ST Francis Hospital
ST Francis Hospital was paid $330K by Medicaid between Jan 2018 and Jun 2018, across 122 billing codes. Its largest line is 99284, emergency room visit (serious) — 22% of everything it billed.
ESCANABA, MI 49829
Next to other General Acute Care Hospital providers in Michigan
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,774 | $330K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 22% | 391 | 366 | $71K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 14% | 175 | 156 | $45K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 374 | 351 | $42K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 6.7% | 853 | 271 | $22K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.8% | 97 | 93 | $9K |
| 71046 | Radiologic examination, chest; 2 views | 2.3% | 249 | 244 | $8K |
| 80061 | Lipid panel | 2.1% | 520 | 518 | $7K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 1.9% | 90 | 84 | $6K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.8% | 126 | 126 | $6K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.7% | 98 | 95 | $6K |
| 70450 | Computed tomography, head or brain; without contrast material | 1.6% | 123 | 119 | $5K |
| 76830 | Ultrasound, transvaginal | 1.6% | 90 | 88 | $5K |
110 more codes
| 97161 | 1.5% | 122 | $5K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.5% | 473 | $5K |
| 80053 | Comprehensive metabolic panel | 1.5% | 1,441 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.5% | 788 | $5K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.5% | 89 | $5K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.4% | 334 | $4K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.3% | 13 | $4K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.1% | 162 | $4K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.1% | 162 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,451 | $3K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 53 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 598 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 368 | $3K |
| 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 | <1% | 143 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,454 | $2K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 81 | $2K |
| 86900 | <1% | 84 | $2K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 69 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 77 | $2K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 277 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 30 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 291 | $2K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 126 | $2K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 71 | $2K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 43 | $1K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 93 | $1K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 485 | $1K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 119 | $1K |
| 73630 | <1% | 55 | $1K | |
| 86780 | <1% | 120 | $998.38 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 119 | $951.04 |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 12 | $946.00 |
| 76641 | <1% | 15 | $873.90 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 13 | $757.38 |
| 87807 | <1% | 156 | $739.14 | |
| 84439 | <1% | 155 | $647.28 | |
| 81025 | <1% | 465 | $517.44 | |
| 73130 | <1% | 30 | $505.92 | |
| 84702 | <1% | 82 | $490.38 | |
| 72100 | <1% | 15 | $466.12 | |
| 87186 | <1% | 121 | $433.87 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 134 | $416.47 |
| 74019 | <1% | 12 | $407.82 | |
| 82607 | <1% | 60 | $402.62 | |
| 85027 | <1% | 124 | $399.07 | |
| 87070 | <1% | 90 | $390.21 | |
| 73610 | <1% | 30 | $347.15 | |
| 84481 | <1% | 43 | $344.91 | |
| 81002 | <1% | 206 | $312.16 | |
| 87102 | <1% | 65 | $302.79 | |
| 83735 | <1% | 373 | $297.94 | |
| 73562 | <1% | 14 | $281.23 | |
| 82728 | <1% | 39 | $265.67 | |
| 83880 | <1% | 106 | $258.70 | |
| 81001 | <1% | 495 | $238.50 | |
| 74018 | <1% | 19 | $221.34 | |
| 86140 | <1% | 136 | $210.52 | |
| 87088 | <1% | 65 | $207.18 | |
| 86850 | <1% | 167 | $202.52 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 97 | $189.74 |
| 85610 | <1% | 284 | $178.48 | |
| 87210 | <1% | 67 | $177.81 | |
| 82570 | <1% | 63 | $169.00 | |
| 82565 | <1% | 70 | $158.54 | |
| 87081 | <1% | 38 | $144.71 | |
| 83690 | <1% | 186 | $135.35 | |
| 82043 | <1% | 41 | $134.31 | |
| 87205 | <1% | 66 | $132.37 | |
| 73030 | <1% | 13 | $126.48 | |
| 94726 | <1% | 12 | $120.10 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 99 | $116.35 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 263 | $110.25 |
| 85652 | <1% | 118 | $109.29 | |
| 36592 | <1% | 91 | $106.94 | |
| 86592 | <1% | 37 | $99.28 | |
| 87147 | <1% | 30 | $97.54 | |
| 82950 | <1% | 29 | $86.34 | |
| 82550 | <1% | 100 | $79.30 | |
| 82746 | <1% | 12 | $64.68 | |
| 81003 | <1% | 171 | $64.53 | |
| 73110 | <1% | 12 | $63.24 | |
| 82150 | <1% | 100 | $61.58 | |
| 84484 | <1% | 199 | $51.43 | |
| 87077 | <1% | 13 | $47.61 | |
| 87340 | <1% | 27 | $45.43 | |
| 87040 | <1% | 75 | $45.37 | |
| 86308 | <1% | 14 | $33.76 | |
| 85730 | <1% | 106 | $30.24 | |
| 85379 | <1% | 33 | $25.56 | |
| 82962 | <1% | 61 | $18.36 | |
| 86901 | <1% | 90 | $16.19 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 133 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 128 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 70 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 268 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 15 | $0.00 |
| J2175 | Injection, meperidine hydrochloride, per 100 mg | 0% | 31 | $0.00 |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | 0% | 80 | $0.00 |
| 83605 | 0% | 61 | $0.00 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 149 | $0.00 |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 15 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 108 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 13 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 344 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 66 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 218 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 30 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 185 | $0.00 |
| 88312 | 0% | 12 | $0.00 | |
| 94729 | 0% | 12 | $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.
Who's on the registration
| Provider | Location | 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.