Behavioral
Saint Francis Medical Center
Saint Francis Medical Center was paid $530K by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is 87636, Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B — 23% of everything it billed.
33Billing provider infoSAINT FRANCIS MEDICAL CENTER
SIKESTON, MO 63801
SIKESTON, MO 63801
33aNPI1013485572assigned 11/02/2018
33bProvider typePsychologist
28Total paid$530K
24GClaims19,636
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychologist providers in Missouri
Rank by total paid#6 of 53
Median peer was paid$16K
This provider vs. median34×
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 DAVISON, JUSTIN controls 19+ 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 | 2,142 | $49K | |
| 2019 | 3,087 | $67K | |
| 2020 | 2,887 | $55K | |
| 2021 | 3,549 | $56K | |
| 2022 | 3,962 | $169K | |
| 2023 | 3,857 | $127K | |
| 2024incomplete | 152 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 23% | 766 | 761 | $123K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 12% | 1,086 | 1,076 | $65K |
| 87631 | 12% | 479 | 472 | $63K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 8.0% | 469 | 459 | $42K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.1% | 942 | 931 | $32K |
| 85027 | 4.5% | 3,838 | 3,810 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.5% | 1,234 | 1,207 | $19K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 3.2% | 78 | 73 | $17K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.9% | 646 | 617 | $15K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 2.9% | 275 | 262 | $15K |
| 80053 | Comprehensive metabolic panel | 2.8% | 1,633 | 1,581 | $15K |
| 83655 | 2.2% | 1,041 | 1,038 | $12K |
29 more codes
| 84443 | Thyroid stimulating hormone (TSH) | 1.8% | 655 | $10K |
| 71046 | Radiologic examination, chest; 2 views | 1.7% | 388 | $9K |
| 81001 | 1.6% | 2,742 | $8K | |
| 90961 | 1.3% | 151 | $7K | |
| 99460 | 1.1% | 68 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.0% | 261 | $5K |
| 80061 | Lipid panel | <1% | 440 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 95 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 671 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 110 | $4K |
| 87400 | <1% | 152 | $4K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 138 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 335 | $3K |
| 84439 | <1% | 250 | $2K | |
| 92136 | <1% | 106 | $2K | |
| 11721 | <1% | 130 | $1K | |
| 82728 | <1% | 115 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 97 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 69 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 27 | $827.45 |
| 0072A | <1% | 12 | $480.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 30 | $375.04 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $321.84 |
| 73630 | <1% | 15 | $192.38 | |
| 80069 | <1% | 15 | $125.55 | |
| 82570 | <1% | 12 | $60.32 | |
| 81003 | <1% | 27 | $58.03 | |
| 84156 | <1% | 12 | $43.44 |
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 officialDAVISON, JUSTIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Saint Francis Medical Center | Cape Girardeau, MO | $56.42M |
| Saint Francis Medical Center | Poplar Bluff, MO | $7.48M |
| Saint Francis Medical Center | Sikeston, MO | $4.71M |
| Saint Francis Medical Center | Cape Girardeau, MO | $2.14M |
| Saint Francis Medical Center | Piedmont, MO | $2.10M |
| Saint Francis Medical Center | Dexter, MO | $1.08M |
| Saint Francis Medical Center | East Prairie, MO | $1.08M |
| Saint Francis Medical Center | Poplar Bluff, MO | $961K |
| Saint Francis Medical Center | Poplar Bluff, MO | $903K |
| Saint Francis Medical Center | Charleston, MO | $484K |
| Saint Francis Medical Center | Jackson, MO | $311K |
| Saint Francis Medical Center | Scott City, MO | $288K |
| Saint Francis Medical Center | Jackson, MO | $177K |
| Saint Francis Medical Center | Cape Girardeau, MO | $106K |
| Saint Francis Medical Center | Dexter, MO | $56K |
| Saint Francis Medical Center | Jackson, MO | $37K |
| Saint Francis Medical Center | Charleston, MO | $17K |
| Saint Francis Medical Center | East Prairie, MO | $14K |
| Saint Francis Medical Center | Scott City, MO | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.