Medicaid Provider Spending

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

ST FRANCIS PHYSICIAN SERVICES INC

NPI: 1073770624 · GREENVILLE, SC 29607 · Clinical Cardiac Electrophysiology Physician · NPI assigned 05/21/2008

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

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

$175K
Total Medicaid Paid
7,660
Total Claims
7,193
Beneficiaries
16
Codes Billed
2018-01
First Month
2022-05
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationST FRANCIS PHYSICIAN SERVICES INC
NPI Enumeration Date05/21/2008

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
ST. FRANCIS PHYSICIAN SERVICES INC GREER SC $315K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,178 $40K
2019 2,282 $38K
2020 856 $28K
2021 1,569 $43K
2022 775 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,568 4,280 $155K
93000 958 907 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 53 51 $5K
99215 Prolong outpt/office vis 151 138 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 138 133 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $1K
93296 13 13 $112.45
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 758 708 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 99 95 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 18 17 $0.00
G8432 Depression screening not documented, reason not given 205 190 $0.00
3017F 210 198 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 194 182 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 168 157 $0.00
1101F 37 37 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 78 75 $0.00