Medicaid Provider Spending

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

ST FRANCIS HOSPITAL INC

NPI: 1730123175 · GREENVILLE, SC 29601 · General Acute Care Hospital · NPI assigned 06/16/2006

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

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$17.81M
Total Medicaid Paid
768,210
Total Claims
603,018
Beneficiaries
270
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (VP REIMBURSEMENT)
NPI Enumeration Date06/16/2006

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $3.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 97,110 $1.87M
2019 91,052 $1.53M
2020 73,086 $1.41M
2021 110,580 $2.26M
2022 139,200 $3.85M
2023 124,782 $3.86M
2024 132,400 $3.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 Comprehensive metabolic panel 41,807 33,873 $2.88M
99283 Emergency department visit for the evaluation and management, moderate severity 35,230 30,412 $1.89M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,681 12,377 $1.34M
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,510 5,577 $771K
80048 Basic metabolic panel (calcium, ionized) 12,241 8,804 $727K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,315 3,177 $698K
82962 16,848 7,029 $654K
36415 Collection of venous blood by venipuncture 16,288 10,987 $555K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,905 6,205 $467K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,961 7,063 $365K
81025 11,424 10,135 $327K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,694 2,545 $319K
99284 Emergency department visit for the evaluation and management, high severity 30,692 26,423 $295K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,932 3,352 $283K
96375 Therapeutic injection; each additional sequential IV push 10,412 8,332 $279K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,773 2,428 $265K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 353 309 $232K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,841 3,213 $225K
87086 Culture, bacterial; quantitative colony count, urine 4,988 4,470 $222K
71046 Radiologic examination, chest; 2 views 13,529 11,900 $208K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,229 2,453 $207K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,520 1,360 $199K
81001 12,748 11,314 $197K
87210 2,213 2,018 $189K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,289 1,143 $184K
81003 13,115 11,475 $168K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,042 3,702 $161K
70450 Computed tomography, head or brain; without contrast material 6,308 5,571 $144K
73562 2,613 2,183 $129K
73610 1,241 1,108 $129K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,717 2,558 $122K
93971 1,308 1,174 $120K
82565 1,566 1,336 $120K
84132 2,361 1,952 $118K
86900 1,866 1,582 $113K
73630 1,650 1,428 $111K
96361 Intravenous infusion, hydration; each additional hour 5,634 4,420 $103K
72100 2,835 2,596 $103K
73030 1,800 1,617 $97K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 18,164 15,432 $95K
84702 1,606 1,351 $92K
73130 829 735 $88K
87081 847 769 $84K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,373 2,167 $80K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,966 4,435 $68K
71250 496 481 $67K
73110 529 463 $62K
71045 Radiologic examination, chest; single view 9,999 8,381 $62K
87040 3,554 2,211 $58K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 46,338 36,207 $53K
93458 359 308 $52K
72040 1,225 1,108 $51K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 512 472 $48K
96376 3,892 2,237 $44K
J1644 Injection, heparin sodium, per 1000 units 6,587 2,590 $43K
G0378 Hospital observation service, per hour 9,187 3,023 $40K
87186 1,734 1,487 $37K
70551 Magnetic resonance imaging, brain; without contrast material 133 111 $35K
73502 1,462 1,299 $34K
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 468 410 $31K
76705 Ultrasound, abdominal, real time with image documentation; limited 831 751 $30K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 896 521 $29K
85018 1,206 857 $29K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,332 1,410 $28K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 253 225 $27K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,763 916 $24K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,914 3,603 $23K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 19,705 16,203 $23K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,556 2,295 $23K
99281 Emergency department visit for the evaluation and management, self-limited or minor 218 180 $23K
80050 General health panel 705 618 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 500 422 $22K
74018 572 513 $22K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 733 666 $21K
J7120 Ringers lactate infusion, up to 1000 cc 10,788 8,836 $19K
84484 19,039 10,820 $19K
87807 99 91 $18K
C1769 Guide wire 2,456 2,087 $18K
87070 416 347 $17K
97161 1,245 1,095 $16K
85027 7,240 5,716 $16K
85610 3,845 3,003 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 968 879 $14K
76830 Ultrasound, transvaginal 244 234 $12K
74022 1,144 998 $12K
81015 1,149 1,019 $12K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 799 353 $11K
83735 12,369 9,528 $11K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,630 1,038 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,932 12,156 $10K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 36 35 $10K
J2704 Injection, propofol, 10 mg 10,890 7,655 $10K
12001 67 54 $9K
95811 42 39 $9K
87634 293 281 $9K
94760 2,312 1,249 $9K
82077 1,793 1,484 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 180 163 $8K
97162 584 543 $8K
70486 59 57 $7K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 327 302 $7K
J3490 Unclassified drugs 3,958 2,838 $7K
95806 58 56 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 11,202 9,776 $6K
J7050 Infusion, normal saline solution, 250 cc 4,439 3,417 $6K
72125 Computed tomography, cervical spine; without contrast material 1,088 981 $6K
93970 28 25 $6K
80061 Lipid panel 3,532 3,131 $6K
73080 46 38 $5K
J1650 Injection, enoxaparin sodium, 10 mg 1,291 458 $5K
88304 92 74 $5K
J2370 Injection, phenylephrine hcl, up to 1 ml 2,087 1,764 $5K
83690 14,280 12,017 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,195 1,109 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete 57 52 $4K
J7030 Infusion, normal saline solution , 1000 cc 13,580 10,826 $4K
83605 5,906 4,624 $4K
85379 2,506 2,279 $4K
J1170 Injection, hydromorphone, up to 4 mg 4,837 3,507 $4K
J2270 Injection, morphine sulfate, up to 10 mg 5,917 4,534 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 4,504 3,488 $4K
95810 Polysomnography; sleep staging with 4 or more additional parameters 13 13 $4K
73590 112 100 $4K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 418 393 $4K
J0780 Injection, prochlorperazine, up to 10 mg 517 463 $4K
83880 4,321 3,641 $3K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 378 349 $3K
70496 111 96 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 832 783 $3K
J1815 Injection, insulin, per 5 units 460 225 $3K
J1940 Injection, furosemide, up to 20 mg 1,120 739 $3K
86850 1,222 1,007 $3K
10060 30 26 $3K
80047 63 61 $3K
85652 668 601 $2K
80179 318 270 $2K
99152 2,429 2,056 $2K
86140 1,732 1,511 $2K
74019 55 54 $2K
J0690 Injection, cefazolin sodium, 500 mg 5,752 4,469 $2K
C9113 Injection, pantoprazole sodium, per vial 295 207 $2K
80143 310 254 $2K
86592 340 302 $2K
J2060 Injection, lorazepam, 2 mg 1,574 1,266 $2K
84443 Thyroid stimulating hormone (TSH) 3,136 2,768 $2K
J0360 Injection, hydralazine hcl, up to 20 mg 390 282 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,347 1,188 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 371 358 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 7,268 6,261 $2K
77001 12 12 $2K
A4565 Slings 59 58 $1K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,223 1,890 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 351 332 $1K
83036 Hemoglobin; glycosylated (A1C) 3,322 2,929 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,653 8,420 $1K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 899 648 $1K
86780 174 162 $1K
74230 13 13 $1K
87340 340 300 $977.54
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 830 760 $942.01
94761 452 358 $901.29
J2550 Injection, promethazine hcl, up to 50 mg 1,554 1,130 $891.83
82728 358 314 $886.49
J3475 Injection, magnesium sulfate, per 500 mg 505 440 $821.77
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 274 227 $788.05
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,905 2,353 $775.19
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,181 6,335 $765.00
J2250 Injection, midazolam hydrochloride, per 1 mg 6,104 5,282 $758.88
97535 Self-care/home management training, each 15 minutes 508 300 $753.35
84145 2,356 2,082 $735.55
72070 29 27 $678.87
82570 467 403 $673.32
84100 81 57 $653.54
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 118 111 $610.18
97165 412 353 $594.24
84550 213 197 $583.35
86803 876 802 $533.87
73090 12 12 $462.68
82803 330 277 $446.92
76770 13 12 $443.19
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,813 1,551 $411.76
A9575 Injection, gadoterate meglumine, 0.1 ml 407 340 $405.68
J2795 Injection, ropivacaine hydrochloride, 1 mg 552 495 $403.14
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,648 1,316 $383.27
87088 1,179 1,048 $337.54
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,094 966 $323.48
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,980 3,635 $306.83
84703 33 29 $217.48
84439 874 772 $164.41
96367 14 13 $91.85
94762 1,182 1,026 $81.15
76801 58 55 $78.42
82043 247 205 $77.98
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 12 12 $76.50
82607 398 339 $71.36
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 685 603 $68.35
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 696 607 $50.00
90714 225 205 $37.93
76937 541 494 $35.96
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 1,717 1,473 $35.18
G0103 Prostate cancer screening; prostate specific antigen test (psa) 29 24 $27.91
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 132 121 $23.29
J2765 Injection, metoclopramide hcl, up to 10 mg 1,030 920 $9.54
86901 1,867 1,583 $7.87
82550 595 498 $5.86
A9270 Non-covered item or service 331 163 $1.32
80081 40 40 $0.00
87205 570 473 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 344 308 $0.00
85730 279 232 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 13 13 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 125 101 $0.00
99153 Mod sedat endo service >5yrs 950 827 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 65 58 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 308 260 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,794 1,550 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 29 27 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 380 241 $0.00
70498 121 108 $0.00
86141 104 104 $0.00
90686 27 25 $0.00
84153 51 44 $0.00
86762 49 46 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 25 25 $0.00
80055 107 103 $0.00
J1630 Injection, haloperidol, up to 5 mg 63 43 $0.00
83550 34 28 $0.00
86580 30 25 $0.00
J2305 Injection, nitroglycerin, 5 mg 36 31 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 53 42 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 49 45 $0.00
J2372 Injection, phenylephrine hydrochloride (biorphen), 20 micrograms 12 12 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 36 24 $0.00
J3480 Injection, potassium chloride, per 2 meq 17 12 $0.00
83615 16 15 $0.00
36430 17 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 18 17 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 12 12 $0.00
82746 15 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 329 247 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 314 306 $0.00
94664 245 185 $0.00
76942 395 357 $0.00
83540 402 351 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 125 115 $0.00
88312 547 459 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 114 95 $0.00
80076 273 249 $0.00
A9576 Injection, gadoteridol, (prohance multipack), per ml 235 171 $0.00
36600 102 89 $0.00
90715 187 169 $0.00
86038 14 12 $0.00
83020 80 75 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 203 167 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 365 352 $0.00
J3370 Injection, vancomycin hcl, 500 mg 141 84 $0.00
80074 12 12 $0.00
43235 26 26 $0.00
82140 13 12 $0.00
92611 12 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 62 38 $0.00
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 49 38 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 18 13 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 12 12 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 33 24 $0.00
84156 14 13 $0.00
92610 29 24 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 27 24 $0.00
C1760 Closure device, vascular (implantable/insertable) 13 13 $0.00