Physician
ST Francis Medical Group LLC
ST Francis Medical Group LLC was paid $8.45M by Medicaid between Jan 2018 and Dec 2024, across 131 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoST FRANCIS MEDICAL GROUP LLC
MONROE, LA 71201
MONROE, LA 71201
33aNPI1134405087assigned 10/24/2011
33bProvider typeInternal Medicine Physician
28Total paid$8.45M
24GClaims308,054
24DCodes billed131
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Louisiana
Rank by total paid#4 of 290
Median peer was paid$27K
This provider vs. median316×
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.
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 | 27,136 | $733K | |
| 2019 | 27,854 | $737K | |
| 2020 | 28,860 | $681K | |
| 2021 | 40,403 | $729K | |
| 2022 | 60,528 | $1.66M | |
| 2023 | 59,330 | $2.01M | |
| 2024incomplete | 63,943 | $1.90M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 21% | 46,578 | 38,889 | $1.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 47,697 | 39,142 | $1.30M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 61,840 | 22,053 | $1.25M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 8.8% | 1,360 | 1,238 | $742K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.2% | 5,541 | 4,910 | $355K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.6% | 3,662 | 1,766 | $305K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.6% | 10,469 | 3,856 | $303K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.2% | 6,729 | 5,578 | $272K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 2,837 | 2,551 | $181K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.1% | 5,116 | 2,279 | $177K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9% | 5,381 | 5,010 | $163K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 2,968 | 2,557 | $158K |
119 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 1.8% | 3,779 | $154K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.6% | 1,832 | $134K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.4% | 2,412 | $121K |
| 76801 | 1.1% | 2,126 | $96K | |
| 95951 | <1% | 374 | $77K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,414 | $70K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,716 | $64K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,798 | $59K |
| 54150 | <1% | 475 | $57K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,834 | $54K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 14,149 | $53K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,069 | $52K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,625 | $43K |
| 95886 | <1% | 540 | $41K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,101 | $37K |
| 59514 | <1% | 78 | $36K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 447 | $28K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 315 | $22K |
| 0002A | <1% | 1,067 | $19K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,953 | $19K |
| 0001A | <1% | 1,075 | $18K | |
| 95819 | <1% | 319 | $17K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,152 | $17K |
| 95718 | <1% | 181 | $15K | |
| 76818 | <1% | 271 | $13K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,814 | $13K |
| 95913 | <1% | 73 | $12K | |
| 99219 | <1% | 262 | $10K | |
| 87428 | <1% | 546 | $9K | |
| 99221 | <1% | 304 | $9K | |
| 96161 | <1% | 1,140 | $8K | |
| 92928 | <1% | 33 | $7K | |
| 92551 | <1% | 866 | $7K | |
| 93000 | <1% | 936 | $6K | |
| 95909 | <1% | 85 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 133 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 75 | $5K |
| 90686 | <1% | 2,131 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 357 | $4K |
| 59025 | Fetal non-stress test | <1% | 338 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 447 | $4K |
| 93015 | <1% | 116 | $4K | |
| 95911 | <1% | 29 | $4K | |
| 99381 | <1% | 73 | $3K | |
| 0004A | <1% | 197 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 3,383 | $3K |
| 90682 | <1% | 92 | $3K | |
| 11721 | <1% | 478 | $3K | |
| 90473 | <1% | 281 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 676 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 168 | $2K |
| 81002 | <1% | 5,677 | $2K | |
| 93454 | <1% | 13 | $2K | |
| 0003A | <1% | 154 | $2K | |
| 95713 | <1% | 17 | $2K | |
| 87807 | <1% | 196 | $2K | |
| 98960 | <1% | 629 | $2K | |
| 99225 | <1% | 62 | $1K | |
| 81025 | <1% | 369 | $1K | |
| 99173 | <1% | 1,030 | $1K | |
| 85018 | <1% | 865 | $1K | |
| 90474 | <1% | 193 | $1K | |
| 95910 | <1% | 13 | $1K | |
| 95953 | <1% | 23 | $1K | |
| 99051 | <1% | 140 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 232 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 69 | $1K |
| 95816 | <1% | 25 | $1K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 640 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $933.10 |
| 69210 | <1% | 38 | $888.16 | |
| 82962 | <1% | 855 | $876.30 | |
| 0071A | <1% | 23 | $841.80 | |
| 95251 | <1% | 55 | $807.88 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 450 | $670.88 |
| 0072A | <1% | 16 | $641.66 | |
| 76820 | <1% | 17 | $592.06 | |
| 92250 | <1% | 51 | $588.98 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 28 | $543.30 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,065 | $515.50 |
| 94010 | <1% | 120 | $397.54 | |
| 99152 | <1% | 126 | $339.04 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 31 | $331.51 |
| 99442 | <1% | 326 | $237.70 | |
| 93244 | <1% | 13 | $235.43 | |
| 90688 | <1% | 17 | $232.03 | |
| 90673 | <1% | 51 | $185.48 | |
| 80061 | Lipid panel | <1% | 32 | $179.04 |
| 93016 | <1% | 13 | $168.70 | |
| 96380 | <1% | 19 | $166.75 | |
| 99441 | <1% | 198 | $134.71 | |
| 93242 | <1% | 13 | $132.08 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $129.28 |
| 93018 | <1% | 13 | $111.80 | |
| 80305 | <1% | 24 | $78.54 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 265 | $76.66 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 13 | $69.37 |
| 90670 | <1% | 2,179 | $68.75 | |
| 86308 | <1% | 19 | $61.80 | |
| 94760 | <1% | 203 | $51.86 | |
| 90680 | <1% | 1,324 | $38.75 | |
| 90723 | <1% | 1,420 | $37.25 | |
| 91300 | <1% | 1,155 | $37.08 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 19 | $31.59 |
| 36415 | Collection of venous blood by venipuncture | <1% | 33 | $25.80 |
| 99406 | <1% | 31 | $14.63 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 60 | $13.67 |
| 90647 | <1% | 1,307 | $12.25 | |
| 90633 | <1% | 406 | $0.01 | |
| 99072 | 0% | 11,877 | $0.00 | |
| 90685 | 0% | 343 | $0.00 | |
| 90671 | 0% | 17 | $0.00 | |
| 90662 | 0% | 87 | $0.00 | |
| 99024 | 0% | 2,325 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 300 | $0.00 |
| 90656 | 0% | 302 | $0.00 | |
| 90697 | 0% | 17 | $0.00 | |
| 91307 | 0% | 55 | $0.00 | |
| 0503F | 0% | 17 | $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 officialHOGAN, RONALD (SR. VICE PRESIDENT & CFO)
Parent organizationST FRANCIS MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| ST Francis Medical Center, INC | Monroe, LA | $27.12M |
| ST Francis Medical Center, INC | Monroe, LA | $727K |
| ST. Francis School Based Health | Monroe, LA | $14K |
| SFMC Hospitalist | Monroe, LA | $2K |
| ST Francis Medical Center, INC | Monroe, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.