Physician
Saint Francis Medical Center
Saint Francis Medical Center was paid $11.69M by Medicaid between Jan 2018 and Dec 2024, across 161 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoSAINT FRANCIS MEDICAL CENTER
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1578513016assigned 05/12/2006
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$11.69M
24GClaims238,004
24DCodes billed161
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Missouri
Rank by total paid#1 of 103
Median peer was paid$15K
This provider vs. median797×
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 | |
|---|---|---|---|
| 2018 | 14,703 | $348K | |
| 2019 | 13,876 | $291K | |
| 2020 | 24,930 | $700K | |
| 2021 | 39,167 | $1.55M | |
| 2022 | 44,208 | $2.38M | |
| 2023 | 50,465 | $3.39M | |
| 2024incomplete | 50,655 | $3.04M |
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 | 28% | 64,132 | 58,007 | $3.33M |
| 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% | 49,946 | 45,444 | $2.91M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 5,782 | 5,590 | $425K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.6% | 4,002 | 3,841 | $423K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 3,330 | 3,295 | $322K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 3,524 | 3,423 | $303K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 2.3% | 655 | 189 | $273K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 5,717 | 4,838 | $231K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 1,437 | 1,381 | $196K |
| 62323 | 1.6% | 1,672 | 1,617 | $183K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.5% | 3,605 | 1,824 | $177K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 6,391 | 2,724 | $171K |
149 more codes
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 1.4% | 1,542 | $167K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.4% | 2,324 | $163K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.3% | 4,507 | $152K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.2% | 1,007 | $138K |
| 95886 | 1.2% | 1,912 | $137K | |
| 99460 | 1.1% | 1,619 | $133K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 2,202 | $131K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 1,000 | $113K |
| 20610 | <1% | 5,027 | $113K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 748 | $102K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,189 | $66K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 256 | $62K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 16,239 | $61K |
| 99417 | Prolong home eval add 15m | <1% | 973 | $52K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 252 | $51K |
| 54150 | <1% | 346 | $47K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 709 | $44K |
| 11045 | <1% | 1,013 | $41K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 430 | $41K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,212 | $41K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,035 | $39K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 381 | $37K |
| 95910 | <1% | 387 | $37K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 179 | $36K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 2,124 | $33K |
| 92567 | <1% | 3,213 | $33K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 882 | $32K |
| 81002 | <1% | 9,492 | $31K | |
| 76830 | Ultrasound, transvaginal | <1% | 322 | $30K |
| 92587 | <1% | 934 | $30K | |
| 92557 | <1% | 1,037 | $26K | |
| 95819 | <1% | 993 | $24K | |
| 93000 | <1% | 2,457 | $22K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 134 | $21K |
| 27096 | <1% | 231 | $20K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 274 | $16K |
| 99223 | Prolong inpt eval add15 m | <1% | 198 | $16K |
| 76801 | <1% | 194 | $15K | |
| 99243 | <1% | 107 | $14K | |
| 92579 | <1% | 382 | $14K | |
| 95251 | <1% | 809 | $12K | |
| 76818 | <1% | 138 | $12K | |
| 95117 | <1% | 1,070 | $12K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 44 | $12K |
| 93298 | <1% | 1,074 | $11K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 903 | $10K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 109 | $10K |
| 64483 | <1% | 65 | $10K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 301 | $10K |
| 93356 | <1% | 542 | $10K | |
| 93308 | <1% | 509 | $9K | |
| 99462 | <1% | 221 | $8K | |
| 93294 | <1% | 785 | $8K | |
| 0002A | <1% | 429 | $7K | |
| 0001A | <1% | 261 | $7K | |
| 76820 | <1% | 146 | $7K | |
| 62321 | <1% | 46 | $7K | |
| 93018 | <1% | 787 | $7K | |
| 47562 | <1% | 13 | $7K | |
| 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% | 2,826 | $7K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 272 | $7K |
| 95908 | <1% | 112 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 418 | $7K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 25 | $7K |
| 22853 | <1% | 13 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 53 | $6K |
| 73564 | <1% | 232 | $5K | |
| 93295 | <1% | 227 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 56 | $5K |
| 95909 | <1% | 72 | $5K | |
| 90961 | <1% | 104 | $5K | |
| 45384 | <1% | 13 | $5K | |
| 77014 | <1% | 359 | $4K | |
| 99254 | <1% | 44 | $4K | |
| 11721 | <1% | 489 | $4K | |
| 99283 | Emergency room visit (moderate) | <1% | 188 | $4K |
| 59430 | <1% | 13 | $4K | |
| 87428 | <1% | 106 | $4K | |
| 77427 | <1% | 63 | $4K | |
| 95816 | <1% | 130 | $4K | |
| 11730 | <1% | 39 | $4K | |
| 43248 | <1% | 32 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 110 | $3K |
| 99220 | <1% | 26 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 69 | $3K |
| 97597 | <1% | 72 | $3K | |
| 99219 | <1% | 60 | $3K | |
| 20930 | <1% | 19 | $3K | |
| 20936 | <1% | 19 | $2K | |
| 31575 | <1% | 30 | $2K | |
| 99381 | <1% | 39 | $2K | |
| 64615 | <1% | 39 | $2K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 14 | $2K |
| 99221 | <1% | 100 | $2K | |
| 73110 | <1% | 62 | $2K | |
| 73630 | <1% | 73 | $2K | |
| 81025 | <1% | 219 | $2K | |
| 88307 | <1% | 29 | $2K | |
| 0012A | <1% | 108 | $2K | |
| 93016 | <1% | 149 | $2K | |
| 88342 | <1% | 63 | $2K | |
| 95813 | <1% | 27 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 151 | $1K |
| 94726 | <1% | 185 | $1K | |
| 0011A | <1% | 156 | $1K | |
| 92504 | <1% | 53 | $1K | |
| 94060 | <1% | 136 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 233 | $1K |
| 31624 | <1% | 16 | $1K | |
| 94729 | <1% | 205 | $1K | |
| 93297 | <1% | 141 | $981.25 | |
| 69210 | <1% | 44 | $960.51 | |
| 92582 | <1% | 12 | $937.96 | |
| 95811 | <1% | 15 | $930.72 | |
| 73030 | <1% | 55 | $919.72 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 21 | $901.52 |
| 20605 | <1% | 101 | $869.03 | |
| 99242 | <1% | 12 | $865.09 | |
| 99406 | <1% | 161 | $836.91 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 76 | $833.89 |
| 88304 | <1% | 96 | $800.98 | |
| 20553 | <1% | 19 | $752.84 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 148 | $739.67 |
| 90962 | <1% | 12 | $729.85 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 45 | $664.99 |
| 20600 | <1% | 48 | $539.97 | |
| 73562 | <1% | 28 | $539.20 | |
| 95115 | <1% | 46 | $427.49 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 19 | $414.42 |
| 93272 | <1% | 25 | $389.88 | |
| 92552 | <1% | 14 | $389.11 | |
| 90686 | <1% | 72 | $371.02 | |
| 95806 | <1% | 12 | $343.35 | |
| 99284 | Emergency room visit (serious) | <1% | 15 | $328.28 |
| 93325 | <1% | 135 | $319.35 | |
| 92555 | <1% | 12 | $291.18 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 103 | $275.92 |
| 73130 | <1% | 13 | $248.75 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $240.11 |
| 99152 | <1% | 15 | $237.77 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 14 | $236.70 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 58 | $172.35 |
| 80053 | Comprehensive metabolic panel | <1% | 14 | $129.46 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 27 | $112.22 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 26 | $82.99 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $81.30 |
| J1720 | Injection, hydrocortisone sodium succinate, up to 100 mg | <1% | 40 | $70.40 |
| 99307 | <1% | 13 | $66.16 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $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 officialGILLILAND, KIMBERLY (CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Saint Francis Medical Center | Poplar Bluff, MO | $471K |
| Saint Francis Medical Center | Sikeston, MO | $312K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.