Saint Francis Medical Center
Saint Francis Medical Center was paid $7.48M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 74% of everything it billed.
POPLAR BLUFF, MO 63901
Next to other Neurological Surgery Physician providers in Missouri
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 | 17,764 | $573K | |
| 2019 | 14,901 | $636K | |
| 2020 | 8,888 | $410K | |
| 2021 | 19,264 | $677K | |
| 2022 | 30,194 | $1.41M | |
| 2023 | 31,921 | $1.90M | |
| 2024incomplete | 26,033 | $1.87M |
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 | 74% | 75,160 | 64,366 | $5.54M |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.2% | 8,173 | 7,980 | $314K |
| 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 | 4.0% | 4,728 | 4,584 | $298K |
| 99307 | 2.1% | 5,889 | 5,727 | $154K | |
| 99335 | 2.0% | 2,654 | 2,584 | $151K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 3,586 | 1,514 | $150K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.9% | 2,863 | 2,800 | $144K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.8% | 5,675 | 5,424 | $136K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 2,794 | 2,653 | $127K |
| 99348 | 1.1% | 1,485 | 1,449 | $82K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 3,784 | 1,239 | $66K |
| 99349 | <1% | 745 | 730 | $58K |
46 more codes
| 99334 | <1% | 1,390 | $54K | |
| 80053 | Comprehensive metabolic panel | <1% | 5,288 | $32K |
| 80061 | Lipid panel | <1% | 3,824 | $28K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,994 | $21K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,843 | $18K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 657 | $16K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,404 | $13K |
| 99347 | <1% | 180 | $11K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 705 | $11K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 945 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 257 | $8K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 364 | $8K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,788 | $8K |
| 82607 | <1% | 551 | $4K | |
| 99305 | <1% | 48 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 427 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 166 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 585 | $2K |
| 82746 | <1% | 286 | $2K | |
| 84439 | <1% | 409 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $2K |
| 82043 | <1% | 438 | $1K | |
| 99221 | <1% | 66 | $1K | |
| 81001 | <1% | 833 | $1K | |
| 99336 | <1% | 13 | $1K | |
| 84480 | <1% | 102 | $797.78 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | $706.84 |
| 83735 | <1% | 150 | $603.32 | |
| 99304 | <1% | 12 | $587.40 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 113 | $418.30 |
| 84436 | <1% | 88 | $340.12 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 73 | $302.93 |
| 80305 | <1% | 87 | $296.51 | |
| 86140 | <1% | 87 | $241.26 | |
| 85027 | <1% | 62 | $208.36 | |
| 84550 | <1% | 75 | $154.44 | |
| 84702 | <1% | 14 | $146.68 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $132.20 |
| 87077 | <1% | 20 | $111.08 | |
| 87070 | <1% | 22 | $96.95 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 647 | $92.40 |
| 86580 | <1% | 19 | $62.29 | |
| 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% | 236 | $31.07 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 13 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 43 | $0.00 |
| 80050 | General health panel | 0% | 15 | $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
| Provider | Location | Paid |
|---|---|---|
| Saint Francis Medical Center | Cape Girardeau, MO | $56.42M |
| Saint Francis Medical Center | Sikeston, MO | $4.71M |
| 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.