Medicaid Provider Spending

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

ST FRANCIS PHYSICIAN SERVICES INC

NPI: 1124357876 · GREENVILLE, SC 29605 · Internal Medicine Physician · NPI assigned 12/09/2009

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

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

$78K
Total Medicaid Paid
6,072
Total Claims
5,146
Beneficiaries
19
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationST FRANCIS PHYSICIAN SERVICES INC
NPI Enumeration Date12/09/2009

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 2,504 $26K
2019 3,210 $34K
2020 358 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 880 793 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,227 968 $35K
G8752 Most recent systolic blood pressure < 140 mmhg 306 271 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 687 587 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 79 69 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 429 366 $0.00
2022F 115 100 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 77 64 $0.00
1090F 124 99 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 37 29 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 431 367 $0.00
3017F 368 313 $0.00
1101F 319 274 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 363 315 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 383 323 $0.00
G8432 Depression screening not documented, reason not given 45 42 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 154 123 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 32 28 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 16 15 $0.00