Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

ST. Francis Hospital INC.

ST. Francis Hospital INC. was paid $43.28M by Medicaid between Jan 2018 and Dec 2024, across 266 billing codes. Its largest line is 99284, emergency room visit (serious) — 19% of everything it billed.

33Billing provider infoST. FRANCIS HOSPITAL INC.
WILMINGTON, DE 19805
33aNPI1295738896assigned 05/27/2005
28Total paid$43.28M
24GClaims915,587
24DCodes billed266
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
2018253,594$776K
2019249,681$4.90M
2020155,372$11.32M
202171,757$7.27M
202267,473$7.21M
202372,582$7.10M
2024incomplete45,128$4.69M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 19% 31,845 27,534 $8.03M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 16% 39,260 35,021 $7.13M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.4% 11,003 9,166 $2.77M
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 5.5% 87,204 29,629 $2.40M
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.9% 12,366 11,300 $1.69M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.3% 3,108 2,686 $1.43M
80053 Comprehensive metabolic panel 3.2% 19,873 16,437 $1.36M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.3% 35,092 28,183 $992K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2.1% 18,476 15,471 $925K
84703 2.0% 17,704 15,464 $868K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2.0% 8,086 7,235 $865K
80048 Basic metabolic panel (calcium, ionized) 1.9% 23,936 18,127 $815K
254 more codes
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.9% 15,666 $813K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.7% 15,404 $744K
76801 1.5% 2,531 $663K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 2,066 $463K
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 1.1% 2,056 $462K
70450 Computed tomography, head or brain; without contrast material 1.0% 4,065 $448K
G0378 Hospital observation service, per hour 1.0% 2,913 $437K
36415 Collection of venous blood by venipuncture 1.0% 39,707 $434K
81001 <1% 20,233 $383K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,197 $370K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 7,593 $354K
80061 Lipid panel <1% 6,356 $321K
76830 Ultrasound, transvaginal <1% 1,764 $307K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 7,596 $273K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 2,134 $223K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 686 $198K
96375 Therapeutic injection; each additional sequential IV push <1% 10,717 $192K
96361 Intravenous infusion, hydration; each additional hour <1% 8,922 $186K
72125 Computed tomography, cervical spine; without contrast material <1% 1,094 $181K
71046 Radiologic examination, chest; 2 views <1% 4,991 $172K
71275 Computed tomographic angiography, chest, with contrast material <1% 544 $164K
84443 Thyroid stimulating hormone (TSH) <1% 5,272 $164K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,620 $164K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 788 $159K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,077 $159K
84484 <1% 12,073 $158K
87086 Culture, bacterial; quantitative colony count, urine <1% 7,202 $157K
80365 <1% 4,427 $151K
80348 <1% 4,249 $150K
80076 <1% 3,761 $145K
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% 1,430 $142K
83036 Hemoglobin; glycosylated (A1C) <1% 4,868 $134K
71045 Radiologic examination, chest; single view <1% 7,116 $133K
93976 <1% 1,780 $129K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,149 $118K
84702 <1% 2,275 $116K
83690 <1% 8,280 $116K
80050 General health panel <1% 956 $115K
83735 <1% 8,607 $110K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 2,745 $98K
85027 <1% 12,118 $98K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,561 $97K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,416 $96K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,843 $93K
73630 <1% 2,050 $90K
J7030 Infusion, normal saline solution , 1000 cc <1% 15,868 $88K
86803 <1% 1,567 $88K
83605 <1% 4,491 $81K
73610 <1% 1,588 $80K
93971 <1% 967 $78K
73562 <1% 1,575 $77K
86592 <1% 3,889 $76K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 3,323 $73K
87340 <1% 2,826 $68K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 881 $66K
73030 <1% 1,515 $65K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,309 $65K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 140 $62K
85610 <1% 10,692 $61K
73130 <1% 1,485 $58K
85730 <1% 8,465 $56K
87040 <1% 2,919 $56K
80320 <1% 2,436 $55K
81003 <1% 7,092 $54K
97803 <1% 1,007 $51K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 588 $51K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,439 $49K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,095 $46K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,100 $45K
86900 <1% 4,105 $43K
70486 <1% 539 $42K
85379 <1% 2,524 $41K
80074 <1% 441 $41K
85007 <1% 5,613 $38K
82043 <1% 778 $38K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,772 $37K
87186 <1% 1,896 $37K
86901 <1% 4,105 $36K
84439 <1% 1,105 $34K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 1,661 $33K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,773 $33K
82728 <1% 1,246 $33K
83880 <1% 1,744 $33K
73560 <1% 1,351 $32K
73565 <1% 1,216 $32K
73110 <1% 839 $32K
76642 <1% 185 $31K
93970 <1% 289 $28K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 229 $28K
86850 <1% 3,644 $28K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 2,483 $26K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 995 $26K
82950 <1% 1,063 $26K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 94 $25K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 183 $24K
10060 <1% 542 $24K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 17,081 $24K
J7120 Ringers lactate infusion, up to 1000 cc <1% 2,623 $22K
A0425 Ground mileage, per statute mile <1% 89,123 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,889 $21K
72110 <1% 548 $20K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 172 $20K
82550 <1% 3,388 $19K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,375 $19K
71250 <1% 241 $19K
87081 <1% 1,211 $18K
99213 Doctor's office visit, returning patient (routine) <1% 652 $18K
94644 <1% 759 $17K
87070 <1% 1,010 $16K
84460 <1% 649 $15K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 122 $15K
96376 <1% 1,285 $15K
83540 <1% 1,113 $14K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 344 $14K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 183 $13K
73502 <1% 806 $12K
97597 <1% 326 $12K
84450 <1% 461 $11K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 732 $11K
87077 <1% 138 $11K
87481 <1% 430 $11K
84466 <1% 1,023 $10K
87512 <1% 430 $10K
86762 <1% 1,488 $9K
82248 <1% 255 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 9,507 $9K
80069 <1% 427 $9K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,874 $9K
90714 <1% 1,014 $8K
80081 <1% 490 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,005 $8K
82607 <1% 602 $8K
82947 <1% 329 $8K
72131 <1% 13 $7K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 903 $7K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 524 $7K
93017 <1% 102 $7K
82553 <1% 1,456 $7K
88342 <1% 424 $6K
87147 <1% 637 $6K
82570 <1% 677 $6K
97010 <1% 2,465 $6K
86141 <1% 709 $6K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 4,139 $5K
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,516 $5K
97162 <1% 275 $5K
J7050 Infusion, normal saline solution, 250 cc <1% 2,287 $5K
J2704 Injection, propofol, 10 mg <1% 4,564 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,386 $5K
87205 <1% 1,085 $4K
72100 <1% 261 $4K
85651 <1% 912 $4K
A0380 Bls mileage (per mile) <1% 1,610 $4K
93975 <1% 81 $4K
73080 <1% 119 $4K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 424 $3K
62323 <1% 16 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,563 $3K
12001 <1% 124 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 13 $3K
87522 Neg quan hep c or qual rna <1% 37 $3K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 186 $3K
J2060 Injection, lorazepam, 2 mg <1% 1,196 $2K
84480 <1% 71 $2K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 30 $2K
83655 <1% 169 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,786 $2K
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,400 $2K
97802 <1% 29 $2K
94760 <1% 1,406 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 68 $2K
80362 <1% 17 $2K
76536 <1% 44 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,155 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 912 $2K
96367 <1% 492 $2K
G0475 Hiv antigen/antibody, combination assay, screening <1% 308 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 682 $1K
83021 <1% 409 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,642 $1K
83615 <1% 101 $991.95
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 220 $952.28
83020 <1% 18 $897.59
J1815 Injection, insulin, per 5 units <1% 850 $874.55
J1630 Injection, haloperidol, up to 5 mg <1% 781 $865.37
84100 <1% 274 $861.58
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 71 $843.80
97161 <1% 74 $828.60
86038 <1% 42 $818.36
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 42 $779.49
76819 Fetal biophysical profile; without non-stress testing <1% 396 $728.85
82746 <1% 110 $710.55
87480 <1% 34 $675.70
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 58 $669.03
82652 <1% 60 $642.72
87660 <1% 34 $640.69
J3370 Injection, vancomycin hcl, 500 mg <1% 210 $628.50
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 82 $622.40
87510 <1% 33 $618.27
A9270 Non-covered item or service <1% 795 $618.17
29125 <1% 29 $612.30
84156 <1% 122 $604.00
C1769 Guide wire <1% 393 $525.71
J1644 Injection, heparin sodium, per 1000 units <1% 761 $488.86
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 56 $464.72
88304 <1% 85 $447.37
29515 <1% 14 $437.06
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 1,297 $431.36
J0690 Injection, cefazolin sodium, 500 mg <1% 2,543 $426.85
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 324 $410.68
84550 <1% 111 $399.24
J3475 Injection, magnesium sulfate, per 500 mg <1% 277 $334.28
85018 <1% 40 $299.18
82105 <1% 15 $260.83
87535 <1% 92 $231.28
87400 <1% 162 $211.14
85014 <1% 40 $201.94
76813 <1% 95 $200.85
73590 <1% 64 $191.35
97804 <1% 13 $187.68
88307 <1% 16 $169.52
0011A <1% 43 $156.80
88141 <1% 125 $149.82
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 26 $147.79
J3480 Injection, potassium chloride, per 2 meq <1% 29 $146.07
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 587 $132.95
84146 <1% 18 $119.23
0012A <1% 50 $111.30
82565 <1% 188 $106.43
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,991 $95.24
J0360 Injection, hydralazine hcl, up to 20 mg <1% 67 $94.72
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 41 $69.39
96415 <1% 102 $65.80
85045 <1% 199 $62.52
73140 <1% 101 $51.12
J8597 Antiemetic drug, oral, not otherwise specified <1% 1,424 $26.95
82247 <1% 17 $24.28
95886 <1% 60 $15.90
J0780 Injection, prochlorperazine, up to 10 mg <1% 49 $15.58
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 36 $12.20
81002 <1% 112 $11.14
J2550 Injection, promethazine hcl, up to 50 mg <1% 52 $6.26
J8540 Dexamethasone, oral, 0.25 mg <1% 41 $5.48
82977 0% 14 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 33 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 51 $0.00
84520 0% 36 $0.00
J1956 Injection, levofloxacin, 250 mg 0% 51 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 0% 15 $0.00
85008 0% 80 $0.00
80329 0% 13 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 50 $0.00
82951 0% 32 $0.00
A0434 Specialty care transport (sct) 0% 68 $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 officialMCCORMICK, R (CFO)