Medicaid Provider Spending

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

ST. FRANCIS PHYSICIAN SERVICES INC

NPI: 1013293604 · GREER, SC 29650 · Family Medicine Physician · NPI assigned 10/26/2011

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

Authorized official GAY, WILBUR controls 20+ related entities in our dataset. Read more

$315K
Total Medicaid Paid
7,634
Total Claims
6,788
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationST. FRANCIS PHYSICIAN SERVICES INC.
NPI Enumeration Date10/26/2011

Related Entities

Other providers sharing the same authorized official: GAY, WILBUR

ProviderCityStateTotal Paid
ST FRANCIS PHYSICIAN SERVICES INC MAULDIN SC $3.30M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC GLEN ALLEN VA $2.62M
BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC $2.14M
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $874K
MARYVIEW HOSPITAL LLC CHESAPEAKE VA $690K
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $658K
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $631K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $532K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $471K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC KING WILLIAM VA $448K
MARYVIEW HOSPITAL LLC SUFFOLK VA $445K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC EASLEY SC $363K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $320K
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC WARREN OH $302K
MARYVIEW HOSPITAL LLC SUFFOLK VA $264K
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $216K
ST FRANCIS PHYSICIAN SERVICES INC SIMPSONVILLE SC $192K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $190K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,615 $48K
2019 1,946 $46K
2020 744 $40K
2021 919 $51K
2022 932 $51K
2023 789 $44K
2024 689 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,549 4,151 $241K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,617 1,406 $74K
1090F 14 14 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 102 79 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 176 155 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 400 338 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 33 25 $0.00
2022F 16 14 $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) 31 25 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 248 215 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 128 105 $0.00
1101F 30 24 $0.00
3017F 203 161 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 30 24 $0.00
G8432 Depression screening not documented, reason not given 44 39 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00