Medicaid Provider Spending

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

OSF HEALTHCARE SYSTEM

NPI: 1861041980 · GODFREY, IL 62035 · Rural Health Clinic/Center · NPI assigned 09/11/2019

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

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

$2.57M
Total Medicaid Paid
55,497
Total Claims
47,802
Beneficiary Records
32
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEHRING, ROBERT (CEO)
NPI Enumeration Date09/11/2019

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
2020 4,381 $143K
2021 10,637 $480K
2022 12,428 $575K
2023 13,244 $625K
2024 14,807 $742K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T1015 Clinic visit/encounter, all-inclusive 29,179 24,436 $2.56M
90670 233 229 $460.28
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 42 31 $408.89
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,355 1,290 $280.88
90686 930 854 $99.80
96110 Developmental screening, with scoring and documentation, per standardized instrument 272 256 $48.24
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,814 11,888 $25.00
90648 359 342 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 655 625 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 153 143 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,009 935 $0.00
71046 Radiologic examination, chest; 2 views 12 12 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 30 29 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 697 644 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 117 107 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 372 350 $0.00
92552 46 41 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 144 137 $0.00
99173 34 30 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 69 67 $0.00
90633 12 12 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,609 4,094 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 230 226 $0.00
87428 140 138 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 307 249 $0.00
90677 148 136 $0.00
90723 157 154 $0.00
92551 53 47 $0.00
90680 29 29 $0.00
90656 217 203 $0.00
36415 Collection of venous blood by venipuncture 38 38 $0.00
D1206 Topical application of fluoride varnish 35 30 $0.00