Medicaid Provider Spending

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

ST. FRANCIS MEDICAL CENTER

NPI: 1255419651 · TRENTON, NJ 08629 · General Acute Care Hospital · NPI assigned 11/02/2006

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

Authorized official KELLY, MARK controls 20+ related entities in our dataset. Read more

$30.60M
Total Medicaid Paid
606,123
Total Claims
448,987
Beneficiaries
220
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialKELLY, MARK (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date11/02/2006

Related Entities

Other providers sharing the same authorized official: KELLY, MARK

ProviderCityStateTotal Paid
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC. MONTEBELLO CA $18.75M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $11.86M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $8.23M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $5.33M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.84M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.74M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.70M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $4.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.82M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.47M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $3.10M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.14M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $2.09M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.93M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.47M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.43M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.31M
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE CA $1.25M
CHILDREN'S HOSPITAL OF ORANGE ORANGE CA $998K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128,825 $7.73M
2019 120,677 $6.83M
2020 82,366 $3.84M
2021 128,381 $5.68M
2022 145,874 $6.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 22,835 20,114 $5.66M
99284 Emergency department visit for the evaluation and management, high severity 16,688 14,514 $4.78M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 16,222 1,678 $4.72M
G0378 Hospital observation service, per hour 4,933 3,572 $3.92M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,949 8,905 $3.25M
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,637 4,411 $596K
70450 Computed tomography, head or brain; without contrast material 4,181 3,946 $517K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,007 1,934 $334K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,718 3,046 $316K
90832 Psychotherapy, 30 minutes with patient 3,294 1,765 $313K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 443 423 $306K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,045 6,310 $299K
97530 Therapeutic activities, direct patient contact, each 15 minutes 8,191 2,352 $297K
71046 Radiologic examination, chest; 2 views 11,673 10,855 $252K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 16,065 13,536 $252K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 875 841 $234K
96375 Therapeutic injection; each additional sequential IV push 8,180 7,466 $220K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,529 1,474 $202K
90863 2,979 2,363 $191K
77067 Screening mammography, bilateral, including computer-aided detection 1,303 1,285 $174K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,316 20,674 $164K
OP272 1,938 1,631 $154K
72125 Computed tomography, cervical spine; without contrast material 1,187 1,121 $144K
OP710 2,119 2,046 $132K
80053 Comprehensive metabolic panel 23,132 19,170 $115K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,584 7,102 $114K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,512 5,002 $109K
OP370 1,877 1,812 $101K
93458 91 88 $93K
96361 Intravenous infusion, hydration; each additional hour 9,745 9,005 $93K
76705 Ultrasound, abdominal, real time with image documentation; limited 704 685 $84K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,193 3,728 $81K
71275 Computed tomographic angiography, chest, with contrast material 382 366 $74K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,811 1,710 $64K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,201 3,008 $64K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,556 2,331 $62K
84484 10,972 8,764 $60K
73130 1,322 1,280 $59K
73030 1,106 1,070 $57K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,893 1,724 $56K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,420 416 $54K
73630 1,234 1,209 $54K
OP250 13,280 6,418 $50K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,851 514 $49K
80048 Basic metabolic panel (calcium, ionized) 7,492 4,649 $47K
97161 1,027 964 $47K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,013 5,524 $46K
97162 868 833 $45K
70486 301 292 $45K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 50 50 $43K
73564 1,380 1,338 $42K
83735 11,033 6,355 $42K
A9270 Non-covered item or service 3,525 2,040 $40K
72110 414 412 $40K
73610 900 886 $38K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,650 2,527 $38K
80320 3,955 3,458 $38K
85610 13,257 11,477 $37K
85730 12,984 11,357 $37K
83880 2,607 2,424 $35K
J1644 Injection, heparin sodium, per 1000 units 6,332 2,792 $33K
C1769 Guide wire 737 682 $33K
93970 239 231 $32K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 769 712 $30K
80061 Lipid panel 2,859 2,671 $27K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,188 2,129 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,187 2,128 $25K
84443 Thyroid stimulating hormone (TSH) 2,673 2,488 $24K
71045 Radiologic examination, chest; single view 3,054 2,779 $23K
93017 97 96 $23K
97164 393 383 $22K
96367 1,085 1,023 $21K
77063 Screening digital breast tomosynthesis, bilateral 419 404 $21K
84100 5,944 2,779 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,663 4,307 $19K
96376 1,192 1,104 $18K
87040 2,409 2,176 $18K
83605 2,714 2,449 $18K
OP637 19,851 6,115 $16K
83690 7,160 6,495 $16K
76830 Ultrasound, transvaginal 182 181 $15K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 104 104 $15K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 55 53 $15K
83036 Hemoglobin; glycosylated (A1C) 2,856 2,699 $15K
J3010 Injection, fentanyl citrate, 0.1 mg 2,770 2,593 $14K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,129 1,083 $14K
87275 3,827 3,764 $14K
87276 3,826 3,763 $14K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,595 2,446 $14K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 469 462 $14K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,152 3,204 $13K
73110 317 310 $12K
87430 4,117 4,035 $12K
90715 1,314 1,282 $12K
81001 10,072 9,454 $12K
87070 4,491 4,357 $11K
73502 217 214 $10K
J7030 Infusion, normal saline solution , 1000 cc 2,438 1,357 $10K
99281 Emergency department visit for the evaluation and management, self-limited or minor 102 98 $10K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 494 453 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple 15 15 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,664 7,828 $8K
81025 7,619 7,206 $8K
90686 650 629 $8K
J0690 Injection, cefazolin sodium, 500 mg 1,479 1,262 $8K
J2704 Injection, propofol, 10 mg 2,655 2,462 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 776 409 $7K
97116 805 508 $7K
93971 85 81 $7K
87086 Culture, bacterial; quantitative colony count, urine 1,749 1,672 $7K
OP259 6,715 2,340 $7K
J3475 Injection, magnesium sulfate, per 500 mg 2,401 1,605 $7K
J3490 Unclassified drugs 47,955 21,152 $7K
88312 469 452 $7K
85027 1,432 855 $7K
83520 351 325 $7K
81003 5,442 5,145 $6K
82803 607 549 $6K
OP229 107 104 $5K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 14 12 $5K
85379 2,151 2,014 $5K
76642 29 26 $5K
74022 149 146 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,233 5,357 $5K
97165 214 194 $5K
J2270 Injection, morphine sulfate, up to 10 mg 3,157 2,352 $4K
96368 349 293 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 211 201 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 375 352 $4K
87186 676 649 $3K
C9113 Injection, pantoprazole sodium, per vial 2,210 1,580 $3K
86850 496 399 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 382 302 $3K
97535 Self-care/home management training, each 15 minutes 228 186 $3K
36415 Collection of venous blood by venipuncture 1,006 894 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,595 1,479 $3K
82728 362 337 $3K
76801 53 51 $3K
90791 Psychiatric diagnostic evaluation 43 43 $3K
J2060 Injection, lorazepam, 2 mg 1,205 848 $3K
84466 386 353 $3K
86900 1,219 1,073 $3K
OP258 2,757 1,488 $2K
J7120 Ringers lactate infusion, up to 1000 cc 957 412 $2K
Q3014 Telehealth originating site facility fee 1,590 1,490 $2K
84703 1,428 1,354 $2K
73080 54 51 $2K
86141 218 160 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,998 1,743 $2K
90847 Family psychotherapy with the patient present, 50 minutes 40 24 $2K
86901 1,219 1,073 $2K
99215 Prolong outpt/office vis 70 66 $2K
90670 21 21 $2K
84702 472 453 $2K
J3411 Injection, thiamine hcl, 100 mg 799 592 $2K
72052 25 25 $2K
77080 24 24 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 28 25 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,056 1,658 $2K
90750 16 14 $2K
73140 56 53 $2K
73590 40 38 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 28 27 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,142 1,995 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 117 116 $2K
J1170 Injection, hydromorphone, up to 4 mg 1,500 1,001 $1K
72100 29 29 $1K
82550 534 452 $1K
87420 459 452 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,540 1,327 $1K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 489 408 $1K
90732 17 17 $1K
82010 333 291 $1K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 726 712 $1K
83540 371 339 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,440 1,324 $1K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 70 63 $1K
12001 56 56 $1K
86803 104 95 $954.62
82607 160 140 $883.70
82009 263 243 $795.40
88313 80 75 $786.10
J0360 Injection, hydralazine hcl, up to 20 mg 232 159 $707.53
82272 76 74 $707.06
0012A 27 27 $655.65
87077 158 147 $590.76
87147 232 225 $553.29
87220 665 655 $516.32
80074 41 37 $457.50
J3480 Injection, potassium chloride, per 2 meq 448 345 $454.69
85007 83 78 $442.12
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 20 20 $370.38
82746 80 75 $359.01
0011A 28 28 $335.72
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 402 258 $326.91
71101 12 12 $290.86
29125 40 39 $270.99
85651 517 474 $266.55
J1815 Injection, insulin, per 5 units 250 69 $229.75
J3370 Injection, vancomycin hcl, 500 mg 44 26 $174.88
88304 13 12 $172.94
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 15 13 $127.50
J2370 Injection, phenylephrine hcl, up to 1 ml 18 12 $111.27
G0008 Administration of influenza virus vaccine 87 87 $92.30
80050 General health panel 21 14 $90.00
J1956 Injection, levofloxacin, 250 mg 54 37 $60.51
87340 12 12 $43.26
87205 31 28 $40.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 13 12 $39.77
J1650 Injection, enoxaparin sodium, 10 mg 32 12 $28.23
J3360 Injection, diazepam, up to 5 mg 15 13 $24.05
J1940 Injection, furosemide, up to 20 mg 56 26 $23.83
J2795 Injection, ropivacaine hydrochloride, 1 mg 25 13 $18.16
85045 12 12 $17.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 14 14 $13.21
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 14 14 $12.01
G0009 Administration of pneumococcal vaccine 56 55 $8.18
J7050 Infusion, normal saline solution, 250 cc 27 12 $5.62
J7510 Prednisolone oral, per 5 mg 58 58 $3.00
J8540 Dexamethasone, oral, 0.25 mg 29 12 $0.00