Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › GALESBURG › ST MARY MEDICAL CENTER

ST MARY MEDICAL CENTER

NPI: 1952312191 · GALESBURG, IL 61401 · General Acute Care Hospital · NPI assigned 08/11/2006

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

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

$931K
Total Medicaid Paid
69,996
Total Claims
56,071
Beneficiaries
87
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialSEHRING, ROBERT (CEO)
Parent OrganizationOSF HEALTHCARE SYSTEM
NPI Enumeration Date08/11/2006

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
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
MENDOTA COMMUNITY HOSPITAL MENDOTA IL $359K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,170 $271K
2019 35,716 $489K
2020 18,110 $171K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,093 1,615 $549K
97161 994 743 $103K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,279 1,142 $33K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 961 148 $28K
77067 Screening mammography, bilateral, including computer-aided detection 473 458 $25K
84443 Thyroid stimulating hormone (TSH) 4,196 3,737 $23K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,477 1,325 $17K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,476 1,325 $16K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 321 137 $15K
80053 Comprehensive metabolic panel 6,792 5,943 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 856 510 $9K
87086 Culture, bacterial; quantitative colony count, urine 2,812 2,280 $8K
88305 Level IV - Surgical pathology, gross and microscopic examination 280 265 $7K
87081 3,121 2,812 $7K
71046 Radiologic examination, chest; 2 views 919 838 $7K
97162 60 44 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6,508 5,527 $5K
94060 127 119 $5K
81511 71 69 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 361 332 $3K
86780 1,097 983 $3K
73630 229 222 $3K
87186 720 629 $3K
85027 1,981 1,783 $2K
80061 Lipid panel 2,973 2,654 $2K
87510 652 577 $2K
87480 654 580 $2K
80048 Basic metabolic panel (calcium, ionized) 696 601 $2K
82607 862 835 $2K
73564 145 132 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,327 1,161 $1K
77063 Screening digital breast tomosynthesis, bilateral 448 432 $1K
86850 1,066 932 $1K
87340 676 606 $1K
83036 Hemoglobin; glycosylated (A1C) 1,517 1,407 $1K
85610 1,000 667 $1K
80305 539 404 $1K
74018 118 113 $990.08
84439 831 756 $925.01
84702 259 183 $923.51
72100 74 69 $827.69
G0103 Prostate cancer screening; prostate specific antigen test (psa) 112 109 $761.53
86787 266 238 $730.14
86901 1,046 916 $719.85
81001 1,669 1,232 $699.48
83970 57 38 $668.20
86762 586 521 $662.45
86038 167 152 $610.45
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 45 43 $538.55
86803 153 126 $508.02
82950 602 542 $487.09
73030 40 38 $479.74
86900 1,050 919 $478.59
82570 635 565 $471.25
84466 303 254 $425.38
87660 652 577 $420.01
81003 1,016 790 $418.50
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 163 157 $402.72
87070 223 206 $345.99
86140 572 446 $323.63
80069 140 110 $321.72
84403 26 25 $260.72
85651 597 512 $260.40
87147 463 418 $242.09
86003 13 12 $205.57
87807 78 74 $177.66
82728 250 195 $164.54
85730 130 106 $164.09
80306 38 35 $157.52
82043 388 362 $145.26
84550 235 191 $142.11
83540 303 254 $125.45
81025 271 252 $122.59
83735 145 123 $105.59
86431 87 86 $95.29
83655 12 12 $69.48
82247 23 12 $61.51
82784 26 25 $53.11
82785 59 50 $52.45
83690 69 53 $52.32
86738 12 12 $49.81
84156 125 97 $33.62
82248 19 12 $29.73
84481 46 42 $29.72
84146 13 12 $19.95
86308 14 13 $18.69
82550 16 12 $2.96