Medicaid Provider Spending

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

ST JOSEPH MEDICAL CENTER

NPI: 1184732851 · BLOOMINGTON, IL 61701 · General Acute Care Hospital · NPI assigned 08/25/2006

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

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

$1.94M
Total Medicaid Paid
87,783
Total Claims
65,312
Beneficiaries
90
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialSEHRING, ROBERT (CEO)
Parent OrganizationOSF HEALTHCARE SYSTEM
NPI Enumeration Date08/25/2006

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
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 22,314 $730K
2019 46,533 $895K
2020 18,936 $317K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 16,604 3,878 $1.37M
97161 1,733 1,217 $189K
97162 965 694 $103K
77067 Screening mammography, bilateral, including computer-aided detection 561 529 $30K
88305 Level IV - Surgical pathology, gross and microscopic examination 839 736 $26K
84443 Thyroid stimulating hormone (TSH) 4,863 4,406 $26K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 816 693 $24K
80053 Comprehensive metabolic panel 8,125 7,112 $18K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,402 1,265 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,403 1,266 $17K
87081 4,082 3,588 $11K
87086 Culture, bacterial; quantitative colony count, urine 3,393 2,940 $11K
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 204 77 $9K
73630 609 554 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,505 7,293 $6K
71046 Radiologic examination, chest; 2 views 601 556 $5K
73562 415 387 $5K
87186 1,087 976 $4K
97165 315 170 $3K
80048 Basic metabolic panel (calcium, ionized) 1,326 1,136 $3K
80061 Lipid panel 4,671 4,240 $3K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 102 25 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 278 169 $3K
74018 291 264 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,916 1,738 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 368 347 $3K
73610 163 148 $3K
83036 Hemoglobin; glycosylated (A1C) 2,438 2,203 $2K
87088 661 602 $2K
85610 1,536 874 $2K
82607 660 642 $2K
73030 131 125 $2K
86803 469 408 $2K
83970 118 112 $1K
86038 345 317 $1K
73110 107 92 $1K
77063 Screening digital breast tomosynthesis, bilateral 453 426 $1K
86780 618 531 $1K
72110 72 71 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 163 150 $1K
82728 933 833 $968.51
84466 672 613 $904.35
87210 993 869 $869.65
84403 81 71 $817.76
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 71 62 $801.69
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 37 36 $773.60
84439 916 808 $726.72
87522 Neg quan hep c or qual rna 29 27 $683.78
87070 449 382 $630.63
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 89 42 $576.23
82570 967 855 $536.84
83735 627 526 $418.41
86140 598 451 $415.93
87147 904 807 $388.95
81001 787 626 $354.19
80069 193 182 $349.45
88304 12 12 $330.56
83540 678 621 $320.17
85652 1,071 874 $315.56
87340 386 318 $309.23
73130 34 31 $291.85
84702 146 123 $273.45
82043 799 712 $261.19
73502 14 14 $220.52
82784 26 25 $210.45
81015 402 369 $199.04
83690 273 241 $190.09
92567 12 12 $178.64
80076 67 65 $167.47
81003 463 383 $141.54
86850 268 190 $137.80
87899 12 12 $115.55
82746 70 67 $95.21
80074 12 12 $94.34
86901 307 230 $91.65
73140 12 12 $84.39
84550 156 131 $83.98
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 30 29 $74.25
86430 133 128 $63.55
81025 124 110 $60.81
85027 112 99 $53.36
86900 177 135 $42.56
82150 40 39 $34.47
86706 14 12 $34.20
87045 12 12 $29.90
84156 101 83 $21.36
84100 28 26 $15.99
82465 13 13 $6.20
82550 13 13 $5.92
87046 12 12 $4.68