Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Cape Girardeau › NPI 1467412726
Hospital

Saint Francis Medical Center

Saint Francis Medical Center was paid $56.42M by Medicaid between Jan 2018 and Dec 2024, across 259 billing codes. Its largest line is Y7506, — 14% of everything it billed.

33Billing provider infoSAINT FRANCIS MEDICAL CENTER
CAPE GIRARDEAU, MO 63703
33aNPI1467412726assigned 03/23/2006
28Total paid$56.42M
24GClaims484,310
24DCodes billed259
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Missouri

Rank by total paid#5 of 74
Median peer was paid$4.44M
This provider vs. median13×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
201866,537$17.67M
201971,039$17.52M
202048,001$5.92M
202157,809$2.03M
202275,559$3.74M
202386,950$5.07M
2024incomplete78,415$4.47M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Y7506 14% 22,166 19,043 $7.64M
X4011 State-specific procedure code 12% 24,093 22,472 $6.93M
Y7507 9.5% 10,540 8,869 $5.34M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5.8% 52,278 46,460 $3.26M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5.7% 53,704 46,677 $3.22M
80053 Comprehensive metabolic panel 5.2% 51,383 45,323 $2.92M
J3490 Unclassified drugs 4.8% 6,583 3,591 $2.71M
X4006 4.4% 2,814 2,484 $2.46M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.0% 15,081 13,992 $2.25M
81001 3.7% 20,938 19,609 $2.06M
X4003 3.1% 15,181 12,531 $1.73M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.5% 12,217 11,687 $1.44M
247 more codes
0202U Oncology (prostate), multianalyte, gene expression profiling 2.1% 3,537 $1.20M
94761 2.1% 17,753 $1.17M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.3% 7,335 $753K
88304 1.3% 357 $738K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.2% 12,755 $663K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.1% 5,551 $625K
71046 Radiologic examination, chest; 2 views <1% 1,864 $394K
62323 <1% 1,687 $360K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,236 $350K
85610 <1% 2,590 $349K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,573 $344K
59025 Fetal non-stress test <1% 1,477 $338K
85730 <1% 2,154 $319K
36415 Collection of venous blood by venipuncture <1% 7,710 $261K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 2,912 $249K
71045 Radiologic examination, chest; single view <1% 4,564 $238K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,398 $221K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 238 $212K
84484 <1% 4,284 $210K
83605 <1% 2,181 $201K
83690 <1% 2,180 $181K
G0378 Hospital observation service, per hour <1% 281 $173K
82550 <1% 2,169 $156K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,106 $148K
86141 <1% 3,679 $146K
88342 <1% 1,198 $145K
96361 Intravenous infusion, hydration; each additional hour <1% 4,239 $142K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,264 $135K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 666 $134K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 479 $133K
87581 <1% 1,497 $128K
87486 <1% 1,497 $128K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,136 $127K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,829 $126K
96375 Therapeutic injection; each additional sequential IV push <1% 3,569 $114K
92523 <1% 518 $113K
20610 <1% 2,027 $113K
70450 Computed tomography, head or brain; without contrast material <1% 1,041 $112K
87088 <1% 3,153 $108K
97165 <1% 363 $96K
87040 <1% 1,015 $96K
97161 <1% 236 $90K
80048 Basic metabolic panel (calcium, ionized) <1% 673 $89K
87631 <1% 449 $89K
87070 <1% 3,742 $88K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 24 $85K
82553 <1% 911 $82K
36591 <1% 1,510 $81K
85027 <1% 647 $78K
84145 <1% 1,953 $76K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 642 $66K
95811 <1% 130 $63K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 4,127 $62K
87660 <1% 859 $57K
84443 Thyroid stimulating hormone (TSH) <1% 2,271 $51K
83880 <1% 795 $48K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 198 $47K
97597 <1% 1,281 $44K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 618 $43K
84439 <1% 1,580 $42K
87400 <1% 290 $41K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 244 $41K
87480 <1% 486 $40K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 442 $40K
88312 <1% 295 $39K
87510 <1% 358 $39K
83655 <1% 4,491 $36K
81025 <1% 79 $34K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 94 $32K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 55 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 445 $32K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 212 $29K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,511 $28K
93296 <1% 2,873 $26K
90698 <1% 1,130 $25K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 54 $23K
64483 <1% 67 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 134 $22K
99285 Emergency room visit (most serious) <1% 81 $22K
43248 <1% 57 $20K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 1,406 $19K
88313 <1% 337 $19K
62321 <1% 52 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 303 $18K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 540 $18K
84703 <1% 989 $18K
20605 <1% 202 $18K
43235 <1% 28 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 162 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 162 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 203 $15K
87641 <1% 28 $13K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 30 $13K
82728 <1% 990 $12K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 54 $12K
82150 <1% 81 $12K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 228 $11K
45384 <1% 12 $11K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 155 $11K
80061 Lipid panel <1% 1,033 $10K
86803 <1% 253 $10K
80081 <1% 139 $10K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,652 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 187 $10K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 279 $10K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 15 $10K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 47 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 379 $9K
11045 <1% 1,024 $9K
83970 <1% 366 $9K
Q3014 Telehealth originating site facility fee <1% 492 $7K
82607 <1% 350 $7K
86235 <1% 136 $7K
87210 <1% 26 $7K
85651 <1% 2,177 $7K
83540 <1% 904 $6K
20553 <1% 45 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 63 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 590 $6K
90472 Immunization administration, each additional vaccine (list separately) <1% 42 $6K
94726 <1% 40 $5K
87081 <1% 111 $5K
83550 <1% 798 $5K
95831 <1% 185 $5K
87077 <1% 610 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 51 $4K
71250 <1% 135 $4K
81002 <1% 1,446 $4K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 40 $4K
90670 <1% 582 $4K
86703 <1% 109 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,885 $4K
87340 <1% 86 $4K
86762 <1% 72 $3K
87186 <1% 441 $3K
77336 <1% 84 $3K
82950 <1% 122 $3K
95813 <1% 12 $3K
84425 <1% 118 $3K
77065 Tomosynthesis, mammo <1% 42 $3K
95832 <1% 102 $3K
83735 <1% 140 $2K
86300 <1% 203 $2K
80047 <1% 27 $2K
94060 <1% 15 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 58 $2K
90686 <1% 492 $2K
86592 <1% 95 $2K
84630 <1% 100 $2K
82525 <1% 87 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 13 $2K
84702 <1% 153 $2K
86039 <1% 261 $2K
81511 <1% 16 $2K
88142 <1% 62 $2K
80074 <1% 39 $2K
90633 <1% 218 $1K
84681 <1% 123 $1K
86200 <1% 193 $1K
72131 <1% 29 $1K
96415 <1% 146 $1K
84480 <1% 170 $1K
90744 <1% 221 $1K
72125 Computed tomography, cervical spine; without contrast material <1% 30 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 14 $1K
71275 Computed tomographic angiography, chest, with contrast material <1% 13 $1K
76830 Ultrasound, transvaginal <1% 13 $1K
77067 Screening mammography, bilateral, including computer-aided detection <1% 19 $1K
90677 <1% 112 $1K
95861 <1% 26 $1K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 12 $1K
80076 <1% 15 $1K
99214 Doctor's office visit, returning patient (more involved) <1% 68 $968.47
83615 <1% 368 $956.98
90681 <1% 98 $944.14
80069 <1% 229 $850.14
83525 <1% 122 $843.04
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $827.55
76642 <1% 15 $762.90
90656 <1% 111 $748.16
86780 <1% 69 $735.18
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 26 $704.88
86900 <1% 12 $656.34
86800 <1% 13 $599.62
84432 <1% 13 $589.12
C9399 Unclassified drugs or biologicals <1% 225 $560.93
82533 <1% 55 $552.71
82043 <1% 199 $547.16
93299 <1% 171 $538.47
96417 <1% 14 $530.96
87522 Neg quan hep c or qual rna <1% 14 $521.32
80050 General health panel <1% 14 $412.65
99213 Doctor's office visit, returning patient (routine) <1% 1,500 $393.85
J2270 Injection, morphine sulfate, up to 10 mg <1% 157 $390.52
72100 <1% 13 $362.63
86757 <1% 13 $353.96
85045 <1% 189 $336.79
86225 <1% 30 $320.63
93016 <1% 95 $287.11
90707 <1% 12 $280.98
87640 <1% 27 $280.70
86850 <1% 12 $279.43
86431 <1% 73 $255.97
86430 <1% 57 $233.46
85652 <1% 160 $213.39
86901 <1% 12 $203.17
93018 <1% 95 $190.97
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 38 $175.00
77063 Screening digital breast tomosynthesis, bilateral <1% 21 $170.09
80164 <1% 13 $168.18
84156 <1% 91 $156.72
82378 <1% 13 $150.12
85014 <1% 98 $138.33
85018 <1% 110 $138.33
83721 <1% 15 $125.57
82746 <1% 12 $98.42
90716 <1% 12 $93.75
86666 <1% 12 $93.08
90680 <1% 12 $75.26
84436 <1% 39 $69.00
82570 <1% 20 $68.06
88311 <1% 40 $67.80
86140 <1% 74 $65.96
J2704 Injection, propofol, 10 mg <1% 840 $64.92
84550 <1% 17 $55.40
J3010 Injection, fentanyl citrate, 0.1 mg <1% 12 $54.33
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 62 $34.24
86038 <1% 14 $32.64
82948 <1% 16 $16.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 0% 1,060 $0.00
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 0% 94 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 146 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 267 $0.00
99152 0% 12 $0.00
99215 Doctor's office visit, returning patient (complex) 0% 155 $0.00
90710 0% 12 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 13 $0.00
94729 0% 12 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 160 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 0% 1,138 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 587 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 107 $0.00
G0453 Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) 0% 12 $0.00
87807 0% 18 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 149 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 27 $0.00
94760 0% 33 $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 (PRESIDENT)
Same official

Other billing entities under DAVISON, JUSTIN

Full network →
ProviderLocationPaid
Saint Francis Medical CenterPoplar Bluff, MO$7.48M
Saint Francis Medical CenterSikeston, MO$4.71M
Saint Francis Medical CenterCape Girardeau, MO$2.14M
Saint Francis Medical CenterPiedmont, MO$2.10M
Saint Francis Medical CenterDexter, MO$1.08M
Saint Francis Medical CenterEast Prairie, MO$1.08M
Saint Francis Medical CenterPoplar Bluff, MO$961K
Saint Francis Medical CenterPoplar Bluff, MO$903K
Saint Francis Medical CenterSikeston, MO$530K
Saint Francis Medical CenterCharleston, MO$484K
Saint Francis Medical CenterJackson, MO$311K
Saint Francis Medical CenterScott City, MO$288K
Saint Francis Medical CenterJackson, MO$177K
Saint Francis Medical CenterCape Girardeau, MO$106K
Saint Francis Medical CenterDexter, MO$56K
Saint Francis Medical CenterJackson, MO$37K
Saint Francis Medical CenterCharleston, MO$17K
Saint Francis Medical CenterEast Prairie, MO$14K
Saint Francis Medical CenterScott City, MO$10K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.