Physician
ST Francis Medical Associates, PA
ST Francis Medical Associates, PA was paid $35K by Medicaid between Jun 2019 and Dec 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoST FRANCIS MEDICAL ASSOCIATES, PA
TRENTON, NJ 08629
TRENTON, NJ 08629
33aNPI1821553413assigned 02/07/2019
33bProvider typeInternal Medicine Physician
28Total paid$35K
24GClaims4,262
24DCodes billed11
24AFirst – last monthJun 2019 – Dec 2022
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#494 of 1,027
Median peer was paid$30K
This provider vs. median1.2×
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.
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 | |
|---|---|---|---|
| 2019 | 861 | $3K | |
| 2020 | 1,371 | $4K | |
| 2021 | 825 | $6K | |
| 2022 | 1,205 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 2,668 | 2,506 | $16K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 30% | 103 | 94 | $11K |
| 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 | 11% | 523 | 494 | $4K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 5.5% | 14 | 13 | $2K |
| 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 | 4.0% | 30 | 30 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 25 | 25 | $412.10 |
| 90686 | 1.2% | 25 | 25 | $403.18 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | 27 | $298.10 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 451 | 438 | $196.91 |
| 99441 | <1% | 364 | 312 | $21.09 | |
| 99442 | 0% | 32 | 22 | $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 officialROMANO, CARMEN (SENIOR VICE PRESIDENT)