MERCYHEALTH VISITING NURSES ASSOCIATION, INC.
NPI 1427165752, organization, Machesney Park, IL, Durable Medical Equipment & Medical Supplies
- Listed on the Medicare revocation list since August 25, 2022.
- Medicaid still paid claims in 1 later month, $4,896 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(8)(ii) abuse of billing privileges: pattern or practice | Exact NPI, name verified | Aug 25, 2022 | Aug 24, 2032 | 1 | Sep 2022 | Sep 2022 | $5K | $351K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MERCYHEALTH VISITING NURSES ASSOCIATION, INC. (also VISITING NURSES ASSOCIATION OF THE ROCKFORD AREA) |
| Type | Organization |
| Status | Active |
| NPI issued | August 24, 2006, last updated February 19, 2019 |
| Practice location | 9934 N ALPINE RD STE 110, Machesney Park, IL 61115-8240, 815-971-3330 |
| Mailing address | 4223 E STATE ST, Rockford, IL 61108 |
| Authorized official | DANETTE EIBL (Finance Director) |
| Specialties | Durable Medical Equipment & Medical Supplies (332B00000X) Durable Medical Equipment & Medical Supplies (332B00000X, primary, license 203.000267 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| E1390 | Medicaid service code | $646K | 32% | $100 | $51 (top 5% from $113) | 92nd percentile | |
| E0601 | Medicaid service code | $312K | 15% | $58 | $41 (top 5% from $86) | 80th percentile | |
| K0738 | Medicaid service code | $127K | 6% | $34 | $18 (top 5% from $35) | 93rd percentile | |
| E0562 | Medicaid service code | $120K | 6% | $21 | $20 (top 5% from $155) | 52nd percentile | |
| B4035 | Medicaid service code | $93K | 5% | $270 | $164 (top 5% from $298) | 90th percentile | |
| E0570 | Medicaid service code | $83K | 4% | $32 | $16 (top 5% from $87) | 71st percentile | |
| K0001 | Medicaid service code | $79K | 4% | $32 | $14 (top 5% from $37) | 92nd percentile | |
| A7030 | Medicaid service code | $71K | 3% | $82 | $64 (top 5% from $115) | 73rd percentile |
In this area
13 providers in Winnebago County, IL carry an indicator in the public record, with $5.0M at stake between them. The most common is part of a provider network, on 7 of them, followed by more hours than a day holds on 6.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | SWEDISHAMERICAN HOSPITAL Rockford, IL, ranked 813 | $157K |
|
| 3 | FAIR OAKS REHABILITATION AND HEALTH CARE CENTER, LLC South Beloit, IL, ranked 3192 | $0 |
|
| 3 | PRESENCE LIFE CONNECTIONS Rockford, IL, ranked 3537 | $0 |
|
| 3 | EAST BANK CENTER LLC Loves Park, IL, ranked 4010 | $0 |
|
| 3 | MEDINA NURSING CENTER, INC Durand, IL, ranked 4528 | $0 |
|
| 3 | ALPINE FIRESIDE HEALTH CENTER LTD Rockford, IL, ranked 5800 | $0 |
|
| 3 | MO CHARA HOSPICE LLC Cherry Valley, IL, ranked 6933 | $0 |
|
| 4 | ELAINA PARLAPANIS Rockford, IL, ranked 7710 | $1.8M |
|
Recent enforcement in IL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.