Physician
ST Francis Pediatrics LLC
ST Francis Pediatrics LLC was paid $509K by Medicaid between Oct 2020 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoST FRANCIS PEDIATRICS LLC
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
33aNPI1568071793assigned 07/23/2020
33bProvider typePediatrics Physician
28Total paid$509K
24GClaims19,883
24DCodes billed37
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#23 of 200
Median peer was paid$4K
This provider vs. median117×
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 | |
|---|---|---|---|
| 2020 | 507 | $4K | |
| 2021 | 2,219 | $50K | |
| 2022 | 6,156 | $120K | |
| 2023 | 6,079 | $136K | |
| 2024incomplete | 4,922 | $198K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 3,210 | 2,757 | $156K |
| 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 | 14% | 870 | 786 | $72K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,153 | 1,001 | $64K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 906 | 842 | $54K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.6% | 552 | 523 | $24K |
| 99188 | 4.4% | 1,948 | 1,812 | $23K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 222 | 219 | $15K |
| 3008F | 2.8% | 1,598 | 1,514 | $14K | |
| 92551 | 2.6% | 1,036 | 979 | $13K | |
| 99173 | 2.3% | 642 | 611 | $11K | |
| 90686 | 1.8% | 1,230 | 1,146 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 114 | 114 | $8K |
25 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 500 | $8K |
| 96127 | 1.0% | 714 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 119 | $5K |
| 90656 | <1% | 285 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 122 | $4K |
| 90670 | <1% | 572 | $4K | |
| 83655 | <1% | 346 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $3K |
| 90633 | <1% | 184 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 80 | $1K |
| 90677 | <1% | 81 | $1K | |
| 90697 | <1% | 205 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 26 | $892.07 |
| 85018 | <1% | 381 | $759.59 | |
| 36416 | <1% | 369 | $712.92 | |
| 90648 | <1% | 64 | $346.39 | |
| 90723 | <1% | 70 | $258.35 | |
| 90681 | <1% | 79 | $213.21 | |
| 81002 | <1% | 67 | $148.91 | |
| 99000 | <1% | 12 | $49.20 | |
| 90716 | <1% | 12 | $34.16 | |
| 90707 | <1% | 12 | $34.16 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,462 | $28.31 |
| 94760 | <1% | 19 | $14.38 | |
| 90461 | 0% | 593 | $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 officialMUSETE, MONICA (PEDIATRICIAN)