Roper Saint Francis Physicians Network
Roper Saint Francis Physicians Network was paid $844K by Medicaid between Dec 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.
SUMMERVILLE, SC 29486
Next to other Gynecology Physician providers in South Carolina
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 | 144 | $4K | |
| 2019 | 2,834 | $105K | |
| 2020 | 3,447 | $139K | |
| 2021 | 4,282 | $163K | |
| 2022 | 2,774 | $163K | |
| 2023 | 2,019 | $131K | |
| 2024incomplete | 1,871 | $139K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 91% | 11,678 | 8,253 | $768K |
| 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 | 3.4% | 270 | 205 | $29K |
| 81002 | 1.9% | 4,743 | 3,117 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 309 | 237 | $12K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 70 | 64 | $7K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 35 | 28 | $3K |
| 76813 | <1% | 19 | 16 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | 14 | $2K |
| 59025 | Fetal non-stress test | <1% | 49 | 25 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 14 | 12 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 12 | 12 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 25 | 24 | $1K |
2 more codes
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.