Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

ST Francis Physician Services INC

ST Francis Physician Services INC was paid $363K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoST FRANCIS PHYSICIAN SERVICES INC
EASLEY, SC 29642
33aNPI1578991741assigned 10/24/2013
28Total paid$363K
24GClaims9,052
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#95 of 696
Median peer was paid$14K
This provider vs. median25×

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 GAY, WILBUR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
20182,043$70K
20192,449$66K
2020803$41K
20211,280$63K
20221,272$62K
2023852$46K
2024incomplete353$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 73% 4,622 4,316 $266K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 1,909 1,824 $82K
99442 3.8% 553 505 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 12 $354.87
99441 <1% 15 14 $186.46
90686 <1% 15 15 $98.52
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 588 545 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 127 114 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 110 102 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 14 12 $0.00
2022F 0% 25 24 $0.00
3017F 0% 319 297 $0.00
5 more codes
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 220 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 174 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 296 $0.00
G8432 Depression screening not documented, reason not given 0% 40 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 13 $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 officialGAY, WILBUR (CFO)
Parent organizationST FRANCIS PHYSICIAN SERVICES INC
Same official

Other billing entities under GAY, WILBUR

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