Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

ST Francis Physician Services INC

ST Francis Physician Services INC was paid $78K by Medicaid between Jan 2018 and Sep 2020, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoST FRANCIS PHYSICIAN SERVICES INC
GREENVILLE, SC 29605
33aNPI1124357876assigned 12/09/2009
28Total paid$78K
24GClaims6,072
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers

Next to other Internal Medicine Physician providers in South Carolina

Rank by total paid#90 of 273
Median peer was paid$19K
This provider vs. median4.1×

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 GAY, WILBUR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20182,504$26K
20193,210$34K
2020358$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 55% 880 793 $43K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45% 1,227 968 $35K
G8752 Most recent systolic blood pressure < 140 mmhg 0% 306 271 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 687 587 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 79 69 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 429 366 $0.00
2022F 0% 115 100 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 77 64 $0.00
1090F 0% 124 99 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 0% 37 29 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 431 367 $0.00
3017F 0% 368 313 $0.00
7 more codes
1101F 0% 319 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 363 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 383 $0.00
G8432 Depression screening not documented, reason not given 0% 45 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 154 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 32 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 16 $0.00

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 officialGAY, WILBUR (CFO)
Parent organizationST FRANCIS PHYSICIAN SERVICES INC
Same official

Other billing entities under GAY, WILBUR

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.