Saint Francis Medical Center
Saint Francis Medical Center was paid $374K by Medicaid between Jan 2018 and Jul 2018, across 103 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 69% of everything it billed.
PEORIA, IL 61637
Next to other General Acute Care Hospital providers in Illinois
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,258 | $374K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 69% | 2,793 | 371 | $259K |
| 97161 | 9.9% | 375 | 108 | $37K | |
| 97162 | 6.0% | 228 | 69 | $23K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1.4% | 218 | 130 | $5K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.2% | 477 | 354 | $5K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.1% | 477 | 354 | $4K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.0% | 81 | 66 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 676 | 595 | $3K |
| 81511 | <1% | 46 | 28 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 60 | 58 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 83 | 80 | $2K |
| 87536 | <1% | 40 | 26 | $2K |
91 more codes
| 87081 | <1% | 721 | $2K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 65 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 223 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 607 | $2K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 58 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 1,113 | $1K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 137 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 52 | $953.45 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,302 | $882.43 |
| 83970 | <1% | 52 | $792.72 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 94 | $687.48 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 78 | $593.40 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 86 | $472.11 |
| 74018 | <1% | 63 | $432.85 | |
| 87480 | <1% | 395 | $419.20 | |
| 73110 | <1% | 36 | $399.00 | |
| 87510 | <1% | 395 | $393.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 176 | $359.30 |
| 80061 | Lipid panel | <1% | 478 | $351.03 |
| 73564 | <1% | 37 | $349.65 | |
| 84403 | <1% | 35 | $327.96 | |
| 82784 | <1% | 92 | $318.41 | |
| 72100 | <1% | 38 | $301.35 | |
| 87186 | <1% | 109 | $292.60 | |
| 88304 | <1% | 14 | $280.05 | |
| 83516 | <1% | 56 | $271.46 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 297 | $242.10 |
| 73630 | <1% | 30 | $235.93 | |
| 86003 | <1% | 20 | $235.58 | |
| 86803 | <1% | 131 | $234.38 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 31 | $211.20 |
| 73610 | <1% | 15 | $208.08 | |
| 86038 | <1% | 88 | $204.56 | |
| 85610 | <1% | 174 | $200.25 | |
| 87147 | <1% | 256 | $191.38 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 230 | $179.83 |
| 83655 | <1% | 46 | $177.58 | |
| 86780 | <1% | 220 | $171.88 | |
| 82951 | <1% | 49 | $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 | <1% | 94 | $158.61 |
| 82274 | <1% | 30 | $149.74 | |
| 84702 | <1% | 66 | $146.19 | |
| 84439 | <1% | 298 | $132.18 | |
| 73030 | <1% | 15 | $127.65 | |
| 83001 | <1% | 22 | $126.76 | |
| 82607 | <1% | 109 | $119.68 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 26 | $112.88 |
| 86850 | <1% | 115 | $90.08 | |
| 80074 | <1% | 24 | $76.96 | |
| 87088 | <1% | 72 | $73.45 | |
| 73140 | <1% | 12 | $71.80 | |
| 81001 | <1% | 201 | $65.54 | |
| 87070 | <1% | 38 | $64.38 | |
| 82728 | <1% | 71 | $60.36 | |
| 82570 | <1% | 133 | $55.68 | |
| 85730 | <1% | 47 | $52.20 | |
| 87660 | <1% | 395 | $50.40 | |
| 83735 | <1% | 66 | $48.39 | |
| 86140 | <1% | 116 | $46.58 | |
| 84466 | <1% | 67 | $39.03 | |
| 80069 | <1% | 42 | $37.86 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 39 | $36.90 |
| 80076 | <1% | 29 | $35.91 | |
| 87340 | <1% | 132 | $33.03 | |
| 84480 | <1% | 34 | $32.94 | |
| 85027 | <1% | 66 | $31.41 | |
| 86901 | <1% | 114 | $30.43 | |
| 85652 | <1% | 151 | $29.53 | |
| 80164 | <1% | 14 | $26.34 | |
| 83540 | <1% | 69 | $25.16 | |
| 86431 | <1% | 56 | $24.94 | |
| 81025 | <1% | 60 | $23.22 | |
| 82746 | <1% | 47 | $22.62 | |
| 84550 | <1% | 46 | $21.86 | |
| 84146 | <1% | 15 | $19.77 | |
| 82043 | <1% | 76 | $19.60 | |
| 84481 | <1% | 39 | $15.18 | |
| 81003 | <1% | 65 | $15.05 | |
| 82785 | <1% | 25 | $14.12 | |
| 83002 | <1% | 16 | $13.05 | |
| 86762 | <1% | 96 | $12.08 | |
| 84156 | <1% | 50 | $9.20 | |
| 83615 | <1% | 16 | $8.72 | |
| 86900 | <1% | 112 | $8.65 | |
| 85045 | <1% | 16 | $3.85 | |
| 86359 | <1% | 52 | $3.82 | |
| 85018 | <1% | 12 | $3.48 | |
| 85014 | <1% | 12 | $2.32 | |
| 86360 | 0% | 52 | $0.00 | |
| 84100 | 0% | 17 | $0.00 | |
| 88342 | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.