708176.34 0 0 0 0 0 1991798.59 1128209.38 0 0 1004338200 1033214416 30 General Hospitals COMMUNITY FIRST MEDICAL CENTER 606344403 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 2527 0 0 0 0 859 0 0 0 1099 0 0 0 0 0 9 0 0 0 3588 0 0 0 0 1118 0 0 0 2160 0 0 0 0 0 11 0 0 0 3588 0 0 0 0 5574 0 0 0 2568 0 0 0 0 0 0 0 0 0 524678.3 0 0 0 0 1760998.77 0 0 0 114373.82 0 0 0 0 0 2400050.89 1151303.38 0 0 1101052999 1154329753 30 General Hospitals ABRAHAM LINCOLN MEMORIAL HOSP 626562671 62 Logan ARS-PD Hospitals paid a Per Diem rate. 1 0 General Hospital - Adults Section 0 3 0 0 0 1486 0 0 0 0 175 0 0 1 767 0 0 0 0 0 3 0 0 0 2693 0 0 0 0 185 0 0 1 1524 0 0 0 0 0 3 0 0 0 2693 0 0 0 0 506 0 0 1 1524 0 0 0 0 0 310.53 0 0 0 766642.18 0 0 0 0 159456.54 0 0 4809.24 505744.08 0 0 0 0 0 1436962.57 1157262.88 0 0 1101086410 1851386692 30 General Hospitals PALOS COMMUNITY HOSPITAL 604631256 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 2108 0 0 0 0 718 0 0 0 664 0 0 0 0 0 7 0 0 0 2742 0 0 0 0 881 0 0 0 1198 0 0 0 0 0 11 0 0 0 2742 0 0 0 0 4262 0 0 0 1249 0 0 0 0 0 392.71 0 0 0 548991.29 0 0 0 0 1944562.9 0 0 0 80301.27 0 0 0 0 0 2574248.17 1209584.63 0 0 1101288387 1467412726 30 General Hospitals ST FRANCIS MEDICAL CENTER 637035049 826 Missouri DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 713 0 0 0 0 194 0 0 0 408 0 0 0 0 0 7 0 0 0 1004 0 0 0 0 228 0 0 0 910 0 0 0 0 0 7 0 0 0 1004 0 0 0 0 1033 0 0 0 914 0 0 0 0 0 2.45 0 0 0 108783.67 0 0 0 0 694616.73 0 0 0 141188.53 0 0 0 0 0 944591.38 1229301 0 0 1101366800 1356435135 30 General Hospitals ST JOSEPH MEMORIAL HOSPITAL 629663333 47 Jackson DRG Hospitals reimbursed under our Diagnosis Related G 1 0 General Hospital - Adult and Child 0 10 0 0 0 1286 0 0 0 0 77 0 0 0 2175 0 0 0 0 0 11 0 0 0 1941 0 0 0 0 91 0 0 0 4947 0 0 0 0 0 11 0 0 0 1941 0 0 0 0 312 0 0 0 5843 0 0 0 0 0 2779.58 0 0 0 780766.99 0 0 0 0 73061.42 0 0 0 2877208.8 0 0 0 0 0 3733816.79 1241727.14 0 0 1101336775 1427132604 30 General Hospitals GENESIS MEDICAL CENTER SILVIS 612821804 89 Rock Island DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 1603 0 0 0 0 420 0 0 0 691 0 0 0 0 0 2 0 0 0 2372 0 0 0 0 446 0 0 0 1364 0 0 0 0 0 2 0 0 0 2372 0 0 0 0 1156 0 0 0 1378 0 0 0 0 0 0 0 0 0 329452.38 0 0 0 0 581579.27 0 0 0 165565.21 0 0 0 0 0 1076596.86 1264825.43 0 0 1101054385 1427069632 30 General Hospitals EDWARD HOSPITAL 605407430 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 11 0 0 0 3938 0 0 0 0 1029 0 0 0 2057 0 0 0 0 0 18 0 0 0 5537 0 0 0 0 1188 0 0 0 4452 0 0 0 0 0 20 0 0 0 5537 0 0 0 0 5321 0 0 0 4528 0 0 0 0 0 604.54 0 0 0 969518.81 0 0 0 0 4056145.58 0 0 0 810512.4 0 0 0 0 0 5836781.33 1278442.9 0 0 1101423275 1023006566 32 Rehabilitation Hospitals SCHWAB REHAB HOSP 606081612 200 Cook REHAB Rehabilitation hospitals paid a Per Diem rate. 0 0 0 3 359 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 5 866 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 5 1626 0 0 0 0 0 0 0 1663 0 0 0 0 0 0 0 0 0 8.94 28738.14 0 0 0 0 0 0 0 1220721.15 0 0 0 0 0 0 0 0 0 1249468.23 1312481.08 0 0 1101336762 1053391359 30 General Hospitals SOUTH SHORE HOSPITAL CORPORATI 606171124 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 970 0 0 0 0 116 0 0 0 63 0 0 0 0 0 0 0 0 0 1198 0 0 0 0 123 0 0 0 67 0 0 0 0 0 0 0 0 0 1201 0 0 0 0 913 0 0 0 91 0 0 0 0 0 0 0 0 0 256437.34 0 0 0 0 438549.73 0 0 0 9961.52 0 0 0 0 0 704948.59 1314975.05 0 0 1101214589 1790734127 30 General Hospitals CHILDRENS HOSPITAL OF ILLINOIS 616370001 80 Peoria CHILDRENS Hospital designated as childrens hospitals and pai 0 0 PERINATAL LEVEL III CENTER 0 0 0 0 0 1714 0 0 0 0 901 0 0 0 2020 0 0 0 0 0 0 0 0 0 2259 0 0 0 0 1144 0 0 0 3219 0 0 0 0 0 0 0 0 0 2261 0 0 0 0 11423 0 0 0 3219 0 0 0 0 0 0 0 0 0 543884.18 0 0 0 0 23651984.57 0 0 0 2319452.59 0 0 0 0 0 26515321.34 1344478.26 0 0 1101209424 1407993116 30 General Hospitals METHODIST HOSPITAL OF CHICAGO 606402717 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 15 0 0 224 0 0 0 0 559 0 0 0 595 0 0 0 0 0 4 23 0 0 285 0 0 0 0 661 0 0 0 1078 0 0 0 0 0 12 91 0 0 285 0 0 0 0 3329 0 0 0 1382 0 0 0 0 0 256.08 11854.01 0 0 28811.85 0 0 0 0 1258880.67 0 0 0 78464.25 0 0 0 0 0 1378266.86 1360528.26 0 0 1101217539 1518930619 31 Psychiatric Hospitals THE PAVILION FOUNDATION 618203320 19 Champaign PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 351 0 0 0 0 0 0 0 622 0 0 0 0 0 0 0 0 0 0 410 0 0 0 0 0 0 0 706 0 0 0 0 0 0 0 0 0 0 1090 0 0 0 0 0 0 0 7610 0 0 0 0 0 0 0 0 0 0 87806.75 0 0 0 0 0 0 0 5658723.89 0 0 0 0 0 0 0 0 0 5746530.64 1375509.86 0 0 1101432246 1164485363 30 General Hospitals ST MARY MEDICAL CENTER 614011251 56 Knox DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 0 0 0 1642 0 0 0 0 519 0 0 0 1134 0 0 0 0 0 19 0 0 0 2500 0 0 0 0 586 0 0 0 2308 0 0 0 0 0 22 0 0 0 2500 0 0 0 0 1972 0 0 0 2308 0 0 0 0 0 234.99 0 0 0 296455.92 0 0 0 0 590484.54 0 0 0 291502.56 0 0 0 0 0 1178678.01 1379903.04 0 0 1101183549 1164615670 30 General Hospitals ALTON MEMORIAL HOSPITAL 620026722 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 2954 0 0 0 0 802 0 0 0 1428 0 0 0 0 0 70 0 0 0 4495 0 0 0 0 883 0 0 0 3608 0 0 0 0 0 78 0 0 0 4495 0 0 0 0 3010 0 0 0 3657 0 0 0 0 0 1147.05 0 0 0 588545.12 0 0 0 0 953680.18 0 0 0 509046.84 0 0 0 0 0 2052419.19 1443793.19 0 0 1101168013 1972619815 30 General Hospitals PASSAVANT AREA HOSPITAL 626501136 77 Morgan DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 3 0 0 0 2677 0 0 0 0 644 0 0 1 1854 0 0 0 0 0 10 0 0 0 4719 0 0 0 0 712 0 0 1 4714 0 0 0 0 0 10 0 0 0 4719 0 0 0 0 2412 0 0 1 4721 0 0 0 0 0 0 0 0 0 610111.79 0 0 0 0 1112330.44 0 0 1948.36 627651.2 0 0 0 0 0 2352041.79 1458157.71 0 0 1101195358 1053481630 30 General Hospitals ANDERSON HOSPITAL 620621000 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 0 0 0 3342 0 0 0 0 860 0 0 6 1338 0 0 0 0 0 5 0 0 0 4616 0 0 0 0 908 0 0 6 2345 0 0 0 0 0 5 0 0 0 4616 0 0 0 0 2792 0 0 6 2345 0 0 0 0 0 70.29 0 0 0 708993.88 0 0 0 0 1084050.55 0 0 13601.88 468457.98 0 0 0 0 0 2275174.58 1490021.04 0 0 1101535954 1548306343 30 General Hospitals ELMHURST MEMORIAL HOSPITAL 601265658 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 15 0 0 0 2839 0 0 0 0 1080 0 0 0 2274 0 0 0 0 0 24 0 0 0 3999 0 0 0 0 1207 0 0 0 7547 0 0 0 0 0 24 0 0 0 3999 0 0 0 0 4864 0 0 0 7663 0 0 0 0 0 298.77 0 0 0 575395.38 0 0 0 0 2896081.79 0 0 0 655023.57 0 0 0 0 0 4126799.51 1493863.81 0 0 1101209377 1982643961 30 General Hospitals THOREK MEMORIAL HOSPITAL 606133011 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 15 0 0 0 829 0 0 0 0 773 0 0 3 1014 0 0 0 0 0 43 0 0 0 1119 0 0 0 0 1078 0 0 3 4121 0 0 0 0 0 84 0 0 0 1169 0 0 0 0 5433 0 0 3 4122 0 0 0 0 0 3046.69 0 0 0 160988.42 0 0 0 0 1759145.89 0 0 7080.12 375158.34 0 0 0 0 0 2305419.46 1526948.94 0 0 1101181370 1952304826 30 General Hospitals RML HEALTH PROVIDERS LTD PTSHP 605214875 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 242 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11923 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10940557.64 0 0 0 0 0 0 0 0 0 10940557.64 1529554.79 0 0 1101063496 1467560128 30 General Hospitals SOUTH SUBURBAN HOSPITAL 604292029 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 2967 0 0 0 0 1029 0 0 0 1312 0 0 0 0 0 16 0 0 0 3934 0 0 0 0 1306 0 0 0 2483 0 0 0 0 0 36 0 0 0 3937 0 0 0 0 5245 0 0 0 2504 0 0 0 0 0 2044.25 0 0 0 652285.62 0 0 0 0 1670130.46 0 0 0 366361.6 0 0 0 0 0 2690821.93 1584219.93 0 0 1004489449 1710396932 30 General Hospitals OSF SAINT ANTHONYS HEALTH CNTR 620024568 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 10 111 0 0 2130 0 0 0 0 405 0 0 0 1399 0 0 0 0 0 19 525 0 0 3487 0 0 0 0 499 0 0 0 3632 0 0 0 0 0 19 525 0 0 3489 0 0 0 0 1940 0 0 0 3644 0 0 0 0 0 243.84 10176.03 0 0 352164.13 0 0 0 0 491150.93 0 0 0 461516.6 0 0 0 0 0 1315251.53 1707293.4 0 0 1101100565 1043280936 31 Psychiatric Hospitals HARTGROVE HOSPITAL 606441467 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 877 0 0 0 0 0 0 0 623 0 0 0 0 0 0 0 0 0 0 3177 0 0 0 0 0 0 0 715 0 0 0 0 0 0 0 0 0 0 6715 0 0 0 0 0 0 0 10143 0 0 0 0 0 0 0 0 0 0 760225.84 0 0 0 0 0 0 0 7782814.6 0 0 0 0 0 0 0 0 0 8543040.44 1753306.95 0 0 1101339785 1043270424 30 General Hospitals SSM HEALTH GOOD SAMARITAN HOSP 628642402 49 Jefferson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 3459 0 0 0 0 1503 0 0 0 2525 0 0 0 0 0 13 0 0 0 5402 0 0 0 0 1694 0 0 0 6137 0 0 0 0 0 18 0 0 0 5402 0 0 0 0 5664 0 0 0 7185 0 0 0 0 0 217.96 0 0 0 813362.33 0 0 0 0 3262168.26 0 0 0 786082.48 0 0 0 0 0 4861831.03 1784305.37 0 0 1101145874 1710070701 31 Psychiatric Hospitals RIVEREDGE HOSPITAL 601302529 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 0 1 684 0 0 0 0 0 0 0 564 0 0 0 0 0 0 0 0 0 1 2102 0 0 0 0 0 0 0 640 0 0 0 0 0 0 0 0 0 6 3718 0 0 0 0 0 0 0 7558 0 0 0 0 0 0 0 0 0 951.18 398148.16 0 0 0 0 0 0 0 3740098.29 0 0 0 0 0 0 0 0 0 4139197.63 1865777.45 0 0 1101489395 1093894990 30 General Hospitals COMER CHILDRENS HOSPITAL 606371447 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 2925 0 0 0 0 1144 0 0 0 1262 0 0 0 0 0 0 0 0 0 4038 0 0 0 0 1488 0 0 0 2025 0 0 0 0 0 0 0 0 0 4038 0 0 0 0 17706 0 0 0 2025 0 0 0 0 0 0 0 0 0 844607.57 0 0 0 0 56785262.49 0 0 0 1736228.32 0 0 0 0 0 59366098.38 1923187.94 0 0 1101190681 1538208210 30 General Hospitals RIVERSIDE MED CTR 609012901 54 Kankakee DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 16 100 0 0 2880 0 0 0 0 1584 0 0 1 2328 0 0 0 0 0 33 222 0 0 4556 0 0 0 0 2134 0 0 1 6106 0 0 0 0 0 45 1468 0 0 4556 0 0 0 0 10596 0 0 1 6761 0 0 0 0 0 177.16 158513.05 0 0 678764 0 0 0 0 3899480.73 0 0 2101.95 875918.53 0 0 0 0 0 5614955.42 1991874.91 0 0 1101314832 1831170232 30 General Hospitals GOTTLIEB MEMORIAL HOSPITAL 601601612 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 1550 0 0 0 0 408 0 0 0 979 0 0 0 0 0 7 0 0 0 1991 0 0 0 0 467 0 0 0 1852 0 0 0 0 0 17 0 0 0 1993 0 0 0 0 2041 0 0 0 2157 0 0 0 0 0 239.89 0 0 0 340622.31 0 0 0 0 1110179.55 0 0 0 167109.83 0 0 0 0 0 1618151.58 1999026.72 0 0 1101254382 1619916822 31 Psychiatric Hospitals BHC STREAMWOOD HOSPITAL INC 601073201 200 Cook PSYCH Psychiatric hospitals paid a Per Diem rate. 0 0 Hospital childrens mental health 0 0 496 0 0 0 0 0 0 0 954 0 0 0 0 0 0 0 0 0 0 3193 0 0 0 0 0 0 0 1130 0 0 0 0 0 0 0 0 0 0 4976 0 0 0 0 0 0 0 14753 0 0 0 0 0 0 0 0 0 0 486013.61 0 0 0 0 0 0 0 11908729.22 0 0 0 0 0 0 0 0 0 12394742.83 2012097.91 0 0 1101302943 1447221312 30 General Hospitals GALESBURG COTTAGE HOSPITAL 614012807 56 Knox DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1249 0 0 0 0 307 0 0 0 554 0 0 0 0 0 5 0 0 0 1907 0 0 0 0 329 0 0 0 1143 0 0 0 0 0 5 0 0 0 1907 0 0 0 0 1180 0 0 0 1155 0 0 0 0 0 46 0 0 0 234479.84 0 0 0 0 389716.75 0 0 0 108348.79 0 0 0 0 0 732591.38 2025948.85 0 0 1005729358 1679659585 30 General Hospitals PRESENCE SAINT JOSEPH CHICAGO 606575640 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 18 0 0 1204 0 0 0 0 1046 0 0 0 1571 0 0 0 0 0 14 52 0 0 1733 0 0 0 0 1144 0 0 0 3104 0 0 0 0 0 22 60 0 0 1733 0 0 0 0 4166 0 0 0 3112 0 0 0 0 0 71.81 1821.08 0 0 188543.09 0 0 0 0 2920768.15 0 0 0 290226.7 0 0 0 0 0 3401430.83 2105801.09 0 0 1101087797 1770531600 30 General Hospitals NORTHWEST COMMUNITY HOSPITAL 600052349 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 10 0 0 0 3061 0 0 0 0 1335 0 0 0 1962 0 0 0 0 0 15 0 0 0 4358 0 0 0 0 1519 0 0 0 4201 0 0 0 0 0 21 0 0 0 4358 0 0 0 0 6712 0 0 0 4290 0 0 0 0 0 53.56 0 0 0 693710.66 0 0 0 0 4775745.44 0 0 0 379155.84 0 0 0 0 0 5848665.5 2110472.64 0 0 1101419766 1326057076 30 General Hospitals ST FRANCIS HOSPITAL 620561778 76 Montgomery DRG Hospitals reimbursed under our Diagnosis Related G 1 0 0 5 0 0 0 1928 0 0 0 0 347 0 0 0 1436 0 0 0 0 0 7 0 0 0 2878 0 0 0 0 368 0 0 0 3493 0 0 0 0 0 7 0 0 0 2878 0 0 0 0 944 0 0 0 3764 0 0 0 0 0 374.72 0 0 0 545739.56 0 0 0 0 377353.04 0 0 0 906250.3 0 0 0 0 0 1829717.62 2178771.1 0 0 1005591468 1205923539 30 General Hospitals PRESENCE RESURRECTION MED CTR 606313707 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 12 0 0 0 2007 0 0 0 0 1091 0 0 0 1587 0 0 0 0 0 37 0 0 0 2566 0 0 0 0 1201 0 0 0 3049 0 0 0 0 0 44 0 0 0 2566 0 0 0 0 5093 0 0 0 3052 0 0 0 0 0 1069.22 0 0 0 381825.58 0 0 0 0 2753098.06 0 0 0 322374.98 0 0 0 0 0 3458367.84 2198991.22 0 0 1101444603 1932296472 30 General Hospitals INGALLS MEMORIAL HOSPITAL 604263558 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 16 204 0 0 4778 0 0 0 0 1207 0 0 0 1717 0 0 0 0 0 25 639 0 0 6553 0 0 0 0 1392 0 0 0 3531 0 0 0 0 0 35 639 0 0 6553 0 0 0 0 6560 0 0 0 3531 0 0 0 0 0 1016.32 43019.52 0 0 1155882.3 0 0 0 0 1933565.01 0 0 0 738665 0 0 0 0 0 3872148.15 2221624.8 0 0 1101369535 1164530465 30 General Hospitals ADVENTIST BOLINGBROOK HOSPITAL 604404906 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 1 0 0 0 2146 0 0 0 0 613 0 0 0 1013 0 0 0 0 0 2 0 0 0 2919 0 0 0 0 689 0 0 0 2115 0 0 0 0 0 2 0 0 0 2929 0 0 0 0 2426 0 0 0 2210 0 0 0 0 0 32.03 0 0 0 515430.11 0 0 0 0 1157009.8 0 0 0 241108.16 0 0 0 0 0 1913580.1 2342698.02 0 0 1101365708 1245559871 30 General Hospitals WESTLAKE HOSPITAL 601604039 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 1554 0 0 0 0 792 0 0 0 743 0 0 0 0 0 9 0 0 0 2094 0 0 0 0 839 0 0 0 1238 0 0 0 0 0 30 0 0 0 2105 0 0 0 0 3094 0 0 0 1285 0 0 0 0 0 3058.94 0 0 0 282574.31 0 0 0 0 1244672.64 0 0 0 105288.82 0 0 0 0 0 1635594.71 2370283.4 0 0 1101319350 1578670543 30 General Hospitals GOOD SAMARITAN HOSPITAL 605151500 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 6 8 0 0 1704 0 0 0 0 961 0 0 0 796 0 0 0 0 0 9 43 0 0 2284 0 0 0 0 1185 0 0 0 1631 0 0 0 0 0 22 43 0 0 2287 0 0 0 0 6211 0 0 0 1644 0 0 0 0 0 1090.22 6912.6 0 0 528651.71 0 0 0 0 5657557.75 0 0 0 343764.8 0 0 0 0 0 6537977.08 2381376.69 0 0 1101157139 1770568123 30 General Hospitals LOUIS A WEISS MEMORIAL HOSP 606405759 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 12 0 0 0 2083 0 0 0 0 790 0 0 0 1571 0 0 0 0 0 21 0 0 0 3059 0 0 0 0 922 0 0 0 4976 0 0 0 0 0 24 0 0 0 3072 0 0 0 0 4783 0 0 0 5119 0 0 0 0 0 116.22 0 0 0 232085.66 0 0 0 0 2275157.3 0 0 0 231769.79 0 0 0 0 0 2739128.97 2391100.39 0 0 1003986783 1871678334 30 General Hospitals KINDRED HOSPITAL CHICAGO 999999999 200 Cook ARS-LS Long-term stay hospitals paid under an ARS 0 0 0 0 0 0 0 0 0 0 0 0 307 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 340 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5466507.51 0 0 0 0 0 0 0 0 0 5466507.51 2396307.05 0 0 1101479698 1023097540 30 General Hospitals HSHS ST ELIZABETH HOSPITAL 622691099 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 8 0 0 0 3253 0 0 0 0 825 0 0 0 1300 0 0 0 0 0 8 0 0 0 4686 0 0 0 0 917 0 0 0 2555 0 0 0 0 0 10 0 0 0 4686 0 0 0 0 3507 0 0 0 2585 0 0 0 0 0 81.92 0 0 0 658583.78 0 0 0 0 1238478.7 0 0 0 412910.8 0 0 0 0 0 2310055.2 2461689.5 0 0 1101213921 1255391611 30 General Hospitals ST MARYS HOSPITAL 628013056 66 Marion DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 10 365 0 0 2890 0 0 0 0 1160 0 0 0 1976 0 0 0 0 0 13 1017 0 0 4629 0 0 0 0 1394 0 0 0 4849 0 0 0 0 0 18 1226 0 0 4629 0 0 0 0 4909 0 0 0 6031 0 0 0 0 0 504.92 40682.87 0 0 983697.29 0 0 0 0 1873624.28 0 0 0 729351.96 0 0 0 0 0 3627861.32 2555773.78 0 0 1101025778 1629003165 30 General Hospitals COPLEY MEMORIAL HOSPITAL 605047222 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 16 0 0 0 5333 0 0 0 0 1611 0 0 1 3029 0 0 0 0 0 38 0 0 0 7410 0 0 0 0 1674 0 0 1 6059 0 0 0 0 0 46 0 0 0 7412 0 0 0 0 5341 0 0 1 6564 0 0 0 0 0 1570.89 0 0 0 1661777.21 0 0 0 0 3179881.27 0 0 2130.27 1421655.13 0 0 0 0 0 6267014.77 2737879.6 0 0 1101321655 1568553519 30 General Hospitals SILVER CROSS HOSPITAL 604519508 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 5 25 0 0 2895 0 0 0 0 1364 0 0 7 1463 0 0 0 0 0 9 314 0 0 3786 0 0 0 0 1614 0 0 7 2643 0 0 0 0 0 13 314 0 0 3829 0 0 0 0 6076 0 0 7 4123 0 0 0 0 0 60.63 49134.16 0 0 576925.17 0 0 0 0 3170931.81 0 0 14267.67 416859.77 0 0 0 0 0 4228179.21 2755401.36 0 0 1002592090 1629020086 30 General Hospitals PRESENCE COVENANT MEDICAL CTR 618012334 19 Champaign DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Perinatal Level II Center 0 1 0 0 0 520 0 0 0 0 88 0 0 0 115 0 0 0 0 0 2 0 0 0 592 0 0 0 0 92 0 0 0 121 0 0 0 0 0 2 0 0 0 604 0 0 0 0 268 0 0 0 180 0 0 0 0 0 0 0 0 0 83408.18 0 0 0 0 120365.71 0 0 0 66004.46 0 0 0 0 0 269778.35 2814779.27 0 0 1101022249 1881782878 30 General Hospitals ST JOSEPH MEDICAL CENTER 617014364 72 McLean DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 9 0 0 0 1852 0 0 0 0 713 0 0 0 1410 0 0 0 0 0 34 0 0 0 2701 0 0 0 0 800 0 0 0 3529 0 0 0 0 0 43 0 0 0 2701 0 0 0 0 3175 0 0 0 3529 0 0 0 0 0 2203.55 0 0 0 398441.27 0 0 0 0 1281007.31 0 0 0 330273.38 0 0 0 0 0 2011925.51 2815868.08 0 0 1101240970 1598768780 30 General Hospitals LITTLE COMPANY OF MARY HOSP 608052746 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 11 0 0 0 2405 0 0 0 0 937 0 0 0 1174 0 0 0 0 0 17 0 0 0 3059 0 0 0 0 1081 0 0 0 2190 0 0 0 0 0 33 0 0 0 3124 0 0 0 0 5043 0 0 0 2195 0 0 0 0 0 63.01 0 0 0 390265.7 0 0 0 0 2057512.06 0 0 0 350249.9 0 0 0 0 0 2798090.67 2879761.57 0 0 1101511065 1326041229 30 General Hospitals ST MARYS HOSPITAL 625213810 63 Macon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 10 6 0 0 5765 0 0 0 0 1204 0 0 0 2006 0 0 0 0 0 14 36 0 0 8992 0 0 0 0 1324 0 0 0 4313 0 0 0 0 0 15 40 0 0 8992 0 0 0 0 5175 0 0 0 4777 0 0 0 0 0 272.34 4488.06 0 0 1161851.66 0 0 0 0 2346286 0 0 0 686729.29 0 0 0 0 0 4199627.35 3088622.92 0 0 1101069699 1902941628 30 General Hospitals ALEXIAN BROTHERS MED CTR 600073311 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 1917 0 0 0 0 1291 0 0 0 1798 0 0 0 0 0 11 0 0 0 2542 0 0 0 0 1368 0 0 0 3958 0 0 0 0 0 22 0 0 0 2544 0 0 0 0 5391 0 0 0 4205 0 0 0 0 0 49.72 0 0 0 419284.35 0 0 0 0 2591496.87 0 0 0 456249.13 0 0 0 0 0 3467080.07 3250741.89 0 0 1101282699 1144549775 30 General Hospitals WEST SUBURBAN MEDICAL CNTR 603022519 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 14 0 0 0 4264 0 0 0 0 1741 0 0 0 1418 0 0 0 0 0 18 0 0 0 6041 0 0 0 0 1338 0 0 0 2911 0 0 0 0 0 30 0 0 0 6062 0 0 0 0 4840 0 0 0 2992 0 0 0 0 0 339.59 0 0 0 754066.78 0 0 0 0 2729298.43 0 0 0 273556.35 0 0 0 0 0 3757261.15 3521042.27 0 9380.74 1001257839 1427000884 30 General Hospitals PRESENCE UNITED SAMARITANS MC 618323752 100 Vermilion DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 0 0 0 0 1221 0 0 0 0 151 0 0 0 225 0 0 0 0 0 0 0 0 0 1413 0 0 0 0 156 0 0 0 294 0 0 0 0 0 0 0 0 0 1432 0 0 0 0 389 0 0 0 395 0 0 0 0 0 0 0 0 0 234756.21 0 0 0 0 262786.17 0 0 0 57982.77 0 0 0 0 0 555525.15 3575243.8 0 0 1101324527 1295804375 30 General Hospitals SARAH BUSH LINCOLN H C 619389253 24 Coles DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 15 0 0 0 4515 0 0 0 0 1258 0 0 10 3730 0 0 0 0 0 30 0 0 0 7279 0 0 0 0 1463 0 0 10 8068 0 0 0 0 0 31 0 0 0 7279 0 0 0 0 4875 0 0 10 8086 0 0 0 0 0 1201.16 0 0 0 1178989.48 0 0 0 0 2007042.1 0 0 20892.79 1375815.77 0 0 0 0 0 4583941.3 3900836.57 0 0 1101161718 1093801797 30 General Hospitals MEMORIAL HOSP CARBONDALE 629011462 47 Jackson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 11 0 0 0 4356 0 0 0 0 2096 0 0 9 3967 0 0 0 0 0 18 0 0 0 6732 0 0 0 0 2475 0 0 9 8367 0 0 0 0 0 19 0 0 0 6732 0 0 0 0 8296 0 0 9 9433 0 0 0 0 0 469.34 0 0 0 1621761.14 0 0 0 0 5865162.07 0 0 19809.08 3508183.77 0 0 0 0 0 11015385.4 4139191.22 0 0 1101162125 1962424036 30 General Hospitals ADVOCATE BROMENN MEDICAL CTR 617613558 72 McLean DRG Hospitals reimbursed under our Diagnosis Related G 0 0 Hospital childrens mental health 0 5 6 0 0 1715 0 0 0 0 762 0 0 0 771 0 0 0 0 0 9 9 0 0 2612 0 0 0 0 823 0 0 0 1590 0 0 0 0 0 11 9 0 0 2612 0 0 0 0 3126 0 0 0 1592 0 0 0 0 0 258.91 87.29 0 0 357677.34 0 0 0 0 1273678.29 0 0 0 259270.39 0 0 0 0 0 1890972.22 4212930.5 0 0 1101134759 1558479212 30 General Hospitals TRINITY HOSPITAL 606173909 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 14 0 0 0 2896 0 0 0 0 1256 0 0 0 1322 0 0 0 0 0 28 0 0 0 3873 0 0 0 0 1476 0 0 0 2124 0 0 0 0 0 53 0 0 0 3875 0 0 0 0 5647 0 0 0 2128 0 0 0 0 0 4026.94 0 0 0 691587.41 0 0 0 0 2736279.81 0 0 0 249149.43 0 0 0 0 0 3681043.59 4405609.62 0 0 1002528957 1629026364 30 General Hospitals ADVOCATE SHERMAN HOSPITAL 999999999 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 8 0 0 0 3011 0 0 0 0 1577 0 0 2 2306 0 0 0 0 0 9 0 0 0 4201 0 0 0 0 1839 0 0 2 5283 0 0 0 0 0 9 0 0 0 4213 0 0 0 0 6770 0 0 2 5534 0 0 0 0 0 23.66 0 0 0 616365.14 0 0 0 0 3020125.75 0 0 1070.56 774152.31 0 0 0 0 0 4411737.42 4493085.21 0 0 1101345961 1790739977 30 General Hospitals ST ANTHONY MEDICAL CENTER 611082425 109 Winnebago DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 2472 0 0 0 0 1098 0 0 0 2457 0 0 0 0 0 11 0 0 0 3585 0 0 0 0 1305 0 0 0 6609 0 0 0 0 0 16 0 0 0 3585 0 0 0 0 5590 0 0 0 6622 0 0 0 0 0 192.63 0 0 0 412916.78 0 0 0 0 3320249.13 0 0 0 876983.78 0 0 0 0 0 4610342.32 4541437.2 0 0 1101152972 1487637591 30 General Hospitals ST JOHNS CHILDRENS HOSPITAL 627690002 91 Sangamon CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Perinatal Level II Center 0 0 0 0 0 2640 0 0 0 0 879 0 0 0 1475 0 0 0 0 0 0 0 0 0 3515 0 0 0 0 1039 0 0 0 1874 0 0 0 0 0 0 0 0 0 3515 0 0 0 0 7669 0 0 0 1877 0 0 0 0 0 0 0 0 0 762247.25 0 0 0 0 14208742.97 0 0 0 1478021.42 0 0 0 0 0 16449011.64 4606854.75 0 0 1101141161 1477572949 30 General Hospitals GLENOAKS MEDICAL CENTER INC 601391405 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1551 0 0 0 0 629 0 0 2 621 0 0 0 0 0 2 0 0 0 2163 0 0 0 0 677 0 0 2 1000 0 0 0 0 0 10 0 0 0 2163 0 0 0 0 2895 0 0 2 1056 0 0 0 0 0 61.48 0 0 0 499149.18 0 0 0 0 1222094.91 0 0 6365.32 179641.85 0 0 0 0 0 1907312.74 4611070.42 0 0 1101232559 1124272547 30 General Hospitals ADVOCATE CONDELL MEDICAL CTR 600483204 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 2811 0 0 0 0 1128 0 0 0 1593 0 0 0 0 0 8 0 0 0 3733 0 0 0 0 1490 0 0 0 3300 0 0 0 0 0 9 0 0 0 3735 0 0 0 0 6831 0 0 0 3377 0 0 0 0 0 205.08 0 0 0 782914.7 0 0 0 0 3646233.92 0 0 0 646451.74 0 0 0 0 0 5075805.44 4632478.08 0 0 1101487225 1033163829 30 General Hospitals TRINITY MEDICAL CENTER 612015351 89 Rock Island DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 1329 0 0 4317 0 0 0 0 1299 0 0 0 1812 0 0 0 0 0 15 4735 0 0 7547 0 0 0 0 1458 0 0 0 3951 0 0 0 0 0 22 4735 0 0 7547 0 0 0 0 5103 0 0 0 5452 0 0 0 0 0 1268.85 144009.31 0 0 1469238.6 0 0 0 0 2121424.98 0 0 0 1061198.95 0 0 0 0 0 4797140.69 4740851.69 0 0 1101266041 1588771919 30 General Hospitals ST JAMES HOSP AND HLTH CTRS 604611010 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 17 0 0 0 4203 0 0 0 0 1508 0 0 0 1768 0 0 0 0 0 29 0 0 0 6153 0 0 0 0 1721 0 0 0 4028 0 0 0 0 0 34 0 0 0 6153 0 0 0 0 6810 0 0 0 4044 0 0 0 0 0 602.06 0 0 0 1347873.45 0 0 0 0 3637838.48 0 0 0 641323.83 0 0 0 0 0 5627637.82 4757598.71 0 0 1101483440 1750352746 30 General Hospitals HEARTLAND REGIONAL MEDICAL CTR 629595884 108 Williamson DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 0 0 0 2987 0 0 0 0 1090 0 0 6 1540 0 0 0 0 0 8 0 0 0 4002 0 0 0 0 1034 0 0 6 2397 0 0 0 0 0 8 0 0 0 4002 0 0 0 0 2769 0 0 6 2510 0 0 0 0 0 26.46 0 0 0 727627.98 0 0 0 0 2071312.42 0 0 7923.41 522134.86 0 0 0 0 0 3329025.13 4802446.76 0 1847.51 1101404710 1548357973 30 General Hospitals DECATUR MEMORIAL HOSP 625264163 63 Macon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 23 0 0 0 4993 0 0 0 0 1451 0 0 7 4886 0 0 0 0 0 47 0 0 0 7949 0 0 0 0 1829 0 0 7 18129 0 0 0 0 0 55 0 0 0 7949 0 0 0 0 7609 0 0 7 18224 0 0 0 0 0 2294.94 0 0 0 1687001.28 0 0 0 0 3778833.64 0 0 11346.06 2694368.36 0 0 0 0 0 8173844.28 5069862.03 0 0 1101270921 1801908728 30 General Hospitals RUSH CHILDRENS SERVICES 606123809 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 0 0 0 0 0 531 0 0 0 0 439 0 0 0 647 0 0 0 0 0 0 0 0 0 669 0 0 0 0 540 0 0 0 954 0 0 0 0 0 0 0 0 0 669 0 0 0 0 6838 0 0 0 955 0 0 0 0 0 0 0 0 0 137475.22 0 0 0 0 16731474.58 0 0 0 626440.61 0 0 0 0 0 17495390.41 5118762.64 0 0 1005992715 1033210166 30 General Hospitals PRESENCE SAINT FRANCIS HOSP 999999999 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 12 0 0 0 2953 0 0 0 0 1281 0 0 0 1810 0 0 0 0 0 20 0 0 0 4451 0 0 0 0 1452 0 0 0 3779 0 0 0 0 0 30 0 0 0 4451 0 0 0 0 6191 0 0 0 3816 0 0 0 0 0 211.01 0 0 0 602028.37 0 0 0 0 4919462.52 0 0 0 631721.42 0 0 0 0 0 6153423.32 5294288.91 0 0 1101159627 1962425611 30 General Hospitals HOLY CROSS HOSPITAL 606291813 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 21 0 0 0 3404 0 0 0 0 1395 0 0 0 882 0 0 0 0 0 31 0 0 0 4744 0 0 0 0 1856 0 0 0 1362 0 0 0 0 0 50 0 0 0 4748 0 0 0 0 8925 0 0 0 1363 0 0 0 0 0 1424.92 0 0 0 1064812.93 0 0 0 0 4353723.86 0 0 0 223121.25 0 0 0 0 0 5643082.96 5324039.44 0 0 1101041878 1164539730 30 General Hospitals LUTHERAN GENERAL HOSPITAL 600681143 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 22 58 0 0 2144 0 0 0 0 2199 0 0 0 2350 0 0 0 0 0 32 287 0 0 2866 0 0 0 0 2761 0 0 0 4468 0 0 0 0 0 118 307 0 0 2873 0 0 0 0 14418 0 0 0 4500 0 0 0 0 0 1784.4 28657.6 0 0 502928.64 0 0 0 0 11081627.08 0 0 0 612392.41 0 0 0 0 0 12227390.13 5730552.06 0 0 1101308028 1003864810 30 General Hospitals CENTRAL DUPAGE HOSPITAL 601901222 30 DuPage DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 12 0 0 0 3094 0 0 0 0 1141 0 0 0 2934 0 0 0 0 0 15 0 0 0 4241 0 0 0 0 1296 0 0 0 5931 0 0 0 0 0 15 0 0 0 4241 0 0 0 0 5899 0 0 0 5948 0 0 0 0 0 535.54 0 0 0 1081332.73 0 0 0 0 6172072.66 0 0 0 1482618.19 0 0 0 0 0 8736559.12 5756420.94 0 0 1101423097 1487664561 30 General Hospitals PROVIDENT HOSPITAL OF COOK CO 606152400 200 Cook ARS-C.O.P. "JH Stroger, Oak Forest and Provident Hospitals, p" 0 0 Government Owned 0 0 0 0 0 2388 0 0 0 0 58 0 0 0 700 0 0 0 0 0 0 0 0 0 3116 0 0 0 0 58 0 0 0 922 0 0 0 0 0 0 0 0 0 3116 0 0 0 0 354 0 0 0 929 0 0 0 0 0 0 0 0 0 2591945.36 0 0 0 0 1154618.36 0 0 0 1505124.54 0 0 0 0 0 5251688.26 5757701.83 0 0 1101532186 1437199791 30 General Hospitals EVANSTON HOSPITAL 602011718 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 55 353 0 0 3917 0 0 0 0 2079 0 0 1 7945 0 0 0 0 0 158 802 0 0 5520 0 0 0 0 2587 0 0 1 30485 0 0 0 0 0 229 802 0 0 5524 0 0 0 0 12762 0 0 1 30485 0 0 0 0 0 2639.56 27468.96 0 0 835329.86 0 0 0 0 10492988.27 0 0 1798.33 2347751.94 0 0 0 0 0 13707976.92 5905802.63 0 0 1101142093 1720059520 30 General Hospitals GATEWAY REGIONAL MEDICAL CTR 620404713 65 Madison DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 11 106 0 0 2743 0 0 0 0 1144 0 0 1 1256 0 0 0 0 0 16 195 0 0 3996 0 0 0 0 1289 0 0 1 2175 0 0 0 0 0 23 195 0 0 3996 0 0 0 0 6242 0 0 1 2176 0 0 0 0 0 725.78 8892.29 0 0 745465.53 0 0 0 0 3058225.88 0 0 3383.74 303945.29 0 0 0 0 0 4120638.51 5993316.74 0 0 1101353248 1982796181 30 General Hospitals MEMORIAL HOSPITAL 622265399 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 14 0 0 0 4142 0 0 0 0 1341 0 0 1 2213 0 0 0 0 0 23 0 0 0 6211 0 0 0 0 1515 0 0 1 5004 0 0 0 0 0 27 0 0 0 6211 0 0 0 0 6540 0 0 1 5004 0 0 0 0 0 785.14 0 0 0 961567.28 0 0 0 0 2851026.95 0 0 2560.76 707633.61 0 0 0 0 0 4523573.74 5996955.65 0 0 1101106325 1639120694 30 General Hospitals VISTA MEDICAL CENTER EAST 600852161 57 Lake DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 12 0 0 0 4378 0 0 0 0 1651 0 0 0 1881 0 0 0 0 0 15 0 0 0 6264 0 0 0 0 1814 0 0 0 2930 0 0 0 0 0 23 0 0 0 6265 0 0 0 0 6889 0 0 0 3088 0 0 0 0 0 1155.71 0 0 0 1488370.29 0 0 0 0 3935323.29 0 0 0 461256.95 0 0 0 0 0 5886106.24 6225604.07 0 0 1001704439 1639186638 30 General Hospitals PRESENCE MERCY MEDICAL CENTER 605061449 53 Kane DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 49 0 0 2946 0 0 0 0 644 0 0 0 1111 0 0 0 0 0 8 275 0 0 4603 0 0 0 0 789 0 0 0 2112 0 0 0 0 0 33 426 0 0 4662 0 0 0 0 3284 0 0 0 3051 0 0 0 0 0 135.89 25011.51 0 0 1150669.05 0 0 0 0 1892073.08 0 0 0 973161.24 0 0 0 0 0 4041050.77 6377603.25 0 0 1001292318 1124189733 30 General Hospitals PRESENCE SAINT JOSEPH MED CTR 604358200 107 Will DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 28 10 0 0 4200 0 0 0 0 1823 0 0 0 2298 0 0 0 0 0 55 35 0 0 6006 0 0 0 0 2361 0 0 0 4572 0 0 0 0 0 301 39 0 0 6194 0 0 0 0 10219 0 0 0 12533 0 0 0 0 0 1180.94 2994.84 0 0 934287 0 0 0 0 4451690.95 0 0 0 550487.77 0 0 0 0 0 5940641.5 6497081.01 0 0 1101064774 1518170877 30 General Hospitals ST ANTHONY HOSPITAL 606233501 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 11 0 0 0 2865 0 0 0 0 1357 0 0 0 1882 0 0 0 0 0 49 0 0 0 3722 0 0 0 0 1448 0 0 0 5245 0 0 0 0 0 51 0 0 0 3724 0 0 0 0 4591 0 0 0 5280 0 0 0 0 0 1448.99 0 0 0 837774.96 0 0 0 0 3486939.42 0 0 0 702906.6 0 0 0 0 0 5029069.97 6607046.71 0 0 1101213388 1689711764 30 General Hospitals BLESSING HOSPITAL 623012834 10 Adams DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 6 0 0 0 3917 0 0 0 0 1430 0 0 6 2368 0 0 0 0 0 7 0 0 0 6451 0 0 0 0 1667 0 0 6 5396 0 0 0 0 0 8 0 0 0 6451 0 0 0 0 5912 0 0 6 5491 0 0 0 0 0 372.21 0 0 0 1598641.89 0 0 0 0 3504481.74 0 0 16573.07 1578886.84 0 0 0 0 0 6698955.75 6904757.38 0 0 1101289438 1568472819 30 General Hospitals ROSELAND COMMUNITY HOSPITAL 606284200 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 1781 0 0 0 0 506 0 0 0 197 0 0 0 0 0 2 0 0 0 2326 0 0 0 0 349 0 0 0 251 0 0 0 0 0 2 0 0 0 2370 0 0 0 0 1828 0 0 0 256 0 0 0 0 0 0 0 0 0 504791 0 0 0 0 1139763.71 0 0 0 35843.51 0 0 0 0 0 1680398.22 7067750.63 0 12328.3 1101524914 1477690873 30 General Hospitals ST BERNARD HOSPITAL 606213114 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 2 0 0 0 3153 0 0 0 0 1235 0 0 0 840 0 0 0 0 0 3 0 0 0 4505 0 0 0 0 1452 0 0 0 1397 0 0 0 0 0 3 0 0 0 4532 0 0 0 0 5658 0 0 0 1489 0 0 0 0 0 193.8 0 0 0 1020525.61 0 0 0 0 2833361.38 0 0 0 255652.85 0 0 0 0 0 4109733.64 7071492.1 0 0 1101390918 1043581044 30 General Hospitals METRO SOUTH MEDICAL CENTER 604062428 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 11 0 0 0 3902 0 0 0 0 1491 0 0 0 1072 0 0 0 0 0 15 0 0 0 5378 0 0 0 0 1603 0 0 0 1552 0 0 0 0 0 28 0 0 0 5384 0 0 0 0 5868 0 0 0 1563 0 0 0 0 0 116.09 0 0 0 911730.91 0 0 0 0 3601441.33 0 0 0 111577.29 0 0 0 0 0 4624865.62 7319812.77 0 0 1101437001 1447280284 30 General Hospitals LORETTO HOSPITAL 606445059 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 1256 0 0 0 0 571 0 0 5 263 0 0 0 0 0 5 0 0 0 1725 0 0 0 0 693 0 0 85 556 0 0 0 0 0 9 0 0 0 2480 0 0 0 0 3763 0 0 85 1071 0 0 0 0 0 80.18 0 0 0 326963.35 0 0 0 0 2408530.64 0 0 5674.92 34047.56 0 0 0 0 0 2775296.65 7695133.33 0 0 1101057388 1275583155 30 General Hospitals METHODIST MEDICAL CNTR 616360002 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 4 0 0 0 3908 0 0 0 0 1316 0 0 3 1807 0 0 0 0 0 5 0 0 0 5897 0 0 0 0 1429 0 0 3 3515 0 0 0 0 0 10 0 0 0 5900 0 0 0 0 5510 0 0 3 3983 0 0 0 0 0 60.72 0 0 0 1153048.53 0 0 0 0 2950354.2 0 0 1890.24 786371.83 0 0 0 0 0 4891725.52 7866302.33 0 0 1101429878 1831151257 30 General Hospitals SWEDISH COVENANT HOSPITAL 606253661 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 20 0 0 0 3855 0 0 0 0 2532 0 0 1 4320 0 0 0 0 0 36 0 0 0 5319 0 0 0 0 3015 0 0 1 11215 0 0 0 0 0 62 0 0 0 5321 0 0 0 0 11852 0 0 1 11374 0 0 0 0 0 2947.22 0 0 0 2391900.48 0 0 0 0 7950402.82 0 0 2360.04 1234333.69 0 0 0 0 0 11581944.25 8184745.19 0 0 1101363501 1376644385 30 General Hospitals ST ALEXIUS MEDICAL CENTER 601941018 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 3 0 0 0 1920 0 0 0 0 1448 0 0 0 1462 0 0 0 0 0 4 0 0 0 2591 0 0 0 0 1547 0 0 0 2821 0 0 0 0 0 4 0 0 0 2601 0 0 0 0 6474 0 0 0 3108 0 0 0 0 0 186.54 0 0 0 382307.45 0 0 0 0 4872871.91 0 0 0 311328.31 0 0 0 0 0 5566694.21 8432650.3 0 0 1101246624 1972594877 30 General Hospitals NORWEGIAN AMERICAN HOSP 606222743 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 6 0 0 2727 0 0 0 0 1293 0 0 1 993 0 0 0 0 0 10 10 0 0 3929 0 0 0 0 1522 0 0 1 2258 0 0 0 0 0 21 21 0 0 3929 0 0 0 0 7967 0 0 1 2271 0 0 0 0 0 423.79 2560.1 0 0 850363.2 0 0 0 0 5157146.96 0 0 472.01 443705.15 0 0 0 0 0 6454671.21 8540896.37 0 0 1101411006 1912014564 30 General Hospitals ADVOCATE ILLINOIS MASONIC MEDI 606575147 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 19 955 0 0 2445 0 0 0 0 1689 0 0 0 2619 0 0 0 0 0 34 6519 0 0 3412 0 0 0 0 2026 0 0 0 5846 0 0 0 0 0 51 6615 0 0 3412 0 0 0 0 10729 0 0 0 5889 0 0 0 0 0 2989.08 304527.28 0 0 907740.38 0 0 0 0 10064976.46 0 0 0 1258712.52 0 0 0 0 0 12538945.72 8844656.12 0 0 1101011787 1235234535 30 General Hospitals LURIE CHILDRENS HOSPITAL 606112991 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 PERINATAL LEVEL III CENTER 0 1 526 0 0 4201 0 0 0 0 2023 0 0 0 4026 0 0 0 0 0 3 2800 0 0 5718 0 0 0 0 2042 0 0 0 6950 0 0 0 0 0 10 2800 0 0 5718 0 0 0 0 21635 0 0 0 6950 0 0 0 0 0 23.53 196953.2 0 0 2000558.72 0 0 0 0 91711558.06 0 0 0 6736244.74 0 0 0 0 0 100645338.3 8850169.69 0 33458.2 1101384607 1497750699 30 General Hospitals JACKSON PARK HOSP FOUNDATION 606493954 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 4 0 0 1889 0 0 0 0 918 0 0 0 305 0 0 0 0 0 12 15 0 0 2645 0 0 0 0 1183 0 0 0 493 0 0 0 0 0 25 22 0 0 2649 0 0 0 0 5316 0 0 0 600 0 0 0 0 0 294.01 1864.14 0 0 442469.57 0 0 0 0 2381491.76 0 0 0 74641.75 0 0 0 0 0 2900761.23 9075268.9 0 0 1101302962 1427146430 30 General Hospitals LA RABIDA CHILDRENS HOSP 606491003 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 Children's Hospital 0 0 0 0 0 752 0 0 0 0 143 0 0 0 75 0 0 0 0 0 0 0 0 0 1017 0 0 0 0 223 0 0 0 187 0 0 0 0 0 0 0 0 0 1017 0 0 0 0 6409 0 0 0 187 0 0 0 0 0 0 0 0 0 175875.32 0 0 0 0 13913683.21 0 0 0 61435.52 0 0 0 0 0 14150994.05 9125516.38 0 0 1101521218 1437367166 30 General Hospitals JAVON BEA HOSPITAL 611033655 109 Winnebago DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 9 4 0 0 3505 0 0 0 0 2281 0 0 3 2733 0 0 0 0 0 11 4 0 0 5123 0 0 0 0 2670 0 0 3 5112 0 0 0 0 0 23 4 0 0 5129 0 0 0 0 12029 0 0 3 5151 0 0 0 0 0 874.9 184.76 0 0 1127182.38 0 0 0 0 12661966.21 0 0 6593.8 1516808.93 0 0 0 0 0 15313610.98 9874090.06 0 0 1101013948 1376521575 30 General Hospitals FOSTER G MCGAW HOSPITAL 601533328 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 33 0 0 0 1926 0 0 0 0 1586 0 0 0 5977 0 0 0 0 0 93 0 0 0 2558 0 0 0 0 1810 0 0 0 25584 0 0 0 0 0 128 0 0 0 2730 0 0 0 0 10275 0 0 0 28099 0 0 0 0 0 2534.26 0 0 0 705650.67 0 0 0 0 11777226.75 0 0 0 2573123.5 0 0 0 0 0 15058535.18 10101873.19 0 0 1101285702 1760542732 30 General Hospitals SWEDISHAMERICAN HOSPITAL 611042315 109 Winnebago DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 20 14 0 0 5516 0 0 0 0 1705 0 0 0 2941 0 0 0 0 0 37 94 0 0 8656 0 0 0 0 2047 0 0 0 7085 0 0 0 0 0 58 94 0 0 9194 0 0 0 0 8587 0 0 0 7668 0 0 0 0 0 871.13 14676.92 0 0 1507321.27 0 0 0 0 3618286.12 0 0 0 1554117.95 0 0 0 0 0 6695273.39 10833992.8 0 0 1101099799 1083696835 30 General Hospitals ST JOHNS HOSPITAL 627690002 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 11 4 0 0 5678 0 0 0 0 2710 0 0 0 3362 0 0 0 0 0 13 12 0 0 9961 0 0 0 0 3077 0 0 0 6730 0 0 0 0 0 27 51 0 0 9972 0 0 0 0 14154 0 0 0 7667 0 0 0 0 0 1534.74 0 0 0 2255469.08 0 0 0 0 10620381.9 0 0 0 2508788.5 0 0 0 0 0 15386174.22 11097730.13 0 0 1101459549 1548375082 30 General Hospitals CHRIST HOSPITAL 604532600 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 19 109 0 0 3680 0 0 0 0 3558 0 0 0 2282 0 0 0 0 0 32 983 0 0 4769 0 0 0 0 4393 0 0 0 5256 0 0 0 0 0 109 1008 0 0 4770 0 0 0 0 22408 0 0 0 5304 0 0 0 0 0 343.06 73179.7 0 0 1382634.34 0 0 0 0 15112420.08 0 0 0 1474351.02 0 0 0 0 0 18042928.2 11653593.89 0 0 1101100943 1417043977 30 General Hospitals RUSH UNIVERSITY MEDICAL CENTER 606123839 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 54 97 0 0 3618 0 0 0 0 2265 0 0 4 6877 0 0 0 0 0 104 164 0 0 5367 0 0 0 0 2598 0 0 4 26397 0 0 0 0 0 138 201 0 0 5380 0 0 0 0 11921 0 0 7 27257 0 0 0 0 0 2683.01 5111.72 0 0 905876.01 0 0 0 0 9284759.95 0 0 15097.06 2787431.33 0 0 0 0 0 13000959.08 12066325.6 0 0 1101190495 1427111046 30 General Hospitals TOUCHETTE REGIONAL HOSPITAL 622072326 96 St Clair DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 7 44 0 0 1726 0 0 0 0 502 0 0 0 706 0 0 0 0 0 8 77 0 0 2503 0 0 0 0 550 0 0 0 1124 0 0 0 0 0 11 471 0 0 2503 0 0 0 0 2276 0 0 0 1793 0 0 0 0 0 146.45 68963.69 0 0 352961.62 0 0 0 0 1598745.33 0 0 0 156370.29 0 0 0 0 0 2177187.38 12231090.19 0 0 1101191809 1730166224 30 General Hospitals MERCY HOSPITAL MEDICAL CENTER 606162315 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 20 56 0 0 3772 0 0 0 0 2325 0 0 0 3487 0 0 0 0 0 40 176 0 0 5200 0 0 0 0 2844 0 0 0 6825 0 0 0 0 0 57 176 0 0 5204 0 0 0 0 12434 0 0 0 6829 0 0 0 0 0 2595.36 12312.73 0 0 914578.09 0 0 0 0 6427962.83 0 0 0 997224.3 0 0 0 0 0 8354673.31 13179432.7 0 0 1005496029 1922177229 30 General Hospitals PRESENCE SAINTS MARY & ELIZABE 606228151 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adult and Child 0 37 1067 0 0 5433 0 0 0 0 3076 0 0 0 3953 0 0 0 0 0 62 4018 0 0 7977 0 0 0 0 3617 0 0 0 7743 0 0 0 0 0 139 4062 0 0 7977 0 0 0 0 19089 0 0 0 7866 0 0 0 0 0 8799.42 181495.17 0 0 1600812.81 0 0 0 0 10828944.32 0 0 0 1363649.99 0 0 0 0 0 13983701.71 13287254.91 0 0 1101178472 1255317590 30 General Hospitals MEMORIAL MEDICAL CENTER 627810001 91 Sangamon DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 22 0 0 0 6252 0 0 0 0 2967 0 0 14 5524 0 0 0 0 0 36 0 0 0 10942 0 0 0 0 3566 0 0 14 11220 0 0 0 0 0 52 0 0 0 10942 0 0 0 0 17878 0 0 14 11530 0 0 0 0 0 1856.79 0 0 0 2458760.29 0 0 0 0 12682458.94 0 0 30360.53 4307785.75 0 0 0 0 0 19481222.3 13654344.95 0 0 1101535101 1497859649 30 General Hospitals NORTHWESTERN MEMORIAL HOSPITAL 606112908 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 39 167 0 0 3502 0 0 0 0 3304 0 0 0 5700 0 0 0 0 0 69 736 0 0 5446 0 0 0 0 3768 0 0 0 14223 0 0 0 0 0 74 939 0 0 5446 0 0 0 0 21648 0 0 0 14260 0 0 0 0 0 1413.05 15908.51 0 0 1118781.53 0 0 0 0 24289597.32 0 0 0 1901012.42 0 0 0 0 0 27326712.83 13934406.98 0 0 1101369048 1386733681 30 General Hospitals SINAI CHILDRENS HOSPITAL 606081704 200 Cook CHILDRENS Hospital designated as childrens hospitals and pai 0 0 General Hospital - Children Section 0 0 0 0 0 581 0 0 0 0 122 0 0 0 216 0 0 0 0 0 0 0 0 0 666 0 0 0 0 126 0 0 0 234 0 0 0 0 0 0 0 0 0 666 0 0 0 0 2147 0 0 0 234 0 0 0 0 0 0 0 0 0 129083.09 0 0 0 0 4976363.32 0 0 0 104649.78 0 0 0 0 0 5210096.19 15237583.67 0 0 1101150923 1043260482 30 General Hospitals SAINT FRANCIS MEDICAL CENTER 616370001 80 Peoria DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 19 511 0 0 4071 0 0 0 0 3212 0 0 0 5599 0 0 0 0 0 27 1843 0 0 6080 0 0 0 0 3896 0 0 0 13005 0 0 0 0 0 31 1920 0 0 6082 0 0 0 0 20526 0 0 0 13018 0 0 0 0 0 800.8 86722.96 0 0 1445743.9 0 0 0 0 14293772.99 0 0 0 3416456.02 0 0 0 0 0 19243496.67 18591140.52 0 0 1101170905 1518057769 30 General Hospitals MT SINAI HOSP MED CTR CHICAGO 606081704 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 0 16 0 0 0 3101 0 0 0 0 2389 0 0 4 3527 0 0 0 0 0 46 0 0 0 4237 0 0 0 0 2715 0 0 4 6473 0 0 0 0 0 117 0 0 0 4262 0 0 0 0 11684 0 0 4 8247 0 0 0 0 0 6108.26 0 0 0 1045578.64 0 0 0 0 15738831.29 0 0 9661.4 1421174.24 0 0 0 0 0 18221353.83 19729896.24 0 0 1101266657 1619034659 30 General Hospitals CARLE FOUNDATION HOSPITAL 618012529 19 Champaign DRG Hospitals reimbursed under our Diagnosis Related G 0 0 PERINATAL LEVEL III CENTER 0 13 0 0 0 9431 0 0 0 0 3462 0 0 1 7695 0 0 0 0 0 14 0 0 0 14521 0 0 0 0 3960 0 0 1 15755 0 0 0 0 0 14 0 0 0 14521 0 0 0 0 19332 0 0 1 15755 0 0 0 0 0 257.13 0 0 0 3064713.92 0 0 0 0 18415850.5 0 0 3035.45 5072665.89 0 0 0 0 0 26556522.89 21040381.03 0 0 1101486990 1508956509 30 General Hospitals UNIVERSITY OF CHICAGO HOSPITAL 606371447 200 Cook DRG Hospitals reimbursed under our Diagnosis Related G 0 0 General Hospital - Adults Section 0 71 414 0 0 4830 0 0 0 0 3323 0 0 3 7473 0 0 0 0 0 188 1412 0 0 7000 0 0 0 0 3839 0 0 3 41743 0 0 0 0 0 214 1412 0 0 7000 0 0 0 0 19282 0 0 3 42019 0 0 0 0 0 8612.71 44650.39 0 0 1229465 0 0 0 0 30557510.49 0 0 4893 3174630.56 0 0 0 0 0 35019762.15 26654502.28 0 0 1101215791 1861431751 30 General Hospitals UNIVERSITY OF ILLINOIS HOSP 606127232 200 Cook ARS-U.I. "University of Illinois Hospital, paid under an AR" 0 0 Government Owned 0 48 656 0 0 3854 0 0 0 0 2779 0 0 2 8788 0 0 0 0 0 125 1936 0 0 5679 0 0 0 0 3328 0 0 2 34680 0 0 0 0 0 223 1962 0 0 5679 0 0 0 0 20009 0 0 7 41695 0 0 0 0 0 18722.5 320408.31 0 0 2004469.21 0 0 0 0 38788816.86 0 0 6275.01 8479351.51 0 0 0 0 0 49618043.4 29016877.98 0 0 1101492540 1588612832 30 General Hospitals J H STROGER HOSP OF COOK CTY 606123714 200 Cook ARS-C.O.P. "JH Stroger, Oak Forest and Provident Hospitals, p" 0 0 0 21 0 0 0 8592 0 0 0 0 2609 0 0 8 4748 0 0 0 0 0 24 0 0 0 12218 0 0 0 0 2952 0 0 8 9313 0 0 0 0 0 54 0 0 0 12248 0 0 0 0 18213 0 0 8 9640 0 0 0 0 0 2686.36 0 0 0 9390403.27 0 0 0 0 62981851.77 0 0 38071.67 14628107.9 0 0 0 0 0 87041120.97 152970367.1 0 0 1000000004 1497093264 16 Nurse Practitioners KNOWSKI PEGGY L 626759467 73 Menard 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5235.8 0 0 0 0 0 0 5235.8 0 0 0 1000000270 91 Waiver service provider--Adults (DHS/DDD) 110 Woodford 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7910.65 0 0 0 0 0 0 0 0 0 0 0 0 0 7910.65 0 0 0 1000004098 1235415597 16 Nurse Practitioners JEHL REBECCA 606102089 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 251.02 0 0 0 0 0 0 251.02 0 0 0 1000004240 1912262775 16 Nurse Practitioners MILLER JAMES E 600250128 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 756.65 0 0 0 0 0 0 756.65 0 0 0 1000005118 1851550743 10 Physicians RUFF ILANA 606118709 200 Cook 0 0 Neurology 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1154.12 0 0 0 0 0 0 1154.12 0 0 0 1000006043 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9969.68 0 0 0 0 0 0 0 0 0 0 0 0 0 9969.68 0 0 0 1000006293 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2172.3 0 0 0 0 0 0 0 0 0 0 0 0 0 2172.3 0 0 0 1000006409 92 Waiver service provider--Disability (DHS/DRS) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19288.48 0 0 0 0 0 0 0 0 0 0 0 0 0 19288.48 0 0 0 1000007522 1336466713 10 Physicians BHARGAVA ANU 601533328 200 Cook 0 0 Pediatrics 0 0 0 0 54 0 0 0 0 0 0 0 0 79 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 4609.8 0 0 0 0 0 0 0 0 4395.22 0 0 0 0 0 0 9005.02 0 0 0 1000008031 1104060110 10 Physicians JIRSCHELE CAMERON 606740018 200 Cook 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 5 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35.3 0 1570.23 0 0 0 0 0 0 1605.53 0 0 0 1000008265 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14245.56 0 0 0 0 0 0 0 0 0 0 0 0 0 14245.56 0 0 0 1000008601 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26448.7 0 0 0 0 0 0 0 0 0 0 0 0 0 26448.7 0 0 0 1000009580 10 Physicians 102 Warren 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42.5 0 0 0 0 0 0 42.5 0 0 0 1000009628 1518020353 10 Physicians TRUONG ANTHONY L 627034514 96 St Clair 0 1 Family Practice 0 0 0 0 3 0 0 0 0 0 0 8 0 79 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 8 0 162 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 8 0 162 0 0 0 0 0 0 0 0 0 616.02 0 0 0 0 0 0 91.56 0 3190.17 0 0 0 0 0 0 3897.75 0 0 0 1000009944 1588989107 10 Physicians BRUMUND SHANNON 600052349 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 257 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5192.94 0 0 0 0 0 0 5192.94 0 0 0 1000011759 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 850.17 0 0 0 0 0 0 0 0 0 0 0 0 0 850.17 0 0 0 1000012794 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28981.3 0 0 0 0 0 0 0 0 0 0 0 0 0 28981.3 0 0 0 1000013048 1386076644 97 Waiver service provider--Children's residential (D RUSSO KATHLEEN 999999999 200 Cook 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 890 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 890 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55434 0 0 0 0 0 0 0 0 0 0 0 0 0 55434 0 0 0 1000013348 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40585.56 0 0 0 0 0 0 0 0 0 0 0 0 0 40585.56 0 0 0 1000015025 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000018741 91 Waiver service provider--Adults (DHS/DDD) 852 Wisconsin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9261.88 0 0 0 0 0 0 0 0 0 0 0 0 0 9261.88 0 0 0 1000018823 1174844682 10 Physicians JAIN NELIA 600103141 57 Lake 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2292.75 0 0 0 0 0 0 2292.75 0 0 0 1000019209 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 803 0 0 0 0 0 0 0 0 0 0 0 0 0 803 0 0 0 1000019366 1760823116 33 Nursing Facilities WARREN BARR LIVING & REHAB CTR 606107325 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 781 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16899 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1921235.51 0 0 0 0 0 0 0 1921235.51 0 0 0 1000020097 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2426.23 0 0 0 0 0 0 0 0 0 0 0 0 0 2426.23 0 0 0 1000021785 91 Waiver service provider--Adults (DHS/DDD) 75 Monroe 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16546.93 0 0 0 0 0 0 0 0 0 0 0 0 0 16546.93 0 0 0 1000022527 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19779.35 0 0 0 0 0 0 0 0 0 0 0 0 0 19779.35 0 0 0 1000022821 1558618678 30 General Hospitals FRESENIUS MEDICAL CARE ELGIN 601239219 53 Kane DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14305.53 0 0 0 0 0 14305.53 0 0 0 1000023192 91 Waiver service provider--Adults (DHS/DDD) 107 Will 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30098.93 0 0 0 0 0 0 0 0 0 0 0 0 0 30098.93 0 0 0 1000025388 1417113069 10 Physicians FISHBEIN ANNA 606116649 200 Cook 0 0 Pediatrics 0 0 0 0 1 0 0 0 0 0 0 5 0 46 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 9 0 79 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 9 0 79 0 0 0 0 0 0 0 0 0 6.4 0 0 0 0 0 0 101.71 0 4043.83 0 0 0 0 0 0 4151.94 0 0 0 1000026236 92 Waiver service provider--Disability (DHS/DRS) 66 Marion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5663.57 0 0 0 0 0 0 0 0 0 0 0 0 0 5663.57 0 0 0 1000026621 1023453362 10 Physicians DANIEL SILVER 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2074.96 0 0 0 0 0 0 0 0 2074.96 0 0 0 1000027664 1023056090 46 Ambulatory Surgical Treatment Centers GAILEY EYE SURGERY DECATUR LLC 999999999 63 Macon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8914.06 0 0 0 0 0 8914.06 0 0 0 1000029377 16 Nurse Practitioners 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20659.15 0 0 0 0 0 0 0 0 0 0 0 0 0 20659.15 0 0 0 1001059679 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13891.95 0 0 0 0 0 0 0 0 0 0 0 0 0 13891.95 0 0 0 1001061231 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 348 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41294 0 0 0 0 0 0 0 0 0 0 0 0 0 41294 0 0 0 1001063359 91 Waiver service provider--Adults (DHS/DDD) 21 Clark 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 918.06 0 0 0 0 0 0 0 0 0 0 0 0 0 918.06 0 0 0 1001064609 1437396330 16 Nurse Practitioners MUSTO JENNIFER 618012529 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 647.89 0 0 0 0 0 0 647.89 0 0 0 1001065127 1265532493 33 Nursing Facilities VANDALIA REHAB HEALTH CARE 999999999 34 Fayette 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 484 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13878 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1252572.43 0 0 0 0 0 0 0 1252572.43 0 0 0 1001065463 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1021.88 0 0 0 0 0 0 0 0 0 0 0 0 0 1021.88 0 0 0 1001065465 1073724076 10 Physicians KAKODKAR KEDAR 609012901 54 Kankakee 0 0 Otolaryngology 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1500.06 0 0 0 0 0 0 1500.06 0 0 0 1001065539 22 Physical Therapists 72 McLean 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 610.4 610.4 0 0 0 1001065922 91 Waiver service provider--Adults (DHS/DDD) 91 Sangamon 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 799.42 0 0 0 0 0 0 0 0 0 0 0 0 0 799.42 0 0 0 1001065993 10 Physicians 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001066156 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2410.34 0 0 0 0 0 0 0 0 0 0 0 0 0 2410.34 0 0 0 1001066218 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1231.51 0 0 0 0 0 0 0 0 0 0 0 0 0 1231.51 0 0 0 1001066270 1003254624 55 Early Intervention Services JOHNSON KILEY 610218829 106 Whiteside 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 776 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34555.73 0 0 0 0 0 0 34555.73 0 0 0 1001066325 1831336023 63 Other Providers of Medical Equipment/Supplies (Non FAMILY MEDICAL SUPPLIES 600041591 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 260 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8172 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8172 0 137 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 329489.52 0 4686.7 0 0 0 0 334176.22 0 0 0 1001066381 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47457.88 0 0 0 0 0 0 0 0 0 0 0 0 0 47457.88 0 0 0 1001066609 1720234222 10 Physicians RAGAUSKAITE LAURA 604519547 107 Will 0 0 Surgery General 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2752.15 0 0 0 0 0 0 2752.15 0 0 0 1001066816 1346212693 10 Physicians RAHMAN AZIZUR 611145603 109 Winnebago 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 6 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 907.2 0 0 0 0 0 0 907.2 0 0 0 1001066839 1174869408 16 Nurse Practitioners LOWRANCE DEBRA L 625263226 63 Macon 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 201 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 370 0 0 0 0 0 0 0 0 0 85.65 0 0 0 0 0 0 0 0 26117.44 0 0 0 0 0 0 26203.09 0 0 0 1001066963 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2296.71 0 0 0 0 0 0 0 0 0 0 0 0 0 2296.71 0 0 0 1001067084 4001067084 10 Physicians LAVINE KORY J 631600352 91 Sangamon 0 0 Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77.62 0 0 0 0 0 0 77.62 0 0 0 1001067179 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6064.57 0 0 0 0 0 0 0 0 0 0 0 0 0 6064.57 0 0 0 1001067212 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 262 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23524.83 0 0 0 0 0 0 0 0 0 0 0 0 0 23524.83 0 0 0 1001067430 92 Waiver service provider--Disability (DHS/DRS) 836 Ohio 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5725.55 0 0 0 0 0 0 0 0 0 0 0 0 0 5725.55 0 0 0 1001067666 1518300698 55 Early Intervention Services WADE-COLLIE CATHERINE A 629015103 47 Jackson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 808 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49905.17 0 0 0 0 0 0 49905.17 0 0 0 1001067830 1922186238 16 Nurse Practitioners CARR TRACY 641843225 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1561.99 0 0 0 0 0 0 1561.99 0 0 0 1001068089 1821314105 10 Physicians HARDEN KIMBERLY 606751620 200 Cook 0 1 Family Practice 0 0 0 0 4 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 127 0 0 0 0 0 0 0 0 0 185.68 0 0 0 0 0 0 0 0 2167.2 0 0 0 0 0 0 2352.88 0 0 0 1001068423 87 Psychologist(Encounter Only) 57 Lake 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001068542 94 Waiver service provider--Children's support (DHS/D 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 253 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17528.37 0 0 0 0 0 0 0 0 0 0 0 0 0 17528.37 0 0 0 1001068847 4001068847 13 Podiatrists KWON SOYOUNG 607142610 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 246 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 372.58 0 0 0 0 0 0 372.58 0 0 0 1001068879 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15977.5 0 0 0 0 0 0 0 0 0 0 0 0 0 15977.5 0 0 0 1001069127 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 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Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 217 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15867.56 15867.56 0 0 0 1001076343 1598905887 10 Physicians GUFFEY RYAN C 631600352 200 Cook 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 6 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 793.72 0 0 0 0 0 0 793.72 0 0 0 1001076445 1063652469 10 Physicians SKONDRA DIMITRA 606123723 200 Cook 0 0 Ophthalmology 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5073.91 0 0 0 0 0 0 5073.91 0 0 0 1001076582 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1364.18 0 0 0 0 0 0 0 0 0 0 0 0 0 1364.18 0 0 0 1001076932 1114224987 10 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(DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4340.26 0 0 0 0 0 0 0 0 0 0 0 0 0 4340.26 0 0 0 1001206388 16 Nurse Practitioners 815 Indiana 0 0 General Psychiatry Residency 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114.8 0 0 0 0 0 0 114.8 0 0 0 1001206448 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22671 0 0 0 0 0 0 0 0 0 0 0 0 0 22671 0 0 0 1001206494 1881740561 10 Physicians LANE JOHAN OLOF 602011718 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 1 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6.3 0 1351.28 0 0 0 0 0 0 1357.58 0 0 0 1001206596 1124460126 11 Dentists 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provider--Disability (DHS/DRS) 108 Williamson 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34033.73 0 0 0 0 0 0 0 0 0 0 0 0 0 34033.73 0 0 0 1001253950 1881023299 16 Nurse Practitioners DAWOOD JOYCE 946081844 80 Peoria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3957.2 0 0 0 0 0 0 3957.2 0 0 0 1001254024 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 365 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24968.2 0 0 0 0 0 0 0 0 0 0 0 0 0 24968.2 0 0 0 1001254356 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4577.74 0 0 0 0 0 0 0 0 0 0 0 0 0 4577.74 0 0 0 1001254452 92 Waiver service provider--Disability (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1438.49 0 0 0 0 0 0 0 0 0 0 0 0 0 1438.49 0 0 0 1001254829 92 Waiver service provider--Disability (DHS/DRS) 85 Pulaski 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 608.34 0 0 0 0 0 0 0 0 0 0 0 0 0 608.34 0 0 0 1001254861 1619218732 30 General Hospitals TAZEWELL COUNTY DIALYSIS 615544807 98 Tazewell DIALYSIS Outpatient dialysis centers. 0 0 General Hospital - Adult and Child 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 656 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19165.68 0 0 0 0 0 19165.68 0 0 0 1001255064 1013238310 10 Physicians HOQUE SARAH 606082486 200 Cook 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 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0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55.28 0 0 0 0 0 0 55.28 0 0 0 1001259389 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13142.59 0 0 0 0 0 0 0 0 0 0 0 0 0 13142.59 0 0 0 1001259513 94 Waiver service provider--Children's support (DHS/D 107 Will 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4719 0 0 0 0 0 0 0 0 0 0 0 0 0 4719 0 0 0 1001259545 1962753277 48 Rural Health Clinics CROSSROADS FAM MED MT VERNON 628646545 49 Jefferson 0 1 0 0 537 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1657 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1657 0 45 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51416.69 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51416.69 0 0 0 1001259679 91 Waiver service provider--Adults (DHS/DDD) 53 Kane 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23221.8 0 0 0 0 0 0 0 0 0 0 0 0 0 23221.8 0 0 0 1001259797 14 Chiropractors 89 Rock Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10.39 0 0 0 0 0 0 10.39 0 0 0 1001259881 1700207784 16 Nurse Practitioners TROTTER ANNA 999999999 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10033.83 0 0 0 0 0 0 10033.83 0 0 0 1001259934 1952490682 70 Ambulance Service Providers ST LOUIS FIRE DEPARTMENT 631392913 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8314.72 0 0 0 0 0 0 8314.72 0 0 0 1001260058 1770899221 10 Physicians SINGH MANAMAR 604332548 107 Will 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 238 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1676.46 0 0 0 0 0 0 1676.46 0 0 0 1001260074 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 452.3 0 0 0 0 0 0 0 0 0 0 0 0 0 452.3 0 0 0 1001260365 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1203.6 0 0 0 0 0 0 0 0 0 0 0 0 0 1203.6 0 0 0 1001260641 92 Waiver service provider--Disability (DHS/DRS) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14432.61 0 0 0 0 0 0 0 0 0 0 0 0 0 14432.61 0 0 0 1001260659 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12833.76 0 0 0 0 0 0 0 0 0 0 0 0 0 12833.76 0 0 0 1001260800 91 Waiver service provider--Adults (DHS/DDD) 105 White 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21638.4 0 0 0 0 0 0 0 0 0 0 0 0 0 21638.4 0 0 0 1001260890 91 Waiver service provider--Adults (DHS/DDD) 26 Cumberland 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14466.23 0 0 0 0 0 0 0 0 0 0 0 0 0 14466.23 0 0 0 1001261035 10 Physicians 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69.55 0 0 0 0 0 0 69.55 0 0 0 1001261066 87 Psychologist(Encounter Only) 19 Champaign 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1001261374 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10246.44 0 0 0 0 0 0 0 0 0 0 0 0 0 10246.44 0 0 0 1001261464 1144565458 16 Nurse Practitioners ALMADADHA HIBA 28950784 53 Kane 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 728.69 0 0 0 0 0 0 728.69 0 0 0 1001261513 1609188267 10 Physicians PATEL EKTA 602015910 200 Cook 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0 0 0 0 300 0 0 0 1001262014 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4489.29 0 0 0 0 0 0 0 0 0 0 0 0 0 4489.29 0 0 0 1001262113 98 Waiver service provider--TBI (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 933.15 0 0 0 0 0 0 0 0 0 0 0 0 0 933.15 0 0 0 1001262253 30 General Hospitals 810 Florida NON-COST "Non-cost reporting hospitals, paid a Per Diem rat" 0 0 General Hospital - Adult and Child 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74.53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74.53 0 0 0 1001262275 10 Physicians 815 Indiana 0 0 Pediatric Cardiology 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156.55 0 0 0 0 0 0 156.55 0 0 0 1001262406 1720382088 10 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Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 639.83 0 0 0 0 0 0 0 0 0 0 0 0 0 639.83 0 0 0 1001318909 1861818031 29 ICF/MR PINE TERRACE 600874829 57 Lake 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 384 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11276 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 940845.11 0 0 0 0 0 0 0 0 0 0 940845.11 0 0 0 1001318960 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11705.97 0 0 0 0 0 0 0 0 0 0 0 0 0 11705.97 0 0 0 1001319217 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19444.52 0 0 0 0 0 0 0 0 0 0 0 0 0 19444.52 0 0 0 1001319218 88 Other behavior health professional(Encounter Only) 71 McHenry 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 584.07 0 0 0 0 0 0 584.07 0 0 0 1001319243 91 Waiver service provider--Adults (DHS/DDD) 64 Macoupin 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 338 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11812.36 0 0 0 0 0 0 0 0 0 0 0 0 0 11812.36 0 0 0 1001319343 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2451.28 0 0 0 0 0 0 0 0 0 0 0 0 0 2451.28 0 0 0 1001319479 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 261 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15140.67 0 0 0 0 0 0 0 0 0 0 0 0 0 15140.67 0 0 0 1001319783 92 Waiver service provider--Disability (DHS/DRS) 50 Jersey 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10618.01 0 0 0 0 0 0 0 0 0 0 0 0 0 10618.01 0 0 0 1001319920 1891058566 10 Physicians MOODALAGIRIAIAH MAMATHA 605406533 30 DuPage 0 0 Obstetric-Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8640.61 0 0 0 0 0 0 8640.61 0 0 0 1001320023 98 Waiver service provider--TBI (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4356.63 0 0 0 0 0 0 0 0 0 0 0 0 0 4356.63 0 0 0 1001320424 92 Waiver service provider--Disability (DHS/DRS) 17 Carroll 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12430.19 0 0 0 0 0 0 0 0 0 0 0 0 0 12430.19 0 0 0 1001320542 1457671745 10 Physicians ROHDE JAY 999999999 80 Peoria 0 0 0 0 0 0 8 0 0 0 0 0 0 6 0 103 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 6 0 204 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 6 0 204 0 0 0 0 0 0 0 0 0 657.25 0 0 0 0 0 0 44.72 0 9473.5 0 0 0 0 0 0 10175.47 0 0 0 1001320606 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17571.65 0 0 0 0 0 0 0 0 0 0 0 0 0 17571.65 0 0 0 1001321296 91 Waiver service provider--Adults (DHS/DDD) 19 Champaign 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 893.2 0 0 0 0 0 0 0 0 0 0 0 0 0 893.2 0 0 0 1001321371 91 Waiver service provider--Adults (DHS/DDD) 30 DuPage 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7918.56 0 0 0 0 0 0 0 0 0 0 0 0 0 7918.56 0 0 0 1001321547 92 Waiver service provider--Disability (DHS/DRS) 25 Crawford 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4087.68 0 0 0 0 0 0 0 0 0 0 0 0 0 4087.68 0 0 0 1001321733 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29072.56 0 0 0 0 0 0 0 0 0 0 0 0 0 29072.56 0 0 0 1001321743 92 Waiver service provider--Disability (DHS/DRS) 63 Macon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13030 0 0 0 0 0 0 0 0 0 0 0 0 0 13030 0 0 0 1001321863 1457647810 10 Physicians SPARROW CHRISTOPHER 616151941 80 Peoria 0 0 Internal Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1194.32 0 0 0 0 0 0 1194.32 0 0 0 1001322234 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10044.06 0 0 0 0 0 0 0 0 0 0 0 0 0 10044.06 0 0 0 1001322281 1518918747 65 Independent Diagnostic Testing Facility (IDTF) DIAGNOSTIC SOLUTIONS INC 601391895 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 826.61 0 0 0 0 0 0 0 0 826.61 0 0 0 1001322372 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1489.85 0 0 0 0 0 0 0 0 0 0 0 0 0 1489.85 0 0 0 1001322659 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 94865.96 0 0 0 0 0 0 0 0 0 0 0 0 0 94865.96 0 0 0 1001322691 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10852.34 0 0 0 0 0 0 0 0 0 0 0 0 0 10852.34 0 0 0 1001322721 4001322721 16 Nurse Practitioners MONROE KATHRYN 606035606 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541.41 0 0 0 0 0 0 541.41 0 0 0 1001322971 1184852162 10 Physicians OBRIEN AMANDA 627083428 91 Sangamon 0 0 Obstetric-Gynecology 0 0 0 0 6 0 0 0 0 0 0 30 0 95 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 76 0 188 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 76 0 188 0 0 0 0 0 0 0 0 0 890.93 0 0 0 0 0 0 1587.05 0 17675 0 0 0 0 0 0 20152.98 0 0 0 1001323006 92 Waiver service provider--Disability (DHS/DRS) 89 Rock Island 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21255.12 0 0 0 0 0 0 0 0 0 0 0 0 0 21255.12 0 0 0 1001323074 1497067318 16 Nurse Practitioners HAJIAN NISHA 601545803 200 Cook 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 446.56 0 0 0 0 0 0 446.56 0 0 0 1001323223 91 Waiver service provider--Adults (DHS/DDD) 109 Winnebago 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24387 0 0 0 0 0 0 0 0 0 0 0 0 0 24387 0 0 0 1001323286 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28628.44 0 0 0 0 0 0 0 0 0 0 0 0 0 28628.44 0 0 0 1001323500 93 Waiver service provider--HIV/AIDS (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7359.95 0 0 0 0 0 0 0 0 0 0 0 0 0 7359.95 0 0 0 1001323664 92 Waiver service provider--Disability (DHS/DRS) 17 Carroll 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1962.1 0 0 0 0 0 0 0 0 0 0 0 0 0 1962.1 0 0 0 1001323878 1689992885 10 Physicians PARIKH RUCHI 616151941 80 Peoria 0 1 Family Practice 0 0 0 0 14 0 0 0 0 0 0 0 0 68 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 147 0 0 0 0 0 0 0 0 0 1935.94 0 0 0 0 0 0 0 0 2688.89 0 0 0 0 0 0 4624.83 0 0 0 1001323995 1558673152 10 Physicians PALEPU SAI PRASHANTH BABU 628591213 41 Hamilton 0 0 Family Practice 0 0 0 0 0 0 0 0 0 0 0 0 0 330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9953.23 0 0 0 0 0 0 9953.23 0 0 0 1001324240 1396900791 10 Physicians COLEMAN JOHN 606118709 200 Cook 0 0 Pulmonary 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(DHS/DRS) 100 Vermilion 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4880.3 0 0 0 0 0 0 0 0 0 0 0 0 0 4880.3 0 0 0 1001324964 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10391.45 0 0 0 0 0 0 0 0 0 0 0 0 0 10391.45 0 0 0 1001325044 98 Waiver service provider--TBI (DHS/DRS) 72 McLean 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1712.56 0 0 0 0 0 0 0 0 0 0 0 0 0 1712.56 0 0 0 1001325082 92 Waiver service provider--Disability (DHS/DRS) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1049.45 0 0 0 0 0 0 0 0 0 0 0 0 0 1049.45 0 0 0 1001325136 91 Waiver service provider--Adults (DHS/DDD) 200 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(DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2143.96 0 0 0 0 0 0 0 0 0 0 0 0 0 2143.96 0 0 0 1001350313 10 Physicians 200 Cook 0 0 Emergency Medicine 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 69.55 0 0 0 0 0 0 69.55 0 0 0 1001350853 98 Waiver service provider--TBI (DHS/DRS) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3126.65 0 0 0 0 0 0 0 0 0 0 0 0 0 3126.65 0 0 0 1001350999 1831332345 10 Physicians FARIS SARAH 522421009 816 Iowa 0 0 Urology 0 0 0 0 0 0 0 0 0 0 0 5 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14.35 0 1622.69 0 0 0 0 0 0 1637.04 0 0 0 1001351187 1902187867 10 Physicians HARVEY NATASHA 601203843 53 Kane 0 0 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300 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8634.77 0 1931.84 0 0 0 0 10566.61 0 0 0 1001461624 92 Waiver service provider--Disability (DHS/DRS) 39 Greene 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2415.6 0 0 0 0 0 0 0 0 0 0 0 0 0 2415.6 0 0 0 1001461648 91 Waiver service provider--Adults (DHS/DDD) 57 Lake 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2948.32 0 0 0 0 0 0 0 0 0 0 0 0 0 2948.32 0 0 0 1001461884 1255675674 16 Nurse Practitioners LEE HYEMIN 606313222 200 Cook 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 23 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 185.69 0 0 0 0 0 0 0 0 569.95 0 0 0 0 0 0 755.64 0 0 0 1001461933 1821428988 60 Pharmacies CVS PHARMACY 10256 999999999 826 Missouri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5362 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20973.71 0 0 0 20973.71 0 0 0 1001462274 10 Physicians 826 Missouri 0 0 Endocrinology 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24.45 0 0 0 0 0 0 24.45 0 0 0 1001462323 1619125598 10 Physicians KIRILUK SHIVANI 999999999 30 DuPage 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4645.12 0 0 0 0 0 0 4645.12 0 0 0 1001462477 1417114141 10 Physicians ANWAR SHAFKAT 631600352 200 Cook 0 0 Pediatrics 0 0 0 0 0 0 0 0 0 0 0 0 0 43 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3450.65 0 0 0 0 0 0 3450.65 0 0 0 1001462595 1881970655 63 Other Providers of Medical Equipment/Supplies (Non NUMOTION 616115536 98 Tazewell 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 252 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1525 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 441046.53 0 0 0 0 0 0 441046.53 0 0 0 1001462637 1487946810 39 Hospice ACCORD HOSPICE INC 600351030 57 Lake 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2291 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 309235.09 0 0 0 0 0 0 0 0 0 0 0 309235.09 0 0 0 1001462647 93 Waiver service provider--HIV/AIDS (DHS/DRS) 96 St Clair 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1328.64 0 0 0 0 0 0 0 0 0 0 0 0 0 1328.64 0 0 0 1001462653 1871830083 16 Nurse Practitioners BINGHAM WENDY 605869417 107 Will 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 85 0 0 0 1001463094 91 Waiver service provider--Adults (DHS/DDD) 65 Madison 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3201 0 0 0 0 0 0 0 0 0 0 0 0 0 3201 0 0 0 1001463096 92 Waiver service provider--Disability (DHS/DRS) 71 McHenry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2201.89 0 0 0 0 0 0 0 0 0 0 0 0 0 2201.89 0 0 0 1001463097 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1408.98 0 0 0 0 0 0 0 0 0 0 0 0 0 1408.98 0 0 0 1001463246 91 Waiver service provider--Adults (DHS/DDD) 200 Cook 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25697 0 0 0 0 0 0 0 0 0 0 0 0 0 25697 0 0 0 1001463570 92 Waiver service provider--Disability (DHS/DRS) 74 Mercer 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 913.59 0 0 0 0 0 0 913.59 0 0 0 1001464233 92 Waiver service provider--Disability (DHS/DRS) 91 Sangamon 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12645.99 0 0 0 0 0 0 0 0 0 0 0 0 0 12645.99 0 0 0 1001464490 1063731644 10 Physicians KURT MANGOLD MICHELLE E 522421009 816 Iowa 0 0 Clinical Pathology 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181.97 0 0 0 0 0 0 0 0 181.97 0 0 0 1001464691 1336450279 10 Physicians SHIELDS JACOB 600450689 57 Lake 0 0 Anesthesiology 0 0 0 0 0 0 0 0 0 0 0 1 0 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1474.93 0 0 0 0 0 0 1474.93 0 0 0 1001465000 1639337793 10 Physicians SHERMAN 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