ST Francis Medical Center
ST Francis Medical Center was paid $166K by Medicaid between Jan 2018 and Dec 2022, across 12 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 62% of everything it billed.
TRENTON, NJ 08629
Next to other Multi-Specialty Clinic/Center providers in New Jersey
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 | 988 | $36K | |
| 2019 | 1,165 | $38K | |
| 2020 | 1,435 | $35K | |
| 2021 | 1,082 | $26K | |
| 2022 | 1,085 | $31K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 62% | 3,314 | 3,092 | $103K |
| 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 | 25% | 1,145 | 1,109 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 435 | 425 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 96 | 90 | $4K |
| 99442 | 1.9% | 478 | 463 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | 13 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 20 | 12 | $377.62 |
| 99441 | <1% | 77 | 77 | $229.52 | |
| 90670 | <1% | 25 | 25 | $146.63 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 90 | 90 | $0.00 |
| 90688 | 0% | 24 | 24 | $0.00 | |
| 90686 | 0% | 36 | 36 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.