Medicaid Provider Spending

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

ST FRANCIS PHYSICIAN SERVICES INC

NPI: 1275618175 · GREENVILLE, SC 29601 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 10/26/2006

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

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

$68K
Total Medicaid Paid
3,019
Total Claims
2,338
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationST FRANCIS PHYSICIAN SERVICES INC
NPI Enumeration Date10/26/2006

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 1,262 $27K
2019 996 $18K
2020 306 $9K
2021 325 $9K
2022 130 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 1,247 622 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,195 1,162 $33K
94010 38 38 $427.05
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $141.61
3017F 88 84 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 71 68 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 44 40 $0.00
G8432 Depression screening not documented, reason not given 69 67 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 213 206 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 42 39 $0.00