Clinic
ST. Francis Medical Group, P.C.
ST. Francis Medical Group, P.C. was paid $359K by Medicaid between Jan 2018 and Jul 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoST. FRANCIS MEDICAL GROUP, P.C.
HAYWARD, CA 94544
HAYWARD, CA 94544
33aNPI1417388364assigned 12/03/2013
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$359K
24GClaims6,533
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#66 of 170
Median peer was paid$145K
This provider vs. median2.5×
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 | 1,454 | $104K | |
| 2019 | 1,191 | $60K | |
| 2020 | 653 | $33K | |
| 2021 | 932 | $40K | |
| 2022 | 1,427 | $75K | |
| 2023 | 876 | $47K |
Box 24 · Service lines
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 | 36% | 1,844 | 1,763 | $130K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 36% | 2,126 | 2,113 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,209 | 1,141 | $55K |
| 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 | 7.2% | 242 | 240 | $26K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 153 | 153 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 65 | 62 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 91 | 90 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 112 | 58 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | 12 | $640.00 |
| 81003 | <1% | 391 | 377 | $569.34 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 13 | $401.28 |
| 94760 | <1% | 174 | 166 | $337.86 |
2 more codes
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 officialENNIX, COYNESS (AUTHORIZED OFFICIAL)