Medicaid Provider Spending

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

SAINT FRANCIS MEDICAL CENTER

NPI: 1164463493 · PEORIA, IL 61637 · General Acute Care Hospital · NPI assigned 06/09/2006

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

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

$7.30M
Total Medicaid Paid
435,472
Total Claims
336,645
Beneficiaries
233
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialSEHRING, ROBERT (CEO)
Parent OrganizationOSF HEALTHCARE SYSTEM
NPI Enumeration Date06/09/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 108,205 $2.41M
2019 235,403 $3.74M
2020 91,864 $1.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 45,608 11,874 $4.33M
97161 3,547 2,440 $414K
97162 3,414 2,401 $400K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8,184 2,773 $332K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 5,141 4,423 $146K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 10,759 9,185 $134K
97163 1,132 806 $132K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 10,755 9,178 $131K
77067 Screening mammography, bilateral, including computer-aided detection 1,674 1,595 $89K
84443 Thyroid stimulating hormone (TSH) 15,907 14,156 $76K
80053 Comprehensive metabolic panel 27,252 23,064 $59K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,217 479 $55K
87086 Culture, bacterial; quantitative colony count, urine 17,171 14,489 $45K
71046 Radiologic examination, chest; 2 views 5,335 4,834 $43K
87081 17,266 14,999 $41K
92611 865 521 $36K
81511 800 736 $34K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 162 153 $29K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,505 2,268 $29K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,301 1,034 $28K
87536 616 517 $26K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,263 1,038 $25K
87510 9,062 7,755 $22K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 30,792 25,128 $22K
87480 9,076 7,770 $22K
92610 604 370 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,282 2,075 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,282 1,478 $19K
86003 1,044 847 $16K
87522 Neg quan hep c or qual rna 650 551 $16K
74018 1,903 1,741 $16K
73610 925 861 $15K
73564 1,208 1,152 $15K
83970 1,294 1,142 $14K
87186 4,196 3,688 $14K
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 5,826 5,434 $13K
72100 1,151 1,089 $13K
86780 4,552 3,890 $12K
73630 1,125 1,068 $12K
80048 Basic metabolic panel (calcium, ionized) 4,673 3,864 $11K
84403 951 827 $11K
92523 174 100 $10K
83036 Hemoglobin; glycosylated (A1C) 9,215 8,264 $10K
82784 1,982 1,570 $10K
83516 1,549 1,327 $9K
87660 9,093 7,776 $9K
73030 769 732 $9K
86803 2,551 2,200 $8K
77066 Tomosynthesis, mammo 131 126 $8K
73110 700 631 $8K
97165 788 419 $8K
87088 2,870 2,577 $8K
86235 123 111 $8K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,205 1,099 $8K
80061 Lipid panel 12,135 10,856 $7K
97166 546 337 $7K
86480 371 327 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,756 5,048 $7K
82951 1,362 1,212 $6K
87529 131 118 $6K
86038 1,586 1,307 $6K
80074 615 538 $6K
83655 1,223 1,108 $6K
73130 668 644 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 930 486 $6K
85610 5,131 3,252 $6K
72050 384 372 $6K
84439 6,822 6,062 $5K
73502 342 326 $5K
87340 3,148 2,649 $4K
84702 1,486 1,074 $4K
74230 328 315 $4K
82607 1,652 1,556 $4K
82274 769 719 $4K
83001 710 621 $3K
82570 4,081 3,517 $3K
84466 2,495 2,164 $3K
86665 221 176 $3K
87899 238 227 $3K
96133 36 27 $3K
77063 Screening digital breast tomosynthesis, bilateral 946 893 $3K
87147 6,010 5,245 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 233 219 $3K
88341 62 37 $3K
73140 394 367 $3K
86850 2,841 2,291 $3K
77065 Tomosynthesis, mammo 38 38 $2K
86738 371 318 $2K
80069 1,434 1,168 $2K
72081 189 186 $2K
73080 221 211 $2K
87493 116 105 $2K
87338 205 186 $2K
81596 118 97 $2K
96118 25 17 $2K
82728 2,667 2,298 $2K
86762 2,247 1,925 $2K
80197 431 250 $2K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 395 320 $2K
83021 565 454 $2K
84153 359 321 $2K
87070 1,312 1,117 $2K
82785 1,181 928 $2K
84146 855 771 $2K
94010 55 41 $2K
86256 237 168 $2K
73521 131 129 $2K
86140 3,049 2,318 $2K
80076 799 622 $2K
86706 779 581 $1K
83735 2,126 1,353 $1K
83520 331 263 $1K
84425 264 242 $1K
86696 326 294 $1K
88304 79 74 $1K
93296 74 69 $1K
86901 2,838 2,285 $1K
85730 981 807 $1K
83540 2,567 2,234 $1K
81001 3,605 2,920 $1K
82105 293 240 $1K
88342 465 365 $1K
77072 132 127 $1K
73590 114 103 $1K
80164 513 444 $1K
82043 2,727 2,437 $1K
82746 607 574 $1K
85027 1,559 1,372 $1K
86200 461 421 $957.52
72072 216 211 $952.17
86376 746 621 $942.54
84305 273 240 $919.44
86900 2,788 2,251 $843.19
84481 905 786 $835.64
88112 25 25 $828.39
84480 920 863 $797.39
85652 3,070 2,584 $763.98
86787 108 101 $763.00
86431 867 746 $761.08
82247 549 300 $757.37
81003 2,376 1,990 $752.32
87486 160 151 $736.99
87581 160 151 $735.34
81025 1,754 1,507 $717.81
82533 248 220 $709.16
86704 284 219 $695.84
83615 1,038 758 $685.37
86360 618 520 $681.54
90686 66 31 $664.10
84550 1,433 1,155 $652.50
86255 189 167 $639.01
74240 28 28 $633.09
86800 335 317 $610.41
82670 351 285 $569.75
83880 158 122 $559.66
87045 269 241 $542.80
84156 2,087 1,737 $538.72
36415 Collection of venous blood by venipuncture 1,122 970 $538.62
86695 328 297 $530.26
82550 601 480 $523.99
96132 40 31 $513.41
84100 1,319 730 $507.79
83690 734 649 $499.05
83002 564 492 $466.37
86664 198 155 $463.81
86359 617 518 $459.92
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 34 30 $441.99
86708 337 220 $427.88
84630 197 186 $412.68
82248 564 349 $412.00
84270 196 154 $383.00
86663 204 158 $359.22
97167 14 14 $357.94
81015 882 790 $349.11
84238 45 37 $324.16
80177 127 118 $323.71
84445 26 25 $317.48
85045 1,184 949 $315.93
80175 43 39 $281.45
82340 314 283 $255.76
73090 26 25 $234.04
84144 121 92 $230.47
85018 819 682 $222.42
86225 140 119 $218.93
70360 34 26 $211.09
85014 751 618 $208.52
82542 43 37 $203.66
84165 136 113 $195.88
80178 97 78 $180.01
82627 281 257 $178.04
86308 298 245 $166.20
87184 134 91 $162.15
73560 12 12 $159.51
84590 226 198 $152.01
87205 221 175 $131.73
85384 237 192 $128.26
86592 253 227 $123.07
82950 91 86 $118.03
86160 15 13 $117.15
84402 87 82 $98.37
86644 56 39 $77.92
86645 29 26 $62.47
83883 25 24 $62.08
82947 88 65 $57.99
82565 84 56 $55.24
86334 18 12 $54.56
84436 120 116 $49.05
87046 269 242 $44.67
82103 39 29 $43.28
82977 97 85 $39.60
82390 54 38 $38.80
82150 96 91 $37.38
87102 14 12 $36.29
83630 26 24 $35.23
83498 49 40 $34.64
82610 30 29 $33.30
80183 28 25 $30.28
86765 33 33 $28.17
82024 24 24 $26.12
86735 12 12 $24.98
82104 35 25 $24.36
82962 64 38 $21.36
82330 12 12 $19.50
82040 44 44 $17.58
85613 20 14 $13.68
84155 111 88 $10.56
84460 58 43 $10.09
82157 15 13 $8.34
85670 21 15 $6.81
84300 16 16 $4.13
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 13 13 $0.00
0099U 13 13 $0.00
85660 13 12 $0.00