Saint Anthony Medical Center
Saint Anthony Medical Center was paid $420K by Medicaid between Jan 2018 and Jul 2019, across 54 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 78% of everything it billed.
ROCKFORD, IL 61108
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 | 12,411 | $419K | |
| 2019 | 254 | $450.54 |
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 | 78% | 2,789 | 234 | $328K |
| 97161 | 5.3% | 207 | 78 | $22K | |
| 97162 | 3.0% | 124 | 48 | $13K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.5% | 124 | 46 | $6K |
| 80053 | Comprehensive metabolic panel | 1.3% | 1,221 | 637 | $5K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.2% | 701 | 359 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 321 | 205 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,501 | 710 | $3K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 115 | 56 | $3K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 164 | 80 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 164 | 80 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 128 | 70 | $3K |
42 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 278 | $2K |
| 80061 | Lipid panel | <1% | 627 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 330 | $1K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 107 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 397 | $1K |
| 84439 | <1% | 237 | $944.97 | |
| 87081 | <1% | 355 | $889.33 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 93 | $833.34 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 182 | $737.61 |
| 82607 | <1% | 123 | $701.44 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 49 | $671.46 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 186 | $659.42 |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 82 | $643.92 |
| 86780 | <1% | 90 | $555.50 | |
| 86803 | <1% | 80 | $458.64 | |
| 87186 | <1% | 79 | $408.18 | |
| 73030 | <1% | 26 | $337.50 | |
| 81001 | <1% | 271 | $326.30 | |
| 85027 | <1% | 127 | $310.25 | |
| 84466 | <1% | 73 | $298.90 | |
| 87480 | <1% | 38 | $281.20 | |
| 82746 | <1% | 52 | $279.15 | |
| 87340 | <1% | 61 | $269.37 | |
| 87510 | <1% | 38 | $255.00 | |
| 73630 | <1% | 22 | $248.28 | |
| 87088 | <1% | 46 | $247.95 | |
| 83540 | <1% | 73 | $226.57 | |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | <1% | 61 | $205.95 |
| 82570 | <1% | 105 | $204.36 | |
| 82043 | <1% | 105 | $184.77 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 18 | $184.55 |
| 86850 | <1% | 87 | $183.66 | |
| 85610 | <1% | 98 | $180.61 | |
| 82728 | <1% | 52 | $170.52 | |
| 87660 | <1% | 38 | $163.40 | |
| 86901 | <1% | 90 | $160.36 | |
| 84702 | <1% | 38 | $147.02 | |
| 86900 | <1% | 90 | $117.30 | |
| 85652 | <1% | 75 | $82.63 | |
| 81003 | <1% | 81 | $80.77 | |
| 86762 | <1% | 26 | $63.84 | |
| 81025 | <1% | 20 | $24.09 |
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 Francis Medical Center | Peoria, IL | $374K |
| Osf Healthcare System | Oak Lawn, IL | $368K |
| Mendota Community Hospital | Mendota, IL | $359K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.