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 $145K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.

33Billing provider infoST FRANCIS PHYSICIAN SERVICES INC
GREENVILLE, SC 29605
33aNPI1700013216assigned 06/11/2009
28Total paid$145K
24GClaims3,085
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#168 of 696
Median peer was paid$14K
This provider vs. median10×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018618$22K
2019889$33K
2020242$17K
2021241$10K
2022269$15K
2023484$29K
2024incomplete342$19K
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 99% 2,616 2,362 $143K
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 <1% 12 12 $1K
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% 14 12 $756.99
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 61 54 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 28 27 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 31 27 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 13 13 $0.00
3017F 0% 14 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 270 237 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 14 12 $0.00
1090F 0% 12 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 officialGAY, WILBUR (CFO)
Parent organizationST FRANCIS PHYSICIAN SERVICES INC
Same official

Other billing entities under GAY, WILBUR

Full network →

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