Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST FRANCIS PHYSICIAN SERVICES INC

NPI: 1790181733 · GREENVILLE, SC 29601 · Internal Medicine Physician · NPI assigned 11/18/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAY, WILBUR controls 20+ related entities in our dataset. Read more

$471K
Total Medicaid Paid
14,985
Total Claims
13,666
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationST FRANCIS PHYSICIAN SERVICES INC
NPI Enumeration Date11/18/2014

Related Entities

Other providers sharing the same authorized official: GAY, WILBUR

ProviderCityStateTotal Paid
ST FRANCIS PHYSICIAN SERVICES INC MAULDIN SC $3.30M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC GLEN ALLEN VA $2.62M
BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC $2.14M
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $874K
MARYVIEW HOSPITAL LLC CHESAPEAKE VA $690K
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $658K
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $631K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $532K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC KING WILLIAM VA $448K
MARYVIEW HOSPITAL LLC SUFFOLK VA $445K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC EASLEY SC $363K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $320K
ST. FRANCIS PHYSICIAN SERVICES INC GREER SC $315K
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC WARREN OH $302K
MARYVIEW HOSPITAL LLC SUFFOLK VA $264K
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $216K
ST FRANCIS PHYSICIAN SERVICES INC SIMPSONVILLE SC $192K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $190K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,046 $63K
2019 4,442 $71K
2020 867 $43K
2021 2,526 $85K
2022 1,342 $65K
2023 1,453 $78K
2024 1,309 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,357 7,691 $422K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 465 436 $15K
0001A 326 296 $12K
0002A 310 289 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $2K
90834 Psychotherapy, 45 minutes with patient 42 29 $2K
99442 62 55 $1K
99215 Prolong outpt/office vis 12 12 $923.82
0003A 20 20 $816.00
99441 76 74 $738.12
83036 Hemoglobin; glycosylated (A1C) 141 132 $619.77
0004A 15 15 $566.00
90674 17 16 $341.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 28 $242.65
90686 15 14 $213.46
91300 536 438 $5.30
3017F 563 511 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 472 417 $0.00
1101F 231 205 $0.00
G8432 Depression screening not documented, reason not given 250 224 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 167 156 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 258 230 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 177 169 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 44 37 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 313 296 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 786 710 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 194 169 $0.00
2022F 241 215 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 226 205 $0.00
3046F 31 26 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 97 94 $0.00
1090F 110 99 $0.00
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) 29 27 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 359 319 $0.00