Saint Francis Physician Network, LLC
Saint Francis Physician Network, LLC was paid $3.33M by Medicaid between Feb 2018 and Dec 2024, across 89 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
COVINGTON, TN 38019
Next to other Family Medicine Physician providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,818 | $165K | |
| 2019 | 22,740 | $362K | |
| 2020 | 16,588 | $376K | |
| 2021 | 89,568 | $690K | |
| 2022 | 118,956 | $690K | |
| 2023 | 108,729 | $632K | |
| 2024incomplete | 62,140 | $418K |
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 | 39% | 40,570 | 28,418 | $1.30M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 24,585 | 18,735 | $651K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 34,905 | 9,460 | $397K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.1% | 9,498 | 7,195 | $236K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.1% | 38,114 | 28,045 | $102K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 2.8% | 74 | 57 | $94K |
| 76830 | Ultrasound, transvaginal | 2.0% | 888 | 748 | $66K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.6% | 1,502 | 1,078 | $55K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 2,092 | 1,538 | $46K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 585 | 489 | $36K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 607 | 515 | $36K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 307 | 266 | $30K |
77 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 688 | $28K |
| 93000 | <1% | 4,130 | $25K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,672 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,928 | $19K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 596 | $19K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 551 | $18K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 194 | $14K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,137 | $14K |
| 81025 | <1% | 1,880 | $9K | |
| 99385 | <1% | 100 | $8K | |
| 99221 | <1% | 532 | $8K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 129 | $8K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 126 | $7K |
| 93970 | <1% | 749 | $7K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 223 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 601 | $6K |
| 93880 | <1% | 732 | $6K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,269 | $5K |
| 93015 | <1% | 223 | $5K | |
| 93016 | <1% | 780 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 278 | $4K |
| 93971 | <1% | 623 | $4K | |
| 93018 | <1% | 778 | $4K | |
| 93458 | <1% | 48 | $3K | |
| 3074F | <1% | 22,463 | $3K | |
| 81003 | <1% | 1,918 | $3K | |
| 90715 | <1% | 57 | $2K | |
| 27096 | <1% | 61 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 143 | $2K |
| 1160F | <1% | 39,202 | $2K | |
| 81002 | <1% | 949 | $2K | |
| 3078F | <1% | 17,683 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 199 | $2K |
| 3079F | <1% | 7,939 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 54 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 275 | $1K |
| 82962 | <1% | 1,419 | $1K | |
| 99443 | <1% | 38 | $1K | |
| 94010 | <1% | 135 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 402 | $1K |
| 90686 | <1% | 211 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 87 | $857.60 |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 16 | $792.44 |
| 99205 | Prolong outpt/office vis | <1% | 33 | $772.11 |
| 99442 | <1% | 28 | $563.29 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $445.09 |
| 96127 | <1% | 111 | $426.98 | |
| 93923 | <1% | 21 | $340.31 | |
| 3075F | <1% | 1,799 | $319.48 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 17 | $264.96 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 253 | $236.83 |
| 90756 | <1% | 56 | $230.04 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 480 | $228.25 |
| 3077F | <1% | 1,232 | $200.00 | |
| 93248 | <1% | 15 | $177.19 | |
| 93925 | <1% | 27 | $167.17 | |
| 93308 | <1% | 13 | $155.54 | |
| 3008F | <1% | 43,613 | $130.60 | |
| 90656 | <1% | 19 | $91.75 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 440 | $86.49 |
| 3080F | <1% | 115 | $60.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 57 | $55.34 |
| 82570 | <1% | 13 | $37.79 | |
| 82043 | <1% | 13 | $22.64 | |
| 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% | 53 | $15.38 |
| G0008 | Administration of influenza virus vaccine | <1% | 100 | $3.13 |
| 1159F | <1% | 33,071 | $0.07 | |
| 1036F | <1% | 36,182 | $0.04 | |
| 3725F | <1% | 33,653 | $0.04 | |
| 1034F | 0% | 1,591 | $0.00 | |
| 1126F | 0% | 588 | $0.00 | |
| 3044F | 0% | 491 | $0.00 | |
| 0503F | 0% | 59 | $0.00 | |
| 1125F | 0% | 53 | $0.00 | |
| 1035F | 0% | 16 | $0.00 | |
| 0500F | 0% | 28 | $0.00 | |
| 0502F | 0% | 5,338 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.