Behavioral
Saint Francis Medical Center
Saint Francis Medical Center was paid $106K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 87428, — 46% of everything it billed.
33Billing provider infoSAINT FRANCIS MEDICAL CENTER
CAPE GIRARDEAU, MO 63701
CAPE GIRARDEAU, MO 63701
33aNPI1063945293assigned 04/05/2017
33bProvider typeClinical Social Worker
28Total paid$106K
24GClaims4,606
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Social Worker providers in Missouri
Rank by total paid#41 of 259
Median peer was paid$10K
This provider vs. median10×
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 | 162 | $2K | |
| 2019 | 251 | $5K | |
| 2020 | 204 | $4K | |
| 2021 | 202 | $4K | |
| 2022 | 733 | $17K | |
| 2023 | 1,592 | $35K | |
| 2024incomplete | 1,462 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87428 | 46% | 1,191 | 1,187 | $49K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 41% | 2,767 | 2,738 | $43K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 12% | 426 | 422 | $13K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 44 | 43 | $780.88 |
| 81003 | <1% | 159 | 149 | $343.62 | |
| 87807 | <1% | 19 | 19 | $253.11 |
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 | Sikeston, MO | $530K |
| 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 | 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.