Medicaid Provider Spending

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

MENDOTA COMMUNITY HOSPITAL

NPI: 1316320849 · MENDOTA, IL 61342 · Rural Health Clinic/Center · NPI assigned 07/01/2015

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

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

$2.44M
Total Medicaid Paid
61,116
Total Claims
44,582
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEHRING, ROBERT (CEO, OSF HEALTHCARE SYSTEM)
Parent OrganizationOSF HEALTHCARE SYSTEM
NPI Enumeration Date07/01/2015

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,514 $171K
2019 13,475 $430K
2020 6,642 $268K
2021 7,253 $296K
2022 8,297 $346K
2023 10,377 $448K
2024 10,558 $480K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 31,495 22,238 $2.43M
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 478 399 $3K
90686 1,422 1,059 $3K
90651 113 88 $819.48
90734 127 106 $260.30
90633 155 104 $65.78
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,945 9,192 $49.80
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,168 937 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,276 7,122 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 666 466 $0.00
90677 92 88 $0.00
87428 195 186 $0.00
90656 197 187 $0.00
90723 14 12 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 310 299 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 288 238 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 663 590 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 545 472 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38 37 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 597 487 $0.00
90670 111 83 $0.00
90715 16 15 $0.00
90648 127 105 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 42 38 $0.00
99442 22 20 $0.00
81003 14 14 $0.00