MERCY ST. FRANCIS HOSPITAL

$6.86M

Total Medicaid Paid

51,451

Total Claims

41,987

Beneficiaries

50

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99283		11,942	8,377	$1.68M
Y7506		8,301	7,578	$1.49M
99284		6,749	4,898	$1.03M
99285		4,660	2,822	$945K
X4011		1,594	1,474	$523K
85025		5,570	5,084	$442K
80053		4,493	4,154	$295K
87804		386	379	$124K
86140		788	744	$34K
94640		110	103	$30K
96374		319	298	$30K
93005		509	477	$28K
71045		445	414	$26K
71046		70	69	$25K
G0463	Hospital outpt clinic visit	323	316	$23K
36415		156	141	$14K
J3490	Drugs unclassified injection	561	425	$12K
83880		504	475	$11K
87428		442	428	$10K
99282		92	63	$10K
83735		536	505	$10K
87807		66	64	$8K
96375		173	160	$7K
83605		361	338	$7K
80048		43	41	$7K
96365		44	42	$7K
94762		24	24	$6K
99213		166	161	$5K
81003		104	100	$5K
84484		132	125	$2K
84443		221	210	$2K
70450		14	13	$2K
Q3014	Telehealth facility fee	60	60	$1K
85652		646	609	$1K
U0003	Cov-19 amp prb hgh thruput	81	80	$1K
87426		43	39	$982.51
Y7507		12	12	$843.60
99211		26	26	$831.16
83690		174	167	$830.26
87400		48	48	$514.37
81001		254	240	$506.41
96372		13	12	$498.98
85379		42	41	$199.96
J7030	Normal saline solution infus	13	13	$126.00
81025		12	12	$117.22
C9803	Hopd covid-19 spec collect	59	59	$103.50
80305		15	15	$98.44
85610		27	26	$68.61
87086		14	12	$42.68
85730		14	14	$40.13

Medicaid Provider Spending