Clinic
ST Francis Hospital
ST Francis Hospital was paid $7.92M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 41% of everything it billed.
33Billing provider infoST FRANCIS HOSPITAL
ESCANABA, MI 49829
ESCANABA, MI 49829
33aNPI1063587046assigned 11/22/2006
33bProvider typeRural Health Clinic/Center
28Total paid$7.92M
24GClaims221,176
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#2 of 193
Median peer was paid$426K
This provider vs. median19×
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.
Entity ProliferationAuthorized official SEHRING, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 29,356 | $813K | |
| 2019 | 30,706 | $830K | |
| 2020 | 26,049 | $707K | |
| 2021 | 32,696 | $998K | |
| 2022 | 33,142 | $1.09M | |
| 2023 | 36,405 | $1.44M | |
| 2024incomplete | 32,822 | $2.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 41% | 96,725 | 80,595 | $3.28M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 44,452 | 40,083 | $1.45M |
| 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 | 14% | 27,975 | 25,707 | $1.12M |
| J0578 | Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy | 9.4% | 116 | 99 | $744K |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 1.8% | 130 | 125 | $146K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 2,870 | 2,869 | $141K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 3,371 | 3,360 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 3,249 | 3,032 | $121K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 1,301 | 1,291 | $96K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 1,301 | 1,114 | $91K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 1,757 | 1,757 | $91K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,928 | 3,922 | $71K |
63 more codes
| Q9991 | Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg | <1% | 34 | $64K |
| 59426 | <1% | 44 | $53K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,967 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 800 | $46K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,168 | $38K |
| 90837 | Psychotherapy session, about an hour | <1% | 310 | $25K |
| 90686 | <1% | 3,419 | $17K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 219 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,547 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 119 | $13K |
| 59430 | <1% | 64 | $12K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 865 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 662 | $7K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 122 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 663 | $6K |
| 59025 | Fetal non-stress test | <1% | 240 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 67 | $5K |
| 90473 | <1% | 925 | $5K | |
| 0012A | <1% | 107 | $4K | |
| 0001A | <1% | 96 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 53 | $3K |
| 0011A | <1% | 108 | $3K | |
| 0002A | <1% | 74 | $3K | |
| 90715 | <1% | 158 | $2K | |
| 0004A | <1% | 53 | $2K | |
| 90656 | <1% | 90 | $2K | |
| 99441 | <1% | 159 | $2K | |
| 0071A | <1% | 40 | $2K | |
| 99442 | <1% | 132 | $1K | |
| 90670 | <1% | 1,957 | $1K | |
| 96127 | <1% | 358 | $1K | |
| 0124A | <1% | 31 | $1K | |
| 99443 | <1% | 80 | $1K | |
| 0031A | <1% | 27 | $899.63 | |
| 0072A | <1% | 17 | $643.45 | |
| 90651 | <1% | 146 | $458.68 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 24 | $450.38 |
| 90716 | <1% | 647 | $408.78 | |
| 90707 | <1% | 674 | $231.45 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 420 | $158.56 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 25 | $127.75 |
| 81025 | <1% | 13 | $92.69 | |
| 90633 | <1% | 950 | $51.31 | |
| 90474 | <1% | 188 | $49.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 26 | $27.85 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 131 | $27.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 227 | $0.00 |
| 90723 | 0% | 1,792 | $0.00 | |
| 90680 | 0% | 1,403 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 29 | $0.00 |
| 90696 | 0% | 68 | $0.00 | |
| 91301 | 0% | 170 | $0.00 | |
| 91307 | 0% | 74 | $0.00 | |
| 90732 | 0% | 64 | $0.00 | |
| 90681 | 0% | 78 | $0.00 | |
| 91300 | 0% | 342 | $0.00 | |
| 90648 | 0% | 2,311 | $0.00 | |
| 90685 | 0% | 62 | $0.00 | |
| 91312 | 0% | 31 | $0.00 | |
| 90734 | 0% | 104 | $0.00 | |
| 99177 | 0% | 134 | $0.00 | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 13 | $0.00 |
| 90700 | 0% | 80 | $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.
From NPPES
Who's on the registration
Authorized officialSEHRING, ROBERT (CEO, OSF HEALTHCARE SYSTEM)
Parent organizationOSF HEALTHCARE SYSTEM
| 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 |
| 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 |
| Saint Francis Medical Center | Peoria, IL | $374K |
| 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.