SSM HEALTH BUSINESSES

NPI 1295798403, organization, Mount Vernon, IL, Home Health

Evidence tier

network structure with a list link

Part of provider network D1-00106, ranked 106 nationally.

score 65 of 100, rank 1358, $98K at stake

Provider networks

D1-00106 ranked 106

63 providers around Wichita, KS: 16 hospices, 16 home health agencies, 31 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	SSM HEALTH BUSINESSES (also SSM HEALTH AT HOME HOME HEALTH MT VERNON; SSM HEALTH AT HOME HOME HEALTH GLEN CARBON)
Type	Organization
Status	Active
NPI issued	April 10, 2006, last updated August 1, 2023
Practice location	1501 MCPHERSON AVE, Mount Vernon, IL 62864-2831, 618-899-1621
Mailing address	2 GOOD SAMARITAN WAY STE 325, Mount Vernon, IL 62864-2486
Authorized official	LISA SCHWEITZER (Vice President Patient Care Service)
Specialties	Home Health (251E00000X, primary, license 1010902 IL)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
G0299	Direct skilled nursing by RN in home health or hospice each 15 min	$944K	67%	$425	$151 (top 5% from $742)	86th percentile
G0151	PT in home health or hospice setting each 15 min	$383K	27%	$417	$203 (top 5% from $565)	87th percentile
G0152	OT in home health or hospice setting each 15 min	$74K	5%	$314	$182 (top 5% from $529)	80th percentile

In this area

399 providers in IL carry an indicator in the public record, with $185.6M at stake between them. The most common is part of a provider network, on 262 of them, followed by more hours than a day holds on 110. 20 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	NORTHWEST MEDICAL LAB INC Downers Grove, IL, ranked 11	$221K	Listed on the Medicare revocation list since May 23, 2024. Medicaid still paid claims in 5 later months, $221,263 in total. and 1 more
1	FA 1ST SOLUTIONS Chicago, IL, ranked 21	$43K	Listed on the Medicare revocation list since March 1, 2024. Medicaid still paid claims in 7 later months, $42,753 in total. and 1 more
1	HISHAM SADEK Chicago, IL, ranked 51	$2.0M	Listed on the IN Medicaid exclusion list since July 15, 2015. Medicaid still paid claims in 54 later months, $2,029,469 in total.
1	RAPID HEALTHCARE LABORATORY LLC Elgin, IL, ranked 94	$369K	Listed on the Medicare revocation list since June 4, 2024. Medicaid still paid claims in 1 later month, $368,928 in total.
1	GORDON DENTAL ASSOCIATES, LTD. Olympia Fields, IL, ranked 98	$323K	Listed on the KY Medicaid exclusion list since February 17, 2021. Medicaid still paid claims in 35 later months, $323,243 in total.
1	TAMMY DOBBIN Chicago, IL, ranked 134	$127K	Listed on the Medicare revocation list since November 9, 2021. Medicaid still paid claims in 13 later months, $126,624 in total.
1	KENNETH PELEHAC Oak Lawn, IL, ranked 294	$9K	Listed on the Medicare revocation list since May 13, 2022. Medicaid still paid claims in 1 later month, $8,894 in total.
1	MASTURA ZALWANGO Skokie, IL, ranked 302	$8K	Listed on the Medicare revocation list since September 3, 2022. Medicaid still paid claims in 5 later months, $7,805 in total.

All 399 in IL

Recent enforcement in IL

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 23, 2026

United States Attorney Andrew S. Boutros Announces Charges Against Two Chicago-Area Defendants as Part of Department of Justice’s National Healthcare Fraud Takedown

Two Chicago-area defendants were charged, one for selling Medicare beneficiary information and providing fake AI-generated consent recordings so laboratories could bill Medicare for over-the-counter Covid-19 test kits that were never requested or provided, and the other for directing the creation of fake medical records and billing Illinois Medicaid for behavioral health counseling and therapy services that were never provided, including for deceased beneficiaries.

DOJConvictedJun 18, 2026

Suburban Chicago Chiropractor Convicted of Healthcare Fraud

A chiropractor submitted fraudulent claims to Blue Cross Blue Shield of Illinois for health care services that were not actually provided and submitted false patient medical records when the insurer attempted to audit the claims.

DOJSentencedJun 10, 2026

Jacksonville Chiropractor Sentenced to a Year in Prison for Healthcare Fraud and Related Offenses

Rondeau submitted more than 2,000 fraudulent claims to health insurance companies and convinced clients to sign false documents after learning he was under investigation.

DOJCivil settlementMay 8, 2026

Three Affiliated Skilled Nursing Facilities to Pay $300,000 to Resolve False Claims Act Allegations Related to Medically Unnecessary Rehabilitation Services

Three affiliated skilled nursing facilities billed Medicare between Jan. 1, 2014, and Sept. 30, 2019, for physical therapy, occupational therapy, and speech pathology services provided to patients for longer than medically necessary and without regard for patients' individual medical needs, resulting in claims based on inflated RUG levels.

DOJIndictedFeb 12, 2026

Two Foreign Nationals Indicted in Chicago as Part of $10 Million Health Care Fraud Scheme

The indictment alleges the defendants used nominee-owned laboratories and durable medical equipment providers to submit fraudulent claims to Medicare and private health care benefit programs for items and services that were not provided, and laundered and transferred proceeds to Pakistan.

Referral packet

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