Saint Anthony Medical Center
Saint Anthony Medical Center was paid $1.95M by Medicaid between Jan 2018 and Jun 2020, across 98 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 65% of everything it billed.
ROCKFORD, IL 61108
Next to other General Acute Care Hospital providers in Illinois
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 26,744 | $623K | |
| 2019 | 52,144 | $998K | |
| 2020 | 16,677 | $327K |
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 | 65% | 12,793 | 3,075 | $1.28M |
| 97161 | 7.9% | 1,372 | 855 | $153K | |
| 97162 | 4.7% | 830 | 602 | $92K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.2% | 813 | 722 | $43K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1.8% | 1,129 | 948 | $35K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.8% | 5,739 | 5,109 | $35K |
| 80053 | Comprehensive metabolic panel | 1.6% | 9,324 | 7,982 | $32K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.5% | 1,338 | 1,113 | $29K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.3% | 1,492 | 1,265 | $26K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.3% | 1,495 | 1,265 | $25K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 9,487 | 7,641 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 724 | 640 | $10K |
86 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,144 | $10K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 2,808 | $10K |
| 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% | 140 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,377 | $9K |
| 80061 | Lipid panel | <1% | 4,532 | $8K |
| 81511 | <1% | 152 | $7K | |
| 86780 | <1% | 1,001 | $6K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 743 | $6K |
| 87081 | <1% | 2,834 | $6K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,739 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,843 | $5K |
| 73630 | <1% | 386 | $5K | |
| 72100 | <1% | 369 | $4K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,600 | $4K |
| 82607 | <1% | 970 | $4K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 205 | $4K |
| 84439 | <1% | 1,598 | $4K | |
| 87186 | <1% | 714 | $3K | |
| 86803 | <1% | 617 | $3K | |
| 87480 | <1% | 965 | $3K | |
| 73610 | <1% | 188 | $3K | |
| 87510 | <1% | 969 | $3K | |
| 73030 | <1% | 198 | $2K | |
| 86003 | <1% | 185 | $2K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 100 | $2K |
| 85610 | <1% | 1,487 | $2K | |
| 85027 | <1% | 1,543 | $2K | |
| 87340 | <1% | 537 | $2K | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 296 | $2K |
| 83655 | <1% | 366 | $2K | |
| 74018 | <1% | 208 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 176 | $2K |
| 84466 | <1% | 625 | $2K | |
| 84702 | <1% | 460 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 175 | $1K |
| 82728 | <1% | 731 | $1K | |
| 86850 | <1% | 949 | $1K | |
| 81001 | <1% | 1,590 | $1K | |
| 82570 | <1% | 871 | $1K | |
| 86038 | <1% | 192 | $1K | |
| 87088 | <1% | 314 | $1K | |
| 83540 | <1% | 658 | $1K | |
| 87660 | <1% | 969 | $1K | |
| 73110 | <1% | 79 | $1K | |
| 86901 | <1% | 952 | $1K | |
| 82746 | <1% | 311 | $972.52 | |
| 82043 | <1% | 783 | $929.22 | |
| 73562 | <1% | 73 | $892.58 | |
| 83970 | <1% | 65 | $884.72 | |
| 84403 | <1% | 72 | $878.66 | |
| 83001 | <1% | 114 | $790.73 | |
| 73564 | <1% | 56 | $777.20 | |
| 83735 | <1% | 372 | $746.95 | |
| 86900 | <1% | 962 | $745.85 | |
| 81003 | <1% | 1,052 | $740.06 | |
| 86762 | <1% | 326 | $726.59 | |
| 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% | 234 | $680.79 |
| 84146 | <1% | 139 | $622.04 | |
| 72040 | <1% | 69 | $615.56 | |
| 85652 | <1% | 853 | $564.91 | |
| 80076 | <1% | 188 | $542.53 | |
| 86140 | <1% | 301 | $353.15 | |
| 70360 | <1% | 54 | $351.70 | |
| 73130 | <1% | 47 | $345.23 | |
| 82950 | <1% | 311 | $336.62 | |
| 80164 | <1% | 81 | $275.64 | |
| 73502 | <1% | 15 | $273.63 | |
| 82550 | <1% | 150 | $252.20 | |
| 87899 | <1% | 12 | $173.91 | |
| 82784 | <1% | 14 | $165.54 | |
| 84144 | <1% | 43 | $163.32 | |
| 86431 | <1% | 97 | $148.08 | |
| 81025 | <1% | 172 | $122.76 | |
| 83615 | <1% | 72 | $118.24 | |
| 84550 | <1% | 64 | $94.64 | |
| 83690 | <1% | 51 | $88.29 | |
| 87807 | <1% | 28 | $78.76 | |
| 84480 | <1% | 29 | $77.85 | |
| 82785 | <1% | 33 | $77.19 | |
| 87045 | <1% | 12 | $53.82 | |
| 85018 | <1% | 94 | $48.66 | |
| 86695 | <1% | 12 | $40.09 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 52 | $35.91 |
| 84481 | <1% | 13 | $24.88 | |
| 87046 | <1% | 12 | $10.53 | |
| 85014 | <1% | 36 | $5.65 |
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.
Who's on the registration
| 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 |
| 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 |
| Mendota Community Hospital | Mendota, IL | $359K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.