Clinic
ST. Francis School Based Health
ST. Francis School Based Health was paid $14K by Medicaid between Jan 2018 and May 2018, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoST. FRANCIS SCHOOL BASED HEALTH
MONROE, LA 71201
MONROE, LA 71201
33aNPI1275712739assigned 10/31/2007
33bProvider typeClinic/Center
28Total paid$14K
24GClaims835
24DCodes billed14
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Clinic/Center providers in Louisiana
Rank by total paid#88 of 112
Median peer was paid$138K
This provider vs. median0.1×
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.
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 | 835 | $14K |
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 | 35% | 179 | 149 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 26% | 52 | 49 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 15% | 185 | 83 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 8.3% | 27 | 25 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.5% | 81 | 74 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 21 | 16 | $368.64 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 15 | 12 | $266.88 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 15 | 13 | $218.22 |
| 81002 | 1.2% | 105 | 97 | $159.75 | |
| 81025 | <1% | 28 | 27 | $100.90 | |
| 90686 | <1% | 40 | 36 | $13.10 | |
| 90651 | 0% | 14 | 14 | $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 AND CFO)
Parent organizationST. FRANCIS MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| ST Francis Medical Center, INC | Monroe, LA | $27.12M |
| ST Francis Medical Group LLC | Monroe, LA | $8.45M |
| ST Francis Medical Center, INC | Monroe, LA | $727K |
| 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.