Medicaid Provider Spending

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

ST FRANCIS MEDICAL GROUP LLC

NPI: 1134405087 · MONROE, LA 71201 · Internal Medicine Physician · NPI assigned 10/24/2011

$8.45M
Total Medicaid Paid
308,054
Total Claims
216,321
Beneficiaries
131
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOGAN, RONALD (SR. VICE PRESIDENT & CFO)
Parent OrganizationST FRANCIS MEDICAL CENTER
NPI Enumeration Date10/24/2011

Related Entities

Other providers sharing the same authorized official: HOGAN, RONALD

ProviderCityStateTotal Paid
ST FRANCIS MEDICAL CENTER, INC MONROE LA $27.12M
ST FRANCIS MEDICAL CENTER, INC MONROE LA $727K
ST. FRANCIS SCHOOL BASED HEALTH MONROE LA $14K
SFMC HOSPITALIST MONROE LA $2K
ST FRANCIS MEDICAL CENTER, INC MONROE LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,136 $733K
2019 27,854 $737K
2020 28,860 $681K
2021 40,403 $729K
2022 60,528 $1.66M
2023 59,330 $2.01M
2024 63,943 $1.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46,578 38,889 $1.76M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47,697 39,142 $1.30M
99232 Subsequent hospital care, per day, moderate complexity 61,840 22,053 $1.25M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1,360 1,238 $742K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,541 4,910 $355K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,662 1,766 $305K
99233 Prolong inpt eval add15 m 10,469 3,856 $303K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 6,729 5,578 $272K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,837 2,551 $181K
76819 Fetal biophysical profile; without non-stress testing 5,116 2,279 $177K
99239 Hospital discharge day management, more than 30 minutes 5,381 5,010 $163K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,968 2,557 $158K
99222 Initial hospital care, per day, moderate complexity 3,779 3,368 $154K
99215 Prolong outpt/office vis 1,832 1,551 $134K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,412 2,205 $121K
76801 2,126 1,892 $96K
95951 374 266 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,414 3,011 $70K
99238 Hospital discharge day management, 30 minutes or less 1,716 1,621 $64K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,798 4,250 $59K
54150 475 429 $57K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,834 1,616 $54K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14,149 11,205 $53K
99223 Prolong inpt eval add15 m 1,069 895 $52K
90472 Immunization administration, each additional vaccine (list separately) 2,625 2,316 $43K
95886 540 520 $41K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,101 923 $37K
59514 78 63 $36K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 447 398 $28K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 315 297 $22K
0002A 1,067 1,027 $19K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,953 4,963 $19K
0001A 1,075 1,041 $18K
95819 319 281 $17K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,152 545 $17K
95718 181 164 $15K
76818 271 172 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,814 2,797 $13K
95913 73 71 $12K
99219 262 249 $10K
87428 546 461 $9K
99221 304 259 $9K
96161 1,140 858 $8K
92928 33 25 $7K
92551 866 808 $7K
93000 936 860 $6K
95909 85 84 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 133 120 $5K
99205 Prolong outpt/office vis 75 60 $5K
90686 2,131 1,932 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 357 312 $4K
59025 Fetal non-stress test 338 288 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 447 400 $4K
93015 116 105 $4K
95911 29 27 $4K
99381 73 53 $3K
0004A 197 193 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 3,383 3,040 $3K
90682 92 83 $3K
11721 478 456 $3K
90473 281 254 $3K
83036 Hemoglobin; glycosylated (A1C) 676 586 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 168 116 $2K
81002 5,677 2,212 $2K
93454 13 12 $2K
0003A 154 146 $2K
95713 17 13 $2K
87807 196 154 $2K
98960 629 234 $2K
99225 62 56 $1K
81025 369 304 $1K
99173 1,030 856 $1K
85018 865 648 $1K
90474 193 160 $1K
95910 13 13 $1K
95953 23 12 $1K
99051 140 115 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 232 206 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 69 33 $1K
95816 25 25 $1K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 640 496 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 14 $933.10
69210 38 32 $888.16
82962 855 709 $876.30
0071A 23 17 $841.80
95251 55 53 $807.88
J0696 Injection, ceftriaxone sodium, per 250 mg 450 367 $670.88
0072A 16 13 $641.66
76820 17 12 $592.06
92250 51 47 $588.98
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 28 13 $543.30
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,065 954 $515.50
94010 120 113 $397.54
99152 126 107 $339.04
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 31 25 $331.51
99442 326 227 $237.70
93244 13 13 $235.43
90688 17 16 $232.03
90673 51 47 $185.48
80061 Lipid panel 32 28 $179.04
93016 13 12 $168.70
96380 19 12 $166.75
99441 198 146 $134.71
93242 13 13 $132.08
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $129.28
93018 13 12 $111.80
80305 24 15 $78.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 265 264 $76.66
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 13 12 $69.37
90670 2,179 1,821 $68.75
86308 19 17 $61.80
94760 203 165 $51.86
90680 1,324 1,069 $38.75
90723 1,420 1,146 $37.25
91300 1,155 983 $37.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 19 12 $31.59
36415 Collection of venous blood by venipuncture 33 30 $25.80
99406 31 29 $14.63
J1885 Injection, ketorolac tromethamine, per 15 mg 60 51 $13.67
90647 1,307 1,102 $12.25
90633 406 362 $0.01
99072 11,877 8,712 $0.00
90685 343 303 $0.00
90671 17 13 $0.00
90662 87 78 $0.00
99024 2,325 1,506 $0.00
G0008 Administration of influenza virus vaccine 300 285 $0.00
90656 302 228 $0.00
90697 17 12 $0.00
91307 55 37 $0.00
0503F 17 15 $0.00