Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

ST Francis Physician Services INC

ST Francis Physician Services INC was paid $192K by Medicaid between Jan 2018 and Jun 2020, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoST FRANCIS PHYSICIAN SERVICES INC
SIMPSONVILLE, SC 29680
33aNPI1013273747assigned 04/06/2012
28Total paid$192K
24GClaims5,398
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in South Carolina

Rank by total paid#54 of 206
Median peer was paid$10K
This provider vs. median19×

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 GAY, WILBUR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,209$96K
20191,870$77K
2020319$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85% 2,798 1,760 $164K
81002 3.5% 2,338 1,501 $7K
59430 3.2% 62 57 $6K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.7% 63 59 $5K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2.7% 52 44 $5K
76801 1.8% 38 34 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 12 $974.60
87210 <1% 35 34 $151.77

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 officialGAY, WILBUR (CFO)
Parent organizationST FRANCIS PHYSICIAN SERVICES INC
Same official

Other billing entities under GAY, WILBUR

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.