Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Franciscan Care Services INC

Franciscan Care Services INC was paid $1.19M by Medicaid between Jan 2018 and Jun 2024, across 41 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 38% of everything it billed.

33Billing provider infoFRANCISCAN CARE SERVICES INC
WEST POINT, NE 68788
33aNPI1588673578assigned 08/07/2006
33bProvider typeCritical Access Hospital
28Total paid$1.19M
24GClaims18,557
24DCodes billed41
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Critical Access Hospital providers in Nebraska

Rank by total paid#12 of 53
Median peer was paid$593K
This provider vs. median2.0×

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.

Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20182,426$107K
20192,369$100K
20202,004$91K
20214,893$359K
20225,334$442K
20231,394$90K
2024incomplete137$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 38% 3,837 916 $456K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 491 427 $126K
80053 Comprehensive metabolic panel 8.5% 1,665 1,411 $101K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7.6% 694 167 $90K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 6.9% 287 239 $82K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.3% 2,349 1,880 $75K
36415 Collection of venous blood by venipuncture 3.5% 4,212 3,422 $42K
80048 Basic metabolic panel (calcium, ionized) 2.8% 678 576 $33K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.0% 679 623 $23K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.4% 123 27 $17K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.0% 178 176 $12K
80061 Lipid panel <1% 159 159 $12K
29 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 231 $11K
99285 Emergency room visit (most serious) <1% 40 $10K
J3490 Unclassified drugs <1% 261 $10K
84439 <1% 161 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 276 $7K
84443 Thyroid stimulating hormone (TSH) <1% 135 $7K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 109 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 117 $6K
G0378 Hospital observation service, per hour <1% 15 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 69 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 114 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 32 $5K
99213 Doctor's office visit, returning patient (routine) <1% 164 $5K
71045 Radiologic examination, chest; single view <1% 54 $4K
81001 <1% 237 $4K
84484 <1% 51 $3K
71046 Radiologic examination, chest; 2 views <1% 45 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 105 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 33 $3K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 480 $2K
81003 <1% 118 $2K
97161 <1% 35 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 103 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 15 $1K
85610 <1% 119 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 30 $1K
87088 <1% 25 $545.07
83605 <1% 17 $446.40
85730 <1% 14 $162.54

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.

From NPPES

Who's on the registration

Authorized officialTOLINE, TYLER (PRESIDENT & CEO)
Same official

Other billing entities under TOLINE, TYLER

Full network →
ProviderLocationPaid
Franciscan Care Services INCWest Point, NE$1.71M
Franciscan Care Services INCOakland, NE$65K
Franciscan Care Services INCWisner, NE$12K
Franciscan Care Services INCWest Point, NE$9K
Franciscan Care Services INCOakland, NE$7K
Franciscan Care Services INCScribner, NE$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.