ST Joseph Medical Center
ST Joseph Medical Center was paid $80K by Medicaid between Jan 2018 and Mar 2018, across 11 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 98% of everything it billed.
BLOOMINGTON, IL 61701
Next to other General Acute Care Hospital providers in Illinois
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,345 | $80K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 98% | 738 | 90 | $79K |
| 87081 | <1% | 211 | 203 | $591.60 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 77 | 70 | $288.75 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 42 | 40 | $188.83 |
| 80053 | Comprehensive metabolic panel | <1% | 81 | 77 | $129.50 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 92 | 75 | $117.35 |
| 80061 | Lipid panel | <1% | 39 | 39 | $55.98 |
| 87186 | <1% | 15 | 14 | $33.90 | |
| 87147 | <1% | 23 | 23 | $19.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | 15 | $15.75 |
| 87070 | <1% | 12 | 12 | $15.50 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.