Medicaid Provider Spending

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

ST FRANCIS MEDICAL CENTER

NPI: 1487667317 · TRENTON, NJ 08629 · Multi-Specialty Clinic/Center · NPI assigned 08/14/2006

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

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

$166K
Total Medicaid Paid
5,755
Total Claims
5,456
Beneficiaries
12
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialKELLY, MARK (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date08/14/2006

Related Entities

Other providers sharing the same authorized official: KELLY, MARK

ProviderCityStateTotal Paid
ST. FRANCIS MEDICAL CENTER TRENTON NJ $30.60M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 988 $36K
2019 1,165 $38K
2020 1,435 $35K
2021 1,082 $26K
2022 1,085 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,314 3,092 $103K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,145 1,109 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 435 425 $13K
99215 Prolong outpt/office vis 96 90 $4K
99442 478 463 $3K
99223 Prolong inpt eval add15 m 15 13 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 20 12 $377.62
99441 77 77 $229.52
90670 25 25 $146.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 90 90 $0.00
90688 24 24 $0.00
90686 36 36 $0.00