Medicaid Provider Spending

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

SAINT FRANCIS CARE MEDICAL GROUP, PC

NPI: 1508172545 · HARTFORD, CT 06105 · Anatomic Pathology & Clinical Pathology Physician · NPI assigned 08/27/2010

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

Authorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more

$2.00M
Total Medicaid Paid
79,223
Total Claims
73,474
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, JAMES (REGIONAL DIRECTOR OF REIMBURSEMENT)
NPI Enumeration Date08/27/2010

Related Entities

Other providers sharing the same authorized official: HARRIS, JAMES

ProviderCityStateTotal Paid
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $266.39M
SAINT MARY'S HOSPITAL, INC. WATERBURY CT $163.27M
THE MERCY HOSPITAL INC SPRINGFIELD MA $98.92M
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT $41.97M
RIVERBEND MEDICAL GROUP, INC. SPRINGFIELD MA $38.70M
SYSTEM COORDINATED SERVICES, INC SPRINGFIELD MA $18.54M
BRIGHTSIDE INC SPRINGFIELD MA $11.41M
THE MERCY HOSPITAL INC HOLYOKE MA $10.93M
MERCY INPATIENT MEDICAL ASSOCIATES INC. SPRINGFIELD MA $6.96M
STATE OF NEW YORK COMPTROLLERS OFFICE BUFFALO NY $6.05M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $1.42M
PIONEER VALLEY CARDIOLOGY ASSOCIATES, INC SPRINGFIELD MA $1.31M
MERCY MEDICAL GROUP, INC. SPRINGFIELD MA $1.08M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $382K
PRATER VOLUNTEER RESCUE SQUAD INC GRUNDY VA $331K
DIABETES AND LIFESTYLE MANAGEMENT, LLC DERRY NH $273K
MERCY SPECIALIST PHYSICIANS INC SPRINGFIELD MA $101K
HEALTH ACCESS, INC. CLARKSBURG WV $85K
GIBSON COUNTY PODIATRY LLC MILAN TN $83K
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,373 $120K
2019 7,867 $166K
2020 7,258 $191K
2021 9,036 $244K
2022 19,718 $512K
2023 18,085 $456K
2024 10,886 $305K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 42,052 38,512 $1.33M
88307 2,465 2,322 $117K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 5,458 5,257 $114K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,918 3,774 $101K
88312 6,422 6,176 $93K
88342 4,555 4,184 $93K
88141 1,895 1,849 $31K
88304 2,962 2,824 $25K
88112 1,628 1,468 $20K
88173 182 174 $13K
88341 300 270 $10K
88313 1,237 1,156 $9K
86334 1,458 1,296 $7K
84165 2,127 1,919 $6K
88120 373 348 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 160 157 $4K
87625 133 130 $4K
83020 652 634 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 125 122 $3K
88311 395 357 $2K
88142 566 405 $791.45
88189 102 85 $519.00
88172 15 13 $306.74
88300 43 42 $120.46