Hospital
ST Mary Medical Center
ST Mary Medical Center was paid $931K by Medicaid between Jan 2018 and Jun 2020, across 87 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 59% of everything it billed.
33Billing provider infoST MARY MEDICAL CENTER
GALESBURG, IL 61401
GALESBURG, IL 61401
33aNPI1952312191assigned 08/11/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$931K
24GClaims69,996
24DCodes billed87
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other General Acute Care Hospital providers in Illinois
Rank by total paid#50 of 129
Median peer was paid$547K
This provider vs. median1.7×
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.
Entity ProliferationAuthorized official SEHRING, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 16,170 | $271K | |
| 2019 | 35,716 | $489K | |
| 2020 | 18,110 | $171K |
Box 24 · Service lines
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 | 59% | 6,093 | 1,615 | $549K |
| 97161 | 11% | 994 | 743 | $103K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 3.6% | 1,279 | 1,142 | $33K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 3.0% | 961 | 148 | $28K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.7% | 473 | 458 | $25K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.5% | 4,196 | 3,737 | $23K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.8% | 1,477 | 1,325 | $17K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.7% | 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 | 1.7% | 321 | 137 | $15K |
| 80053 | Comprehensive metabolic panel | 1.6% | 6,792 | 5,943 | $15K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 856 | 510 | $9K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 2,812 | 2,280 | $8K |
75 more codes
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 280 | $7K |
| 87081 | <1% | 3,121 | $7K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 919 | $7K |
| 97162 | <1% | 60 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,508 | $5K |
| 94060 | <1% | 127 | $5K | |
| 81511 | <1% | 71 | $4K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 361 | $3K |
| 86780 | <1% | 1,097 | $3K | |
| 73630 | <1% | 229 | $3K | |
| 87186 | <1% | 720 | $3K | |
| 85027 | <1% | 1,981 | $2K | |
| 80061 | Lipid panel | <1% | 2,973 | $2K |
| 87510 | <1% | 652 | $2K | |
| 87480 | <1% | 654 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 696 | $2K |
| 82607 | <1% | 862 | $2K | |
| 73564 | <1% | 145 | $2K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,327 | $1K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 448 | $1K |
| 86850 | <1% | 1,066 | $1K | |
| 87340 | <1% | 676 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,517 | $1K |
| 85610 | <1% | 1,000 | $1K | |
| 80305 | <1% | 539 | $1K | |
| 74018 | <1% | 118 | $990.08 | |
| 84439 | <1% | 831 | $925.01 | |
| 84702 | <1% | 259 | $923.51 | |
| 72100 | <1% | 74 | $827.69 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 112 | $761.53 |
| 86787 | <1% | 266 | $730.14 | |
| 86901 | <1% | 1,046 | $719.85 | |
| 81001 | <1% | 1,669 | $699.48 | |
| 83970 | <1% | 57 | $668.20 | |
| 86762 | <1% | 586 | $662.45 | |
| 86038 | <1% | 167 | $610.45 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 45 | $538.55 |
| 86803 | <1% | 153 | $508.02 | |
| 82950 | <1% | 602 | $487.09 | |
| 73030 | <1% | 40 | $479.74 | |
| 86900 | <1% | 1,050 | $478.59 | |
| 82570 | <1% | 635 | $471.25 | |
| 84466 | <1% | 303 | $425.38 | |
| 87660 | <1% | 652 | $420.01 | |
| 81003 | <1% | 1,016 | $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 | <1% | 163 | $402.72 |
| 87070 | <1% | 223 | $345.99 | |
| 86140 | <1% | 572 | $323.63 | |
| 80069 | <1% | 140 | $321.72 | |
| 84403 | <1% | 26 | $260.72 | |
| 85651 | <1% | 597 | $260.40 | |
| 87147 | <1% | 463 | $242.09 | |
| 86003 | <1% | 13 | $205.57 | |
| 87807 | <1% | 78 | $177.66 | |
| 82728 | <1% | 250 | $164.54 | |
| 85730 | <1% | 130 | $164.09 | |
| 80306 | <1% | 38 | $157.52 | |
| 82043 | <1% | 388 | $145.26 | |
| 84550 | <1% | 235 | $142.11 | |
| 83540 | <1% | 303 | $125.45 | |
| 81025 | <1% | 271 | $122.59 | |
| 83735 | <1% | 145 | $105.59 | |
| 86431 | <1% | 87 | $95.29 | |
| 83655 | <1% | 12 | $69.48 | |
| 82247 | <1% | 23 | $61.51 | |
| 82784 | <1% | 26 | $53.11 | |
| 82785 | <1% | 59 | $52.45 | |
| 83690 | <1% | 69 | $52.32 | |
| 86738 | <1% | 12 | $49.81 | |
| 84156 | <1% | 125 | $33.62 | |
| 82248 | <1% | 19 | $29.73 | |
| 84481 | <1% | 46 | $29.72 | |
| 84146 | <1% | 13 | $19.95 | |
| 86308 | <1% | 14 | $18.69 | |
| 82550 | <1% | 16 | $2.96 |
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.
From NPPES
Who's on the registration
Authorized officialSEHRING, ROBERT (CEO)
Parent organizationOSF HEALTHCARE SYSTEM
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.