Medicaid Provider Spending

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

SAINT JAMES HOSPITAL

NPI: 1770208134 · CLINTON, IL 61727 · Rural Health Clinic/Center · NPI assigned 10/07/2022

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

Authorized official SEHRING, ROBERT controls 20+ related entities in our dataset. Read more

$611K
Total Medicaid Paid
14,345
Total Claims
11,728
Beneficiaries
18
Codes Billed
2023-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEHRING, ROBERT (CEO, OSF HEALTHCARE SYSTEM)
Parent OrganizationOSF HEALTHCARE SYSTEM
NPI Enumeration Date10/07/2022

Related Entities

Other providers sharing the same authorized official: SEHRING, ROBERT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 6,869 $267K
2024 7,476 $344K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 7,504 5,971 $611K
90686 218 168 $22.35
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,917 1,633 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,473 2,898 $0.00
36415 Collection of venous blood by venipuncture 301 260 $0.00
90656 133 130 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 139 117 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 75 62 $0.00
90651 34 26 $0.00
90677 13 12 $0.00
90734 34 30 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 146 122 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 110 101 $0.00
90648 20 12 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 121 106 $0.00
90633 36 25 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 51 43 $0.00
90670 20 12 $0.00