Behavioral
Saint Francis Medical Center
Saint Francis Medical Center was paid $4.71M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoSAINT FRANCIS MEDICAL CENTER
SIKESTON, MO 63801
SIKESTON, MO 63801
33aNPI1588131338assigned 10/30/2018
33bProvider typeClinical Social Worker
28Total paid$4.71M
24GClaims73,664
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Missouri
Rank by total paid#2 of 259
Median peer was paid$10K
This provider vs. median451×
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 DAVISON, JUSTIN controls 19+ 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 | 6,163 | $303K | |
| 2019 | 23,365 | $1.60M | |
| 2020 | 15,119 | $998K | |
| 2021 | 7,896 | $427K | |
| 2022 | 7,655 | $438K | |
| 2023 | 7,002 | $453K | |
| 2024incomplete | 6,464 | $483K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 84% | 54,877 | 47,074 | $3.97M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 4,109 | 3,819 | $183K |
| 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 | 2.9% | 1,996 | 1,914 | $136K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 2.7% | 1,968 | 1,750 | $129K |
| 90961 | 1.9% | 1,593 | 1,453 | $90K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.7% | 2,052 | 1,946 | $82K |
| 99307 | <1% | 1,316 | 1,286 | $28K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 577 | 518 | $16K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 229 | 229 | $11K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 451 | 424 | $10K |
| 80053 | Comprehensive metabolic panel | <1% | 1,448 | 1,244 | $8K |
| 99348 | <1% | 69 | 69 | $6K |
25 more codes
| 80061 | Lipid panel | <1% | 739 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 60 | $4K |
| 99335 | <1% | 74 | $4K | |
| 90966 | <1% | 55 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 126 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 167 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 185 | $2K |
| 90962 | <1% | 38 | $1K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 340 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 235 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 187 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $932.28 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 14 | $918.18 |
| 80069 | <1% | 192 | $897.74 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $663.00 |
| 76770 | <1% | 29 | $651.86 | |
| 99304 | <1% | 12 | $587.40 | |
| 81001 | <1% | 202 | $454.48 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 36 | $364.32 |
| 82570 | <1% | 100 | $290.42 | |
| 84156 | <1% | 100 | $202.51 | |
| 82607 | <1% | 13 | $122.11 | |
| 85027 | <1% | 24 | $114.30 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 12 | $81.12 |
| 85018 | <1% | 13 | $21.05 |
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 officialDAVISON, JUSTIN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Saint Francis Medical Center | Cape Girardeau, MO | $56.42M |
| Saint Francis Medical Center | Poplar Bluff, MO | $7.48M |
| Saint Francis Medical Center | Cape Girardeau, MO | $2.14M |
| Saint Francis Medical Center | Piedmont, MO | $2.10M |
| Saint Francis Medical Center | Dexter, MO | $1.08M |
| Saint Francis Medical Center | East Prairie, MO | $1.08M |
| Saint Francis Medical Center | Poplar Bluff, MO | $961K |
| Saint Francis Medical Center | Poplar Bluff, MO | $903K |
| Saint Francis Medical Center | Sikeston, MO | $530K |
| Saint Francis Medical Center | Charleston, MO | $484K |
| Saint Francis Medical Center | Jackson, MO | $311K |
| Saint Francis Medical Center | Scott City, MO | $288K |
| Saint Francis Medical Center | Jackson, MO | $177K |
| Saint Francis Medical Center | Cape Girardeau, MO | $106K |
| Saint Francis Medical Center | Dexter, MO | $56K |
| Saint Francis Medical Center | Jackson, MO | $37K |
| Saint Francis Medical Center | Charleston, MO | $17K |
| Saint Francis Medical Center | East Prairie, MO | $14K |
| Saint Francis Medical Center | Scott City, MO | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.