Physician
Saint Francis Medical Center
Saint Francis Medical Center was paid $2.10M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoSAINT FRANCIS MEDICAL CENTER
PIEDMONT, MO 63957
PIEDMONT, MO 63957
33aNPI1457757767assigned 11/13/2014
33bProvider typeCardiovascular Disease Physician
28Total paid$2.10M
24GClaims34,163
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Missouri
Rank by total paid#3 of 150
Median peer was paid$4K
This provider vs. median482×
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 DAVISON, JUSTIN controls 19+ 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 | 8,283 | $522K | |
| 2019 | 8,187 | $537K | |
| 2020 | 5,108 | $294K | |
| 2021 | 3,694 | $158K | |
| 2022 | 3,090 | $182K | |
| 2023 | 2,859 | $191K | |
| 2024incomplete | 2,942 | $214K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 85% | 25,948 | 22,379 | $1.77M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 3,159 | 2,925 | $158K |
| 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 | 7.1% | 2,158 | 2,080 | $150K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,464 | 1,166 | $5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 278 | 259 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 621 | 474 | $3K |
| 99307 | <1% | 77 | 75 | $2K | |
| 80061 | Lipid panel | <1% | 144 | 110 | $956.76 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 24 | 24 | $884.40 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | 13 | $93.12 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 14 | 12 | $54.51 |
| 86580 | <1% | 16 | 12 | $37.00 |
2 more codes
| 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) | 0% | 197 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 49 | $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 officialDAVISON, JUSTIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Saint Francis Medical Center | Cape Girardeau, MO | $56.42M |
| Saint Francis Medical Center | Poplar Bluff, MO | $7.48M |
| Saint Francis Medical Center | Sikeston, MO | $4.71M |
| Saint Francis Medical Center | Cape Girardeau, MO | $2.14M |
| Saint Francis Medical Center | Dexter, MO | $1.08M |
| Saint Francis Medical Center | East Prairie, MO | $1.08M |
| Saint Francis Medical Center | Poplar Bluff, MO | $961K |
| Saint Francis Medical Center | Poplar Bluff, MO | $903K |
| Saint Francis Medical Center | Sikeston, MO | $530K |
| Saint Francis Medical Center | Charleston, MO | $484K |
| Saint Francis Medical Center | Jackson, MO | $311K |
| Saint Francis Medical Center | Scott City, MO | $288K |
| Saint Francis Medical Center | Jackson, MO | $177K |
| Saint Francis Medical Center | Cape Girardeau, MO | $106K |
| Saint Francis Medical Center | Dexter, MO | $56K |
| Saint Francis Medical Center | Jackson, MO | $37K |
| Saint Francis Medical Center | Charleston, MO | $17K |
| Saint Francis Medical Center | East Prairie, MO | $14K |
| Saint Francis Medical Center | Scott City, MO | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.