Physician
ST. Francis Hospital INC.
ST. Francis Hospital INC. was paid $1.94M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoST. FRANCIS HOSPITAL INC.
WILMINGTON, DE 19805
WILMINGTON, DE 19805
33aNPI1275697088assigned 12/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.94M
24GClaims83,384
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Delaware
Rank by total paid#7 of 97
Median peer was paid$101K
This provider vs. median19×
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 CUMMINGS, KIMBERLY controls 20+ related entities in our dataset. Read more
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 | 11,662 | $31K | |
| 2019 | 13,901 | $158K | |
| 2020 | 13,646 | $403K | |
| 2021 | 14,936 | $481K | |
| 2022 | 10,069 | $378K | |
| 2023 | 11,438 | $306K | |
| 2024incomplete | 7,732 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 20,706 | 16,128 | $665K |
| 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 | 29% | 11,228 | 8,778 | $567K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 3,343 | 2,310 | $146K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 1,296 | 1,068 | $74K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 2,207 | 686 | $54K |
| 99442 | 2.5% | 1,316 | 995 | $49K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 832 | 693 | $45K |
| 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 | 2.2% | 541 | 387 | $43K |
| 90686 | 1.5% | 3,048 | 2,518 | $29K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 455 | 363 | $29K |
| 99441 | 1.3% | 1,008 | 797 | $25K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.2% | 599 | 318 | $24K |
75 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,756 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 433 | $16K |
| 90670 | <1% | 1,627 | $16K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 400 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 265 | $14K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 590 | $13K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 217 | $9K |
| 90677 | <1% | 280 | $9K | |
| 90680 | <1% | 681 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 409 | $7K |
| 90648 | <1% | 722 | $7K | |
| 92551 | <1% | 1,165 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,216 | $5K |
| 90723 | <1% | 493 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 652 | $4K |
| 90697 | <1% | 71 | $4K | |
| 81002 | <1% | 2,928 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | $3K |
| 81025 | <1% | 755 | $3K | |
| 99443 | <1% | 170 | $2K | |
| 0012A | <1% | 201 | $2K | |
| 90656 | <1% | 134 | $2K | |
| 90633 | <1% | 211 | $2K | |
| 0004A | <1% | 105 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 22 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 138 | $2K |
| 99460 | <1% | 91 | $2K | |
| 90651 | <1% | 148 | $2K | |
| 90715 | <1% | 102 | $2K | |
| 99173 | <1% | 980 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 39 | $1K |
| 0001A | <1% | 83 | $971.20 | |
| 0011A | <1% | 219 | $840.00 | |
| 90732 | <1% | 27 | $696.12 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 84 | $649.03 |
| 90734 | <1% | 87 | $640.03 | |
| 0002A | <1% | 39 | $485.60 | |
| 90716 | <1% | 37 | $463.47 | |
| 93000 | <1% | 67 | $459.03 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,398 | $458.35 |
| 90698 | <1% | 43 | $441.40 | |
| 81000 | <1% | 289 | $421.01 | |
| 86580 | <1% | 137 | $415.27 | |
| 90688 | <1% | 77 | $307.56 | |
| 0124A | <1% | 19 | $280.00 | |
| 90707 | <1% | 20 | $220.70 | |
| 90681 | <1% | 101 | $198.63 | |
| 90658 | <1% | 304 | $195.12 | |
| 90662 | <1% | 70 | $162.70 | |
| 83655 | <1% | 22 | $99.70 | |
| 99462 | <1% | 19 | $85.36 | |
| 99219 | <1% | 13 | $28.04 | |
| G0008 | Administration of influenza virus vaccine | <1% | 107 | $20.00 |
| 96161 | <1% | 30 | $8.76 | |
| 91312 | <1% | 18 | $0.01 | |
| 3079F | 0% | 451 | $0.00 | |
| 3008F | 0% | 679 | $0.00 | |
| 3044F | 0% | 313 | $0.00 | |
| 91301 | 0% | 149 | $0.00 | |
| 3074F | 0% | 1,241 | $0.00 | |
| 3075F | 0% | 263 | $0.00 | |
| 3080F | 0% | 145 | $0.00 | |
| 90657 | 0% | 27 | $0.00 | |
| 90474 | 0% | 63 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,628 | $0.00 |
| 91300 | 0% | 239 | $0.00 | |
| 90461 | 0% | 1,052 | $0.00 | |
| 3078F | 0% | 1,102 | $0.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 118 | $0.00 |
| 3077F | 0% | 187 | $0.00 | |
| A0425 | Ground mileage, per statute mile | 0% | 1,467 | $0.00 |
| 3725F | 0% | 853 | $0.00 | |
| A0429 | Emergency ambulance ride, basic life support | 0% | 1,451 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $0.00 |
| 90685 | 0% | 13 | $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 officialCUMMINGS, KIMBERLY (VP, FINANCE AND CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.