Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SAINT FRANCIS MEDICAL CENTER

NPI: 1043260482 · PEORIA, IL 61637 · General Acute Care Hospital · NPI assigned 05/10/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SEHRING, ROBERT controls 20+ related entities in our dataset. Read more

$374K
Total Medicaid Paid
17,258
Total Claims
11,792
Beneficiaries
103
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialSEHRING, ROBERT (CEO)
Parent OrganizationOSF HEALTHCARE SYSTEM
NPI Enumeration Date05/10/2006

Related Entities

Other providers sharing the same authorized official: SEHRING, ROBERT

ProviderCityStateTotal Paid
OSF HEALTHCARE SYSTEM PEORIA IL $16.78M
ST FRANCIS HOSPITAL ESCANABA MI $14.37M
SAINT FRANCIS MEDICAL CENTER PEORIA IL $11.26M
ST FRANCIS HOSPITAL ESCANABA MI $7.92M
SAINT FRANCIS MEDICAL CENTER PEORIA IL $7.30M
SAINT ANTHONY MEDICAL CENTER LOVES PARK IL $6.62M
ST MARY MEDICAL CENTER GALESBURG IL $5.10M
OSF HEALTHCARE SYSTEM MONMOUTH IL $4.94M
ST JOSEPH MEDICAL CENTER BLOOMINGTON IL $4.76M
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER OTTAWA IL $1.96M
SAINT ANTHONY MEDICAL CENTER ROCKFORD IL $1.95M
ST JOSEPH MEDICAL CENTER BLOOMINGTON IL $1.94M
OSF HEALTHCARE SYSTEM ROCKFORD IL $1.45M
OSF HEALTHCARE SYSTEM MONMOUTH IL $1.12M
ST FRANCIS HOSPITAL GLADSTONE MI $969K
ST MARY MEDICAL CENTER GALESBURG IL $931K
SAINT JAMES HOSPITAL PONTIAC IL $688K
SAINT ANTHONY MEDICAL CENTER ROCKFORD IL $420K
OSF HEALTHCARE SYSTEM OAK LAWN IL $368K
MENDOTA COMMUNITY HOSPITAL MENDOTA IL $359K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,258 $374K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,793 371 $259K
97161 375 108 $37K
97162 228 69 $23K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 218 130 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 477 354 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 477 354 $4K
77067 Screening mammography, bilateral, including computer-aided detection 81 66 $4K
84443 Thyroid stimulating hormone (TSH) 676 595 $3K
81511 46 28 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 60 58 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83 80 $2K
87536 40 26 $2K
87081 721 691 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 65 24 $2K
71046 Radiologic examination, chest; 2 views 223 154 $2K
87086 Culture, bacterial; quantitative colony count, urine 607 522 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 58 44 $2K
80053 Comprehensive metabolic panel 1,113 952 $1K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 137 54 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 52 39 $953.45
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,302 1,071 $882.43
83970 52 39 $792.72
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 94 59 $687.48
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 78 66 $593.40
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 86 65 $472.11
74018 63 46 $432.85
87480 395 306 $419.20
73110 36 33 $399.00
87510 395 306 $393.00
80048 Basic metabolic panel (calcium, ionized) 176 155 $359.30
80061 Lipid panel 478 448 $351.03
73564 37 37 $349.65
84403 35 34 $327.96
82784 92 59 $318.41
72100 38 38 $301.35
87186 109 98 $292.60
88304 14 14 $280.05
83516 56 43 $271.46
83036 Hemoglobin; glycosylated (A1C) 297 276 $242.10
73630 30 29 $235.93
86003 20 18 $235.58
86803 131 85 $234.38
G0103 Prostate cancer screening; prostate specific antigen test (psa) 31 31 $211.20
73610 15 15 $208.08
86038 88 60 $204.56
85610 174 121 $200.25
87147 256 242 $191.38
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 230 205 $179.83
83655 46 45 $177.58
86780 220 129 $171.88
82951 49 44 $163.80
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 94 76 $158.61
82274 30 29 $149.74
84702 66 47 $146.19
84439 298 258 $132.18
73030 15 15 $127.65
83001 22 21 $126.76
82607 109 86 $119.68
77063 Screening digital breast tomosynthesis, bilateral 26 18 $112.88
86850 115 77 $90.08
80074 24 12 $76.96
87088 72 65 $73.45
73140 12 12 $71.80
81001 201 162 $65.54
87070 38 33 $64.38
82728 71 64 $60.36
82570 133 124 $55.68
85730 47 34 $52.20
87660 395 306 $50.40
83735 66 41 $48.39
86140 116 87 $46.58
84466 67 61 $39.03
80069 42 37 $37.86
36415 Collection of venous blood by venipuncture 39 39 $36.90
80076 29 27 $35.91
87340 132 75 $33.03
84480 34 32 $32.94
85027 66 54 $31.41
86901 114 76 $30.43
85652 151 114 $29.53
80164 14 13 $26.34
83540 69 63 $25.16
86431 56 42 $24.94
81025 60 55 $23.22
82746 47 34 $22.62
84550 46 42 $21.86
84146 15 14 $19.77
82043 76 72 $19.60
84481 39 35 $15.18
81003 65 52 $15.05
82785 25 20 $14.12
83002 16 15 $13.05
86762 96 60 $12.08
84156 50 46 $9.20
83615 16 12 $8.72
86900 112 74 $8.65
85045 16 15 $3.85
86359 52 30 $3.82
85018 12 12 $3.48
85014 12 12 $2.32
86360 52 30 $0.00
84100 17 13 $0.00
88342 18 13 $0.00