Medicaid Provider Spending

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

ST MARY MEDICAL CENTER

NPI: 1801512165 · KNOXVILLE, IL 61448 · Rural Health Clinic/Center · NPI assigned 10/18/2022

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

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

$233K
Total Medicaid Paid
5,153
Total Claims
4,531
Beneficiaries
12
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 Date10/18/2022

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 1,992 $86K
2024 3,161 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 2,810 2,431 $232K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 14 14 $171.47
90656 48 48 $7.50
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16 15 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 31 29 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 59 55 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 25 25 $0.00
90686 49 43 $0.00
36415 Collection of venous blood by venipuncture 150 127 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,229 1,073 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 688 637 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 34 34 $0.00