Medicaid Provider Spending

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

SAINT JAMES HOSPITAL

NPI: 1801904578 · PONTIAC, IL 61764 · General Acute Care Hospital · NPI assigned 08/25/2006

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

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

$688K
Total Medicaid Paid
32,026
Total Claims
24,545
Beneficiaries
56
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialSEHRING, ROBERT (CEO)
Parent OrganizationOSF HEALTHCARE SYSTEM
NPI Enumeration Date08/25/2006

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 ANTHONY MEDICAL CENTER ROCKFORD IL $420K
SAINT FRANCIS MEDICAL CENTER PEORIA IL $374K
OSF HEALTHCARE SYSTEM OAK LAWN IL $368K
MENDOTA COMMUNITY HOSPITAL MENDOTA IL $359K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,185 $257K
2019 16,617 $325K
2020 6,224 $106K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,615 1,494 $436K
97161 966 670 $103K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 963 231 $39K
77067 Screening mammography, bilateral, including computer-aided detection 349 343 $18K
84443 Thyroid stimulating hormone (TSH) 2,035 1,915 $12K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 604 555 $10K
80053 Comprehensive metabolic panel 3,199 2,930 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 602 553 $9K
87081 2,363 2,204 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 195 179 $5K
87086 Culture, bacterial; quantitative colony count, urine 1,475 1,267 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,425 2,974 $5K
71046 Radiologic examination, chest; 2 views 543 498 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 314 302 $3K
80061 Lipid panel 1,721 1,629 $2K
83036 Hemoglobin; glycosylated (A1C) 1,132 1,077 $2K
84702 467 349 $2K
80048 Basic metabolic panel (calcium, ionized) 594 510 $2K
87186 365 335 $2K
73630 127 124 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 131 102 $1K
77063 Screening digital breast tomosynthesis, bilateral 144 141 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 47 45 $993.38
84439 537 502 $979.08
81511 14 14 $787.42
87480 263 257 $769.85
87088 171 158 $683.10
87510 259 253 $629.25
73564 56 53 $592.84
87147 657 612 $583.61
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 154 147 $431.50
82570 404 342 $409.71
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 182 173 $397.41
85610 229 135 $327.17
97165 32 14 $311.66
74018 31 27 $298.48
86140 227 185 $254.79
86780 56 55 $227.87
87660 260 253 $213.49
73610 12 12 $212.21
82043 243 229 $186.25
85027 130 116 $173.63
82728 86 70 $149.82
81001 193 142 $145.04
84466 58 43 $123.99
85652 150 123 $89.18
80306 15 15 $76.15
82607 12 12 $58.40
86850 39 27 $46.68
83735 20 12 $44.67
86901 40 28 $41.19
83540 39 32 $40.33
82274 12 12 $39.32
82950 40 40 $31.78
80076 17 13 $31.20
84481 12 12 $4.98