Roper Saint Francis Physicians Network
Roper Saint Francis Physicians Network was paid $543K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99238, Hospital discharge day management, 30 minutes or less — 35% of everything it billed.
CHARLESTONS, SC 29401
Next to other Neonatal-Perinatal Medicine Physician providers in South Carolina
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 | 794 | $44K | |
| 2019 | 752 | $51K | |
| 2020 | 2,148 | $161K | |
| 2021 | 2,209 | $164K | |
| 2022 | 1,488 | $105K | |
| 2023 | 293 | $10K | |
| 2024incomplete | 190 | $7K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99238 | Hospital discharge day management, 30 minutes or less | 35% | 3,116 | 2,815 | $192K |
| 99460 | 31% | 2,103 | 1,907 | $168K | |
| 54150 | 13% | 967 | 910 | $72K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.9% | 638 | 347 | $43K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 4.2% | 189 | 62 | $23K |
| 99462 | 3.8% | 616 | 521 | $21K | |
| 99222 | Initial hospital care, per day, moderate complexity | 3.3% | 144 | 137 | $18K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 31 | 14 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 36 | 26 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 34 | 26 | $1K |
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.