Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › CAPE GIRARDEAU › SAINT FRANCIS MEDICAL CENTER

SAINT FRANCIS MEDICAL CENTER

NPI: 1578513016 · CAPE GIRARDEAU, MO 63703 · Anatomic Pathology & Clinical Pathology Physician · NPI assigned 05/12/2006

$11.69M
Total Medicaid Paid
238,004
Total Claims
204,140
Beneficiaries
161
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILLILAND, KIMBERLY (CREDENTIALING)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: GILLILAND, KIMBERLY

ProviderCityStateTotal Paid
SAINT FRANCIS MEDICAL CENTER POPLAR BLUFF MO $471K
SAINT FRANCIS MEDICAL CENTER SIKESTON MO $312K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,703 $348K
2019 13,876 $291K
2020 24,930 $700K
2021 39,167 $1.55M
2022 44,208 $2.38M
2023 50,465 $3.39M
2024 50,655 $3.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 64,132 58,007 $3.33M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 49,946 45,444 $2.91M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,782 5,590 $425K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,002 3,841 $423K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,330 3,295 $322K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,524 3,423 $303K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 655 189 $273K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,717 4,838 $231K
99215 Prolong outpt/office vis 1,437 1,381 $196K
62323 1,672 1,617 $183K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3,605 1,824 $177K
99232 Subsequent hospital care, per day, moderate complexity 6,391 2,724 $171K
99479 Subsequent intensive care, per day, very low birth weight infant 1,542 380 $167K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,324 2,051 $163K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,507 4,241 $152K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,007 928 $138K
95886 1,912 1,761 $137K
99460 1,619 1,573 $133K
99238 Hospital discharge day management, 30 minutes or less 2,202 2,124 $131K
99480 Subsequent intensive care, per day, low birth weight infant 1,000 266 $113K
20610 5,027 3,833 $113K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 748 716 $102K
99222 Initial hospital care, per day, moderate complexity 1,189 1,092 $66K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 256 255 $62K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 16,239 13,476 $61K
99417 Prolong home eval add 15m 973 925 $52K
45380 Colonoscopy, flexible; with biopsy, single or multiple 252 244 $51K
54150 346 337 $47K
76819 Fetal biophysical profile; without non-stress testing 709 503 $44K
11045 1,013 488 $41K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 430 409 $41K
99233 Prolong inpt eval add15 m 1,212 564 $41K
99239 Hospital discharge day management, more than 30 minutes 1,035 943 $39K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 381 364 $37K
95910 387 362 $37K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 179 177 $36K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,124 677 $33K
92567 3,213 3,089 $33K
90791 Psychiatric diagnostic evaluation 882 625 $32K
81002 9,492 7,447 $31K
76830 Ultrasound, transvaginal 322 307 $30K
92587 934 919 $30K
92557 1,037 996 $26K
95819 993 834 $24K
93000 2,457 2,274 $22K
99244 Office or other outpatient consultation, moderate to high complexity 134 130 $21K
27096 231 222 $20K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 274 271 $16K
99223 Prolong inpt eval add15 m 198 185 $16K
76801 194 178 $15K
99243 107 104 $14K
92579 382 380 $14K
95251 809 779 $12K
76818 138 78 $12K
95117 1,070 495 $12K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 44 42 $12K
93298 1,074 958 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 903 442 $10K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 109 36 $10K
64483 65 63 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 301 252 $10K
93356 542 534 $10K
93308 509 473 $9K
99462 221 188 $8K
93294 785 757 $8K
0002A 429 227 $7K
0001A 261 233 $7K
76820 146 77 $7K
62321 46 46 $7K
93018 787 744 $7K
47562 13 12 $7K
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) 2,826 2,593 $7K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 272 248 $7K
95908 112 109 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 418 385 $7K
42820 Tonsillectomy and adenoidectomy; younger than age 12 25 25 $7K
22853 13 12 $6K
99205 Prolong outpt/office vis 53 52 $6K
73564 232 182 $5K
93295 227 221 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 56 52 $5K
95909 72 65 $5K
90961 104 104 $5K
45384 13 13 $5K
77014 359 67 $4K
99254 44 37 $4K
11721 489 440 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 188 175 $4K
59430 13 13 $4K
87428 106 104 $4K
77427 63 30 $4K
95816 130 127 $4K
11730 39 39 $4K
43248 32 26 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 110 100 $3K
99220 26 26 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 69 68 $3K
97597 72 55 $3K
99219 60 57 $3K
20930 19 14 $3K
20936 19 14 $2K
31575 30 28 $2K
99381 39 39 $2K
64615 39 39 $2K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 14 $2K
99221 100 86 $2K
73110 62 53 $2K
73630 73 67 $2K
81025 219 203 $2K
88307 29 26 $2K
0012A 108 62 $2K
93016 149 143 $2K
88342 63 55 $2K
95813 27 27 $1K
99308 Subsequent nursing facility care, per day, straightforward 151 133 $1K
94726 185 181 $1K
0011A 156 84 $1K
92504 53 52 $1K
94060 136 133 $1K
83036 Hemoglobin; glycosylated (A1C) 233 223 $1K
31624 16 13 $1K
94729 205 195 $1K
93297 141 122 $981.25
69210 44 38 $960.51
92582 12 12 $937.96
95811 15 15 $930.72
73030 55 50 $919.72
T1015 Clinic visit/encounter, all-inclusive 21 18 $901.52
20605 101 74 $869.03
99242 12 12 $865.09
99406 161 142 $836.91
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 76 69 $833.89
88304 96 95 $800.98
20553 19 19 $752.84
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 148 137 $739.67
90962 12 12 $729.85
99282 Emergency department visit for the evaluation and management, low to moderate severity 45 40 $664.99
20600 48 26 $539.97
73562 28 25 $539.20
95115 46 24 $427.49
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 19 18 $414.42
93272 25 25 $389.88
92552 14 13 $389.11
90686 72 72 $371.02
95806 12 12 $343.35
99284 Emergency department visit for the evaluation and management, high severity 15 14 $328.28
93325 135 128 $319.35
92555 12 12 $291.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 103 99 $275.92
73130 13 12 $248.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 14 $240.11
99152 15 12 $237.77
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14 14 $236.70
J1040 Injection, methylprednisolone acetate, 80 mg 58 54 $172.35
80053 Comprehensive metabolic panel 14 14 $129.46
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 27 26 $112.22
J1010 Injection, methylprednisolone acetate, 1 mg 26 25 $82.99
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 14 $81.30
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 40 39 $70.40
99307 13 13 $66.16
G0008 Administration of influenza virus vaccine 12 12 $0.00