Physician
ST. Francis Medical Group, LLC
ST. Francis Medical Group, LLC was paid $9.92M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 31% of everything it billed.
33Billing provider infoST. FRANCIS MEDICAL GROUP, LLC
GREENWOOD, IN 46143
GREENWOOD, IN 46143
33aNPI1467693135assigned 03/10/2009
33bProvider typeFamily Medicine Physician
28Total paid$9.92M
24GClaims224,741
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#6 of 408
Median peer was paid$81K
This provider vs. median122×
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 ANDERSON, MARK controls 11+ 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 | 27,300 | $400K | |
| 2019 | 26,239 | $1.04M | |
| 2020 | 26,720 | $1.12M | |
| 2021 | 33,976 | $1.66M | |
| 2022 | 34,546 | $1.67M | |
| 2023 | 46,716 | $2.29M | |
| 2024incomplete | 29,244 | $1.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 31% | 69,921 | 31,243 | $3.10M |
| 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 | 21% | 37,035 | 31,487 | $2.11M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 12% | 10,929 | 4,057 | $1.16M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 37,149 | 16,223 | $1.10M |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.6% | 21,079 | 9,639 | $461K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.6% | 9,837 | 8,799 | $457K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 9,474 | 8,295 | $405K |
| 99223 | Prolong inpt eval add15 m | 3.8% | 5,128 | 4,471 | $374K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.0% | 1,997 | 1,802 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,051 | 855 | $80K |
| 99310 | Prolong nursin fac eval 15m | <1% | 1,399 | 713 | $74K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 899 | 838 | $72K |
44 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,109 | $67K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 763 | $64K |
| 99306 | Prolong nursin fac eval 15m | <1% | 1,246 | $62K |
| 99205 | Prolong outpt/office vis | <1% | 498 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,119 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 281 | $25K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,659 | $22K |
| 99305 | <1% | 529 | $16K | |
| 99217 | <1% | 647 | $13K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 580 | $11K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,507 | $10K |
| 99220 | <1% | 394 | $7K | |
| 90670 | <1% | 64 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 71 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 319 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 769 | $5K |
| 99226 | <1% | 194 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 535 | $4K |
| 90686 | <1% | 385 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 269 | $1K |
| 36556 | <1% | 17 | $959.75 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 349 | $898.22 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 99 | $887.07 |
| 99383 | <1% | 12 | $757.00 | |
| 93000 | <1% | 86 | $746.67 | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 13 | $699.84 |
| 94726 | <1% | 118 | $628.66 | |
| 99316 | <1% | 39 | $562.04 | |
| 94729 | <1% | 119 | $473.49 | |
| 95806 | <1% | 13 | $473.15 | |
| 96127 | <1% | 48 | $176.86 | |
| 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% | 2,070 | $168.48 |
| 94060 | <1% | 26 | $126.50 | |
| 99225 | <1% | 204 | $117.88 | |
| 76937 | <1% | 17 | $117.08 | |
| 90674 | <1% | 178 | $21.97 | |
| 90461 | <1% | 61 | $18.75 | |
| G0008 | Administration of influenza virus vaccine | 0% | 113 | $0.00 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 67 | $0.00 |
| 99406 | 0% | 13 | $0.00 | |
| 90688 | 0% | 22 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 96 | $0.00 |
| 99497 | 0% | 21 | $0.00 | |
| 99219 | 0% | 104 | $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 officialANDERSON, MARK (PRACTICE OPERATIONS EXECUTIVE)
| Provider | Location | Paid |
|---|---|---|
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| North Oaks Physician Group, LLC | Hammond, LA | $7.29M |
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| Spokane School District #81 | Spokane, WA | $3.82M |
| North Oaks Physician Group, LLC | Hammond, LA | $1.67M |
| North Oaks Medical Center, LLC | Hammond, LA | $1.59M |
| R Hutto Od PLLC | Baytown, TX | $199K |
| Mountain Land Performance LC | Billings, MT | $32K |
| Anderson Jore Counseling PC. | Grand Rapids, MN | $20K |
| University Gastroenterology, PC | Knoxville, TN | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.