Physician
ST Francis Physician Services INC
ST Francis Physician Services INC was paid $471K by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 90% of everything it billed.
33Billing provider infoST FRANCIS PHYSICIAN SERVICES INC
GREENVILLE, SC 29601
GREENVILLE, SC 29601
33aNPI1790181733assigned 11/18/2014
33bProvider typeInternal Medicine Physician
28Total paid$471K
24GClaims14,985
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#31 of 273
Median peer was paid$19K
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
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 | 3,046 | $63K | |
| 2019 | 4,442 | $71K | |
| 2020 | 867 | $43K | |
| 2021 | 2,526 | $85K | |
| 2022 | 1,342 | $65K | |
| 2023 | 1,453 | $78K | |
| 2024incomplete | 1,309 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 90% | 8,357 | 7,691 | $422K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 465 | 436 | $15K |
| 0001A | 2.7% | 326 | 296 | $12K | |
| 0002A | 2.6% | 310 | 289 | $12K | |
| 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% | 14 | 12 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 42 | 29 | $2K |
| 99442 | <1% | 62 | 55 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $923.82 |
| 0003A | <1% | 20 | 20 | $816.00 | |
| 99441 | <1% | 76 | 74 | $738.12 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 141 | 132 | $619.77 |
| 0004A | <1% | 15 | 15 | $566.00 |
22 more codes
| 90674 | <1% | 17 | $341.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | $242.65 |
| 90686 | <1% | 15 | $213.46 | |
| 91300 | <1% | 536 | $5.30 | |
| 3017F | 0% | 563 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 472 | $0.00 |
| 1101F | 0% | 231 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 250 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 167 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 258 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 177 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 44 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 313 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 786 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 194 | $0.00 |
| 2022F | 0% | 241 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 226 | $0.00 |
| 3046F | 0% | 31 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 97 | $0.00 |
| 1090F | 0% | 110 | $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) | 0% | 29 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 359 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.